小儿顽固性过敏性紫癜临证辨治经验浅析  

Analysis of experience in differentiation treatment of children with refractory Henoch-Schonlein purpura

作　　者：张蒙蒙 翟文生[2] 张亚茹 邢露露 ZHANG Mengmeng;ZHAI Wensheng;ZHANG Yaru;XING Lulu(Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学,郑州450000 [2]河南中医药大学第一附属医院儿科

出　　处：《中国中西医结合儿科学》2021年第6期546-549,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：河南省中医管理局国家中医临床研究基地科研专项(2018JDZX002);河南省中医药科学研究专项课题项目(2017ZY1011)。

摘　　要：顽固性过敏性紫癜是指皮肤紫癜量多反复成批出现,病程超过3个月,无肾脏、消化道等重要器官受累的一种疾病。临床治疗过程中常法难以收效而迁延反复,患儿因此承受极大的精神及心理压力。笔者在长期临床实践过程中通过分析不同患儿临床症状,提炼其核心病机为营卫失调、肝郁脾虚、湿热蕴结、脏腑虚损。并从“和、清、补”三法着手,随证立法治疗本病,取得较好的临床疗效。Refractory Henoch-Schonlein purpura refers to a disease in which a large amount of skin purpura appears repeatedly in batches;the course of disease is more than three months,and no kidney,digestive tract or other important organs are involved.In the process of clinical treatment,the conventional method is often not effective and the disease recurs,so the children bear great mental and psychological pressure.By analyzing the clinical symptoms of different children in the long-term clinical practice,the authors summarized the core pathogenesis as imbalance of Ying and Wei,liver depression and spleen deficiency,accumulation of dampness and heat,and deficiency of viscera.Based on the three principles of"harmonizing,clearing,tonifying",the disease was treated by applying methods according to the symptoms,which achieved good clinical efficacy.

关 键 词：过敏性紫癜 和法 清法 补法 儿童 

分 类 号：R554.6[医药卫生—血液循环系统疾病]