董幼祺教授运用桑杏石甘汤治疗小儿痰热咳嗽经验  

Professor DONG Youqi's experience in using Sangxing Shigan Tang(桑杏石甘汤)to treat cough of phlegm-heat type in children

作　　者：任乘一叶 徐致远 叶逸凡 董幼祺(指导) REN Chengyiye;XU Zhiyuan;YE Yifan;DONG Youqi(The Third School of Clinical Medicine,Zhejiang Chinese Medical University Hangzhou,Zhejiang,310051,China;不详)

机构地区：[1]浙江中医药大学第三临床医学院,浙江杭州310051 [2]不详

出　　处：《中医儿科杂志》2023年第3期14-16,共3页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：介绍了董幼祺教授运用桑杏石甘汤治疗小儿痰热咳嗽的经验。小儿脏腑娇嫩,外邪易侵,内外相合而致肺脏宣发肃降、通调水道功能失常,发为痰热咳嗽。董教授强调治疗上必须要明确病因,把握病机。一方面要关注热这一证素,因其由表及里的过程具体表现为卫分表热转化为肺气郁热;另一方面关注痰这一病理产物,及其与风、与热互结的程度。以表里痰热为纲,以清润宣泄为法,予桑杏石甘汤为基础方灵活加减,疗效满意。附案例1则,以资验证。This article introduces professor DONG Youqi's experience in using Sangxing Shigan Tang(桑杏石甘汤)to treat cough of phlegm-heat type in children.Children have delicate organs and are easily affected by external pathogens,which can cause dysfunction of lung function and water pathways,leading to cough of phlegm-heat type.Professor DONG emphasizes the importance of identifying the cause and pathogenesis of the disease in treatment.On the one hand,attention should be paid to the symptom of heat,which is manifested as the transformation of stomach qi and exterior heat to lung qi and interior heat.On the other hand,attention should be paid to the pathological product of phlegm and its degree of association with wind and heat.The treatment focuses on clearing and moistening the lungs while dispelling phlegm-heat,with Sangxing Shigan Tang as the basic formula,and flexible modifications based on the specific condition of the patient.The results of clinical practice have been satisfactory.A case study is presented to verify the effectiveness of the treatment.

关 键 词：痰热咳嗽 小儿 桑杏石甘汤 临床经验 董幼祺 

分 类 号：R256.11[医药卫生—中医内科学]