自拟定痫散结合动态辨证治疗小儿癫痫经验  

Experience in treating pediatric epilepsy with self-designed Dingxian Powder combined with dynamic dialectics

作　　者：樊惠子 汪受传 FAN Hui-zi;WANG Shou-chuan(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属医院,南京210029 [2]南京中医药大学附属医院南院儿科,南京210029

出　　处：《中华中医药杂志》2021年第10期5934-5937,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：全国名中医工作室建设项目(No.国中医药办人教函[2018]119号)。

摘　　要：文章介绍汪受传教授自拟定痫散结合动态辨证治疗小儿癫痫的经验。汪教授提出癫痫病机不离风、惊、痰、瘀、虚,病机虚实错杂,可分期论治。发作期息风镇惊、豁痰化瘀以定痫;缓解期健脾化痰、平肝益肾以断痫。汪教授按照小儿癫痫以风、惊、痰为主,或有瘀滞,久发易转为虚证的病机特点,提出息风、镇惊、豁痰,兼以化瘀、补虚的治疗法则,立定痫散为基础方,动态辨证,整体综合诊治,临床收效良好,不良反应少,值得推广。This article introduces experience of professor WANG Shou-chuan in treating pediatric epilepsy with self-designed Dingxian Powder combined with dynamic dialectics.Professor WANG Shou-chuan put forwards epilepsy pathogenesis that it does not leave the wind,panic,phlegm,blood stasis,deficiency.The pathogenesis of epilepsy is complex,which can be treated by stages.In the attack period,dispelling wind,suppressing convulsions,eliminating phlegm,and removing blood stasis were quenched to stabilize epilepsy;During the remission period,with therapy of tonifying spleen and resolving phlegm as well as pacifying liver and tonifying kidney in order to break the epilepsy.According to the pathogenesis characteristics of pediatric epilepsy that are mainly wind,convulsions,and phlegm,or have stasis,which can easily turn into deficiency syndrome,he proposed the treatment of dispelling wind,suppressing convulsions,eliminating phlegm,and removing blood stasis and tonic.Dingxian Powder is the basic main prescription.Treating pediatric epilepsy with dynamic dialectics and comprehensive diagnosis and treatment,the clinical effect is satisfactory,and has few adverse reaction,which should be widely applied in clinic.

关 键 词：小儿癫痫 自拟定痫散 动态辨证 名医经验 汪受传 

分 类 号：R277.7[医药卫生—中医学] R249