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作 者:林颖[1,2,3] 蔡坚雄 刘颖瑶[5] 周玮欣 莫秀梅 王立新[6] 陈达灿[2,3] LIN Ying;CAI Jianxiong;LIU Yingyao;ZHOU Weixin;MO Xiumei;WANG Lixin;CHEN Dacan(Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510120,China;Guangdong Provincial Key Laboratory of Chinese Medicine for Prevention and Treatment of Refractory Chronic Diseases,Guangzhou Guangdong 510120,China;Guangdong Provincial Clinical Research Center for Chinese Medicine Dermatology,Guangzhou Guangdong 510120,China;Outcome Assessment Research Team in Chinese Medicine,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong,510120,China;The Second Clinical Medical College,Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006,China;WANG Lixin Academic Inheritance Studio,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510120,China)
机构地区:[1]广东省中医院,广东广州510120 [2]广东省中医药防治难治性慢病重点实验室,广东广州510120 [3]广东省中医皮肤临床医学研究中心,广东广州510120 [4]广东省中医院中医临床结局评价研究团队,广东广州510120 [5]广州中医药大学第二临床医学院,广东广州510006 [6]广东省中医院王立新学术经验传承工作室,广东广州510120
出 处:《中医药导报》2023年第7期122-124,160,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy
基 金:广东省中医药防治难治性慢病重点实验室(2018B030322012,MB2020KF05);广东省中医院拔尖人才项目(BJ2022YL08);广东省中医皮肤临床医学研究中心及广东省中医皮肤病研究所专项课题(PFK2021-02);第七批全国老中医药专家学术经验继承工作(国中医药办人教函〔2021〕272号)。
摘 要:从小儿推拿治疗特应性皮炎的中医辨证、主要选穴与配穴、手法要求、禁忌证、常用介质、注意事项、护理要点等方面介绍以培土清心法小儿推拿治疗2岁以下的婴幼儿特应性皮炎的经验。主穴以清心火、健脾土、运脾利湿、消食导滞为切入点,配穴根据常见伴随症状,辨证灵活,对症加减;操作手法轻快柔和、平稳着实,次数、疗程可根据病情、年龄调整;紫草油、甘草油为常选用的小儿推拿介质,温和不刺激;严格把握小儿推拿的禁忌证,选穴操作部位有皮疹不宜操作。临床应用取得了较好的疗效,并附验案以资验证。This paper presents experiences in treating infants and toddlers(under 2 years old)for atopic dermatitis through pediatric Tuina,according to the principle of Peitu Qingxin,which involves traditional Chinese medicine(TCM)syndrome differentiation,selection and combination of acupoints,technique requirements,contraindications,common media,matters needing attention,and nursing points,etc.The selection of main acupoints focuses on reducing internal heat(Qingxin),strengthening the spleen(Peitu),promoting diuresis,and relieving dyspepsia.The selection of supporting acupoints is based on common accompanied symptoms,while the quantity of supporting acupoints can be flexibly adjusted in line with the symptom differentiation.It needs to be light,fast,soft,and stable while performing Tuina.The frequency and course of treatment can be adjusted according to the condition and age of the patient.Radix arnebiae oil and Licorice oil are commonly used as pediatric Tuina media.They are gentle and non-irritating.Practitioners should be fully aware of contraindications of pediatric Tuina.It is not advisable to perform Tuina if there is a rash on the selected site.The clinical application has shown effective therapeutic results,with a case attached as the proof.
关 键 词:特应性皮炎 婴幼儿 小儿推拿 培土清心法 中医治疗
分 类 号:R244.154[医药卫生—针灸推拿学]
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