北京中医药大学学报2026，Vol.49Issue(5)：692-697,6.DOI:10.3969/j.issn.1006-2157.2026.05.011
从"运枢机,除陈气"论治小儿汗证
Treating sweating disease in children from the perspective of"moving the pivot and eliminating the turbidity"
摘要
Abstract
Sweating disease in children is not merely a disorder of the striae and interstitial spaces,but rather a local manifestation of systemic qi movement and orifice dysfunction.The spleen pertains to the central soil and serves as the pivot of the qi movement.In children,the spleen is often insufficient.The spleen governs transportation and transformation,preferring dryness to dampness while avoiding dampness.When the transportation and transformation functions of the spleen fail,the water-dampness accumulates,leading to stagnation of the pivot mechanism.Consequently,pathological turbidity,such as damp-heat,retention of food,and latent fire,is generated internally.These pathogenic factors congest the orifices,force the fluid outward and eventually result in a sweating disorder.Based on the theory of"treat it with lan and eliminate turbidity"from the Treatise on Strange Diseases of Plain Questions,our research team proposes that aromatic Chinese medicinals can"invigorate the spleen to eliminate dampness and activate the pivot mechanism."The basic therapeutic method was established as moving the pivot and eliminating the turbidity resolving dampness with aromatics,moving the pivot to stop sweating.In clinical practice,treatment is tailored based on pattern differentiation.For the pattern of spleen deficiency due to dampness stagnancy,treatment focuses on moving the pivot and eliminating the turbidity,resolving dampness with aromatics.For the pattern of dyspepsia,treatment focuses on moving the pivot and eliminating the turbidity,promoting digestion and removing food stagnation.For the pattern of phlegm-heat attacking internally,the treatment focuses on moving the pivot and eliminating the turbidity,clearing heat,and dissipating phlegm.For disharmony between the nutrient qi and the defensive qi,the treatment focuses on moving the pivot and eliminating the turbidity,harmonizing ying fen and wei fen.These approaches aim to restore movement of the pivot mechanism and ensure free flow of the orifices,leading to spontaneous cessation of sweating.This study systematically elaborates the key points of applying the theory of"moving the pivot and eliminating the turbidity"in the treatment of sweating disease in children,aiming to provide a new approach to clinical pattern differentiation and treatment.关键词
小儿汗证/运枢机/除陈气/芳香中药/中医芳香疗法Key words
sweating disease in children/moving the pivot/eliminating the turbidity/aromatic Chinese medicinals/aromatherapy of traditional Chinese medicine分类
医药卫生引用本文复制引用
黄金凤,曹婷,李华妍,林子涵,杨艳晓,熊磊..从"运枢机,除陈气"论治小儿汗证[J].北京中医药大学学报,2026,49(5):692-697,6.基金项目
国家自然科学基金项目(No.82374523) （No.82374523）
云南省研究生导师团队建设项目(No.云学位[2023]8号) National Natural Science Foundation of China(No.82374523) （No.云学位[2023]8号）
