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机构地区:[1]上海交通大学医学院附属新华医院中医科,上海200092 [2]上海中医药大学附属市中医医院,上海市中医药研究院中医儿科研究所,上海200071
出 处:《世界中医药》2017年第4期933-935,共3页World Chinese Medicine
基 金:上海市进一步加快中医药事业发展三年行动计划(编号:ZY3-RCPY-3-1017);上海市自然科学基金项目(编号:14140903000);国家临床重点专科(国家中医药管理局)(编号:ZJ0901EK013);上海市卫生局中医药科研基金项目(编号:2010L70A)
摘 要:探讨海派徐氏儿科徐小圃先生诊治小儿时行丹痧临床学术思想,徐氏按丹痧病程、标本缓急,以六经和卫气营血辨证为基础,分期辨治,发病初期,病在气分,邪犯肺卫,宜辛凉透达;出疹期,病在营血,肺胃热盛,宜清泻肺胃、解毒凉营;病之后期,属瘟邪势衰,气阴耗伤证,宜佐滋阴益气。This paper is to explore the academic thoughts of Xu Xiaopu's clinical treatment for pediatric scarlet fever.According to the disease course and syndromes and root causes,Xu treats patients in different stages focusing on syndrome differentiation of Qi and blood and six meridians.At the early stage of the disease,the disease remains in qi stage,evilness invades the lung,and the treatment for this stage should use pungent and cool medicinal.At the rash stage,disease goes into the blood stage with exuberance of lung and stomach heat,so treatment should be clearing lung and stomach,cooling the blood and removing toxins.At the late stage of the disease,it becomes warm disease and qi and yin are damaged so treatment should tonify yin and nourish qi.
分 类 号:R249[医药卫生—中医临床基础] R272.6[医药卫生—中医学]
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