马融教授从固卫护营法论治小儿难治性癫痫的经验  

Professor Ma Rong's experience in treating refractory epilepsy in children based on Guwei Huying method

作　　者：王程婷 马融[1] WANG Chengting;MA Rong(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300000,China)

机构地区：[1]天津中医药大学第一附属医院儿科,国家中医针灸临床医学研究中心,天津300000

出　　处：《中国中西医结合儿科学》2022年第3期250-253,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：癫痫是儿童最常见的神经系统疾病。目前多数癫痫发作经药物治疗可得到控制,但仍有20%~30%患者癫痫发作难以控制,称为难治性癫痫。马融教授治疗经过多年的研究探索,发现营卫失常可能是难治性癫痫患儿反复发作的主要病因病机,治疗应以固卫护营为主,加之患儿先天禀赋不足,日久不愈,脾肾亏虚,虚实夹杂,故滋肾补肾、开窍化痰法灵活变通贯穿始终。在初期频繁发作时治疗以固卫护营为主,选用黄芪桂枝五物汤以调和营卫;在后期扶正固本时以滋肾补肾、开窍化痰为主,选用地黄饮子以固本之源,辨证施治,可取良效。Epilepsy is the most common neurological disease in children.The seizures of most patients with epilepsy can be controlled by drug treatment,there are still 20%to 30%of patients with poor response to antiepileptic drugs,and the seizures are difficult to control,which is called refractory epilepsy.After years of research and exploration Professor Ma Rong has found that abnormalities in immunization and nutrition may be the main cause and pathogenesis of recurrent seizures in children with refractory epilepsy.The treatment should be based on Guwei Huying.In addition,the child has congenital insufficiency,which lasts for a long time.The spleen and kidney are in insufficiency,and the deficiency and excess are mixed.The method of nourishing the kidney,resuscitating the body and resolving phlegm is use flexibly throughout the whole process.During frequent epileptic seizures at primary stage,Professor Ma used Huangqi Guizhi Wuwu decoction to regulate immunization and nutrition,and then use Dihuang Yinzi to consolidate the root at a later stage.Treatment based on syndrome differentiation can achieve good results.

关 键 词：难治性癫痫 营卫 黄芪桂枝五物汤 

分 类 号：R748[医药卫生—神经病学与精神病学]