从少阴不足谈“小儿过敏三联征”的中医治疗  

Discussion on traditional Chinese medicine treatment of‘pediatric allergic triad'caused by deficiency of Shaoyin

作　　者：张玉苹[1] 刘兰英[1] 徐樱 徐书 ZHANG Yu-ping;LIU Lan-ying;XU Ying;XU Shu(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《中华中医药杂志》2023年第4期1629-1631,共3页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：针对临床儿科常见三大类过敏性疾病,徐书教授根据临床实践经验,在国内首次提出“小儿过敏三联征”这一病名,即小儿过敏性哮喘、小儿过敏性鼻炎、小儿过敏性皮肤病,其本在少阴。因少阴常有寒化、热化两端,常合并痰饮、湿热等邪,极易合并太阳、少阳、太阴、厥阴,当邪气内传厥阴,可形成寒热错杂之格局,临床表现各不相同,其实质是同一邪气停留不同部位而出现3种不同的证侯,治疗常用麻黄附子细辛汤、四逆汤为底,并根据六经辨证的结果,兼顾他经症状,以脉定证,以证定方。Based on clinic experience of treating three major categories of allergic diseases in pediatrics,professor XU Shu proposed the name of‘pediatric allergic triad'for the first time in China,namely,pediatric allergic asthma,allergic rhinitis and allergic skin disease.In TCM,such diseases are all related to Shaoyin,which is often represented either in cold or heat combined with phlegm,damp heat and other evils.Due to the deficiency of Shaoyin,the evil qi can spread to Taiyang,Shaoyang,Taiyin and Jueyin extremely easily,and thus form a mixed syndrome of cold and heat.Despite distinct clinical manifestations,the root cause is the same evil qi,which stays in different parts,hence three different syndromes.Mahuang Fuzi Xixin Decoction and Sini Decoction are commonly used as the base for treatment,and the prescription is determined according to the pulse and a comprehensive consideration of six meridians as well as symptoms of other meridians.

关 键 词：小儿 过敏 体质 正气 少阴不足 小儿过敏三联征 经方 

分 类 号：R272[医药卫生—中医儿科学]