小儿“变蒸”诊治  

Diagnosis and Treatment of Infant "Bianzheng"

作　　者：姜德友[1] 李宛芝 JIANG Deyou;LI Wanzhi(School of Basic Medicine,Heilongjiang University of Chinese Medicine,Harbin Heilongjiang China 150040)

机构地区：[1]黑龙江中医药大学基础医学院,黑龙江哈尔滨150040

出　　处：《中医学报》2023年第6期1175-1180,共6页Acta Chinese Medicine

基　　金：国家中医药管理局龙江医学流派传承工作室项目(LPGZS2012-14);国家中医药管理局姜德友全国名老中医药专家传承工作室项目;黑龙江省中医药管理局科研项目-龙江医派研究(ZHY12-Z095)。

摘　　要：“变蒸”不仅表现为小儿生长发育时出现的发热等病理现象,而且还是一个“变长百骸生脏腑,蒸增智慧发聪明”的生理过程。针对小儿变蒸出现的发热、微惊、烦躁、脉乱等病症,可针对性地采用解表退热、泻下清热、化痰止嗽、止泻降逆、镇惊开窍、温脏散寒等方法进行治疗。临证运用大苦、大寒、大辛、大热和有毒、攻伐之品时,应做到精准用药,中病即止;且应严禁灸刺。"Bianzheng"not only manifests as pathological phenomena such as fever during the growth and development of infants but also a physiological process of"growing size of bones and viscera,increasing wisdom and intelligence".For the symptoms of fever,slight shock,irritability,and pulse disorder in infants during Bianzheng,targeted treatments such as relieving exterior to relieve fever,purging to clear Heat,reducing Phlegm to relieve cough,antidiarrheal to subdue adverse reactions,suppressing convulsions and resuscitation,warming viscera to expel Cold are used.When using products of great bitterness,great Cold,great acridity,great Heat,and poisonous and offensive products in clinical practice,precise dosage should be controlled,and stop the medication when the disease is cured.Therefore,moxibustion and acupuncture should be strictly prohibited.

关 键 词：“变蒸” 伤寒 温病 疮疹 痘疹 解表退热 泻下清热 化痰止嗽 止泻降逆 镇惊开窍 温脏散寒 灸刺 

分 类 号：R272.6[医药卫生—中医儿科学]