郑颉云儿科学术思想及临证特色  

Zheng Jieyun′s Pediatric Academic Thought and Clinical Characteristics

作　　者：李伟杰 梁润英[1] LI Weijie;LIANG Runying(Henan University of Chinese Medicine,Zhengzhou Henan China 450046)

机构地区：[1]河南中医药大学,河南郑州450046

出　　处：《中医学报》2021年第9期1923-1926,共4页Acta Chinese Medicine

基　　金：河南省中医药文化与管理研究项目(TCM2020026)。

摘　　要：郑颉云在诊治儿科病证时,勤求古训,四诊合参,尤重望诊。临证重视小儿肺脾,在选方用药时多选用清热与补虚药,祛邪的同时重视顾护正气,从而扶正固本。在选择治疗方法时,主张多法并举,善用"八法",清热补虚、通补兼施,更以法统方,寓防于变,防止疾病内传转危,反映中医"治未病"思想。小儿患病感应过敏、瞬息万变,故早期即要采取措施,防止病邪传变,并应注意时时顾护阳气。所选药物多归脾、肺二经。首选消导之品以导积滞,再以补脾益肺之品理气健脾,用以治疗脾胃不健、运化失常、或外感与停食并存的儿科病证。常选方剂为达原散、加味三甲散、双解合剂、宣消固肠合剂等。When Zheng Jieyun diagnosed and treated pediatric diseases and syndromes, he frequently sought the ancient precepts, combined the four diagnoses, and paid special attention to the observation.Clinically, he attached importance to children′s lung and spleen.When selecting prescription and medication, he mostly selected medicine with the function of heat clearing and deficiency tonifying, paid attention to protecting healthy qi while removing evil, so as to strengthen the vital qi.When choosing treatment methods, he advocated the simultaneous development of multiple methods, making good use of the "eight methods",clearing heat and tonifying deficiency, dredging and tonifying both, unifying prescriptions with the law, and combining prevention with change, so as to prevent the internal transmission of diseases to danger, reflecting the thought of "preventing diseases" in Chinese medicine.Children are allergic to illness and change rapidly, so measures should be taken in the early stage to prevent the transmission of disease pathogens, and attention should be paid to protecting yang qi from time to time.The selected medicine was mostly spleen and lung tropism.The first choice was to eliminate the obstruction of accumulation, and then used the medicine with the function of tonifying the spleen and lungs to regulate qi and strengthen the spleen, so as to treat the pediatric syndrome of deficiency of spleen and stomach, dysfunction of transportation and transformation, or the coexistence of exogenous and indigestion.The commonly selected prescriptions were Dayuan Powder, Jiawei Sanjia Powder, Shuangjie Mixture, Xuanxiao Guchang Mixture, etc.

关 键 词：郑颉云 儿科 学术思想 临证特色 

分 类 号：R249.27[医药卫生—中医临床基础]