俞景茂教授治疗婴幼儿毛细支气管炎经验  

Experience of professor YU Jingmao in the treatment of infantile bronchiolitis

作　　者：陈娟 程申[2] 王远照[2] 俞景茂(指导) CHEN Juan;CHENG Shen;WANG Yuanzhao;YU Jingmao(The First Clinical Medical College,Zhejiang University of Chinese Medicine,Hangzhou,Zhejiang,310053,China;Department of Pediatrics,Zhejiang Provincial Hospital of TCM,Hangzhou,Zhejiang,310006,China;不详)

机构地区：[1]浙江中医药大学第一临床医学院,浙江杭州310053 [2]浙江省中医院儿科,浙江杭州310006 [3]不详

出　　处：《中医儿科杂志》2020年第6期7-9,共3页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：浙江省中医药科技计划科研基金项目(2019ZB042)。

摘　　要：俞景茂教授认为婴幼儿毛细支气管炎的主要病机是内因和外因共同作用下导致的气闭痰阻,临床治疗分为3期。喘憋期痰热蕴阻,缓解期正虚邪恋,分别以清热化痰、止咳平喘和扶正祛邪为治疗原则,药用自拟毛支饮加减;恢复期邪去正未复,且与患儿体质关系密切,治宜扶正固本、改善体质,药用六君子汤加减,临床疗效显著。附典型案例1则,以资验证。Professor YU Jingmao holds that the main pathogenesis of infantile bronchiolitis lies in qi block and phlegm obstruction resulted from combined action of internal and external factors.The clinical treatment is divided into 3 stages.Dyspnea and stifling stage with phlegm heat accumulation and obstruction,remission stage with lingering of pathogenic factors due to asthenia of healthy qi,take clearing away heat to resolve phlegm,relieving cough and stopping asthma and strengthening healthy qi to eliminate pathogenic factors as therapeutic principles,respectively. The medication is self-made modified Maozhi Yin(毛支饮).In remission stage with elimination of pathogenic factors and unrecovered healthy qi,along with the close relation with the constitution of children patients,the treatment should strengthen healthy qi to consolidate constitution and improve it,the medication is modified Liujunzi Tang(六君子汤),which has obtained significant clinical efficacy.One typical case is attached for verification.

关 键 词：婴幼儿 毛细支气管炎 临床经验 俞景茂 

分 类 号：R725.6[医药卫生—儿科]