笔者有幸跟随第三批国家级名老中医药学术经验继承指导老师冯昌汉门诊,受益匪浅。冯老从天枢穴升清降浊、调畅气机的功效着眼,应用于小儿脾虚、乳食内积而致气机升降失调的大便秘结病证,临床收效良好。现将其临证经验总结如下:1病因病机喂养不当,或暴饮暴食,或过食肥甘厚味、煎炸烹调之品,或添加各种辅食过早过杂,又因小儿脾胃之气未充,不能克化,宿食停聚,积而不化,故导致小儿大便次数明显减少,排出困难。《政治准绳·幼科·宿食》中指出:“小儿宿 I was fortunate enough to follow the third installment of state-level old Chinese medicine academic experience inheritance instructor Feng Chang-han outpatient benefit. Feng old from the Tianshu points Qingqing Jiangzhuo, tune the machine’s effect of attention, used in children with spleen, milk and milk products within the plot caused by the ups and downs of the machine uplift constipation disease syndrome, clinical good effect. Now experience of clinical experience are summarized as follows: 1 etiology and pathogenesis of improper feeding, or overeating, or excessive fat and fat taste, fried cooking products, or add a variety of premature food too complicated, because of children’s stomach Gas is not filling, can not be changed, stay stopped gathering, but not the plot, it led to a significant reduction in the number of stool in children, discharge difficulties. ”Political Standards · Nursery · Sopping food“ pointed out: ”Children’s places