戈佳磊　缪吉　徐婉仪　肖侃

【摘要】“培土生金”法诞生于 “五行相生”思想中，是其理论在临床中的具体应用。其内涵为通过调节脾肺二脏关系，使生化有源，脏腑功能得以恢复，是应用调节脾胃功能来改善肺肠功能的一种治法。文章通过对儿童新冠肺炎（COVID-19）进行中医病机分析，得出了其在恢复期的病机主要表现为肺脾气虚证。并基于对脾肺二脏关系的理解结合小儿“肺脏娇嫩，脾常不足”的生理特点，提出“培土生金”法可作为儿童新冠肺炎恢复期中医康复的指导思想，并回顾了一例武汉儿童医院康复科的COVID-19患儿中医康复介入的诊疗过程，以期为同道开拓思路。

【关键词】“培土生金”法;新冠肺炎;儿童;中医康复

【中图分类号】R247.9 【文献标志码】 A【文章编号】1007-8517（2021）23-0095-05

Clinical Application of “Pei Tu Sheng Jin” Method in the Rehabilitation

of TCM in the Recovery Stage of Children's COVID-19

GE Jialei¹MIAO Ji²XU Wanyi¹XIAO Kan¹

1.Hubei University of Traditional Chinese Medicine，Wuhan 430065，China;

2.Rehabilitation Department of Wuhan Children's Hospital，Tongji Medical College

Huazhong University of Science & Technology，Wuhan 430015，China

Abstract：The method of “Pei Tu Sheng Jin” is rooted in the thought of “five elements coexist”， which is the specific application of five elements theory in clinical practice. Its connotation is mainly to regulate the relationship between the spleen and the lung， to make the blood and blood biochemical active， and to restore the function of the viscera. It is a therapeutic method to improve the function of the lung and the intestine by regulating the function of the spleen and the stomach. COVID-19 in children is analyzed by TCM pathogenesis， and the main pathogenesis of the disease is lung and spleen deficiency syndrome. It is based on the understanding of the relationship between the two organs of spleen and lung and the physiological characteristics of children's delicate lung and spleen deficiency. It is suggested that the method of “Pei Tu Sheng Jin” can be used as a guiding principle for the rehabilitation of children with COVID-19 in the recovery stage. It also reviews the diagnosis and treatment process of rehabilitation intervention of a new crown child with a new case in Wuhan children's hospital rehabilitation department。

Key words：“Pei Tu Sheng Jin” Method; COVID-19;Children;TCM'Rehabilitation

2019年12月，一種新型冠状病毒在湖北省武汉市引起了急性肺炎病例爆发，之后广泛传播在全国流行，该病毒目前被命名为严重急性呼吸综合征冠状病毒2型（SARS-CoV-2），现如今世界各国的病例越来越多，疫情愈演愈烈，有全球大流行的趋势。2020年2月世界卫生组织将其正式命名为COVID-19。该传染病特点主要有起病隐匿，发病急骤，传染性强，传变迅速。起初儿童并不认为普遍易感，但随着对该疾病的不断认识，和儿童感染人数不断增多，第五版国家指南^[1]，也将儿童列为易感人群之一。COVID-19儿童发病时与成人的典型症状不尽相同，症状常表现为发热、干咳、乏力等症状，也可出现胃肠道症状如腹部不适、恶心、呕吐、腹痛和腹泻。虽然大多数儿童感染症状较轻，预后良好，但仍有部分危重病例在武汉被报道，因此儿童感染也应引起重视^[2]。……