从热、毒、痰、瘀论治儿童大叶性肺炎  

Treatment from Heat, Toxicity, Phlegm and Stagnation for Lobar Pneumonia in Children

作　　者：宋桂华[1] 张岩[1] 管志伟[1] 于素平[1] 吕伟刚[1] 郭彦荣[1] 孙萌萌[1] 史纪[1] 

机构地区：[1]河南中医药大学第一附属医院儿科,河南郑州450000

出　　处：《新中医》2017年第9期153-155,共3页New Chinese Medicine

基　　金：国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2012105);河南省重点中医学科(专科)学术带头人培养项目专项(2013ZY03020);史纪全国名老中医药专家传承工作室项目(CZ0008)

摘　　要：中医药治疗儿童大叶性肺炎辨证论治,标本兼顾,疗效显著。笔者就儿童大叶性肺炎中医辨证从热、毒、痰、瘀相关的病因病机进行论治。热因风温、肺热,毒有热毒、痰毒;痰有痰热、痰湿;瘀有血瘀、痰瘀。治疗分为急性期的风热壅肺、痰热壅肺、热毒壅肺、痰瘀壅肺4型;恢复期的阴虚肺热、肺脾气虚2型。本病之虚非一般气虚血弱之类,此虚亦为毒邪耗伤气血、血脉瘀滞所致,故治疗时不论急性期或恢复期,均可加化瘀活血行滞之品。Chinese medicine therapy for lobar pneumonia in Children which has good efficacy is based on an overall consideration. The author focus on treatment from relative etiology and pathogenesis of heat, toxicity, phlegm and stasis for lobar pneumonia in Children. Heat may be caused by wind-warm or lung heat; toxicity may be toxic heat or phlegm-toxin;Phlegm may be phlegm-heat or phlegm-dampness; stagnation may be blood stasis or phlegm stasis; Treatment of the disease can be divided into acute stage and recovery stage, which acute stage including types of retention of wind-heat in the lung, retention of heat-phlegm in the lung, retention of toxic heat in the lung, retention of phlegm stasis in the lung, and recovery stage including types of yin deficiency due to lung heat and deficiency of lung-spleen qi respectively. Deficiency of the disease was caused by wasting qi-blood due to pathogenic toxin and blood stasis rather than normal qi-blood deficiency. Thus,medicine used for promoting blood circulation to remove blood stasis can be increased in both stage.

关 键 词：大叶性肺炎 儿童 热、毒、痰、瘀 辨证论治 

分 类 号：R563.11[医药卫生—呼吸系统]