从仲景百合病辨证思维论治儿童长期反复超高热  

Treatment for long-term repeated hyperthermia in children based on dialectical thinking of Zhongjing Lily disease

作　　者：郭彦荣[1] 赵坤[1] 张岩[1] 陈小松[1] 宋桂华[1] 于素平[1] GUO Yanrong;ZHAO Kun;ZHANG Yan;CHEN Xiaosong;SONG Guihua;YU Suping(The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Pediatric Medical College of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院儿科,河南中医药大学儿科医学院,郑州450000

出　　处：《中国中西医结合儿科学》2023年第4期335-338,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)。

摘　　要：介绍从仲景百合病辨证思维论治儿童长期反复超高热经验。下丘脑综合征,临床表现形式多样,主要表现为高热、过食、饮水异常、多尿、肥胖等,但以长期超高热为主要表现的下丘脑综合征,治疗较为棘手。赵坤教授遵从仲景辨证思维,结合长期超高热的发病特点,受《金匮要略•百合狐惑阴阳毒病证治第三》启发,从百合病论治,认为病机为阴阳失调、阴虚内热、心神失守,治以调和阴阳、滋阴清热、安神定志,自拟“百合解热汤”,疗效显著。This paper introduces the treatment experience in children with long-term repeated hyperpyrexia based on the dialectical thinking of Zhongjing Lily disease.The clinical manifestations of hypothalamus syndrome are various,mainly manifested as hyperpyrexia,overeating,abnormal water drinking,polyuria,and obesity,etc.However,the treatment for hypothalamus syndrome with long-term hyperpyrexia as the main manifestation is troublesome.Based on Zhongjing's dialectical thinking,combined with the characteristics of long-term hyperpyrexia,and inspired by Synopsis of the Golden Chamber:Lily Huhuo's Syndrome of Yin and Yang,the Third Treatment,and from the perspective of Lily disease,Professor Zhao Kun thinks that the pathogenesis is yin-yang imbalance,yin deficiency and internal heat,and mental loss.The treatment is to reconcile yin and yang,nourish yin and clear heat,and make calm,and he has made a self-made"Lily Antipyretic Decoction",which has a remarkable effect.

关 键 词：下丘脑综合征 超高热 仲景辨证思维 百合病 

分 类 号：R272[医药卫生—中医儿科学]