王烈国医大师五脏辨证论治及三期分治儿童慢性湿疹经验  

Master of traditional Chinese medicine Wang Lie’s experience in the treatment of chronic eczema in children based on syndrome differentiation on five zang viscera and three-stage treatment

作　　者：于沛航 王烈[2] 孙丽平[2] YU Peihang;WANG Lie;SUN Liping(College of Traditional Chinese Medicine,Changchun University of Chinese Medicine,Jilin Province,Changchun130117,China;Children’s Diagnosis and Treatment Center,the Affiliated Hospital of Changchun University of Chinese Medicine,Jilin Province,Changchun130022,China)

机构地区：[1]长春中医药大学中医学院,吉林长春130117 [2]长春中医药大学附属医院儿童诊疗中心,吉林长春130022

出　　处：《中国医药导报》2023年第34期162-166,共5页China Medical Herald

基　　金：吉林省科技发展计划项目(20200603008SF、20210204120YY)。

摘　　要：国医大师王烈教授治疗儿童慢性湿疹,根据病机特点将该病分为发作期、缓解期及稳定期,并根据各期特点进行五脏辨证论治。王教授认为,发作期除外感风、湿、热邪以外,仍内有五脏耗伤,以肝、脾、肺三脏为主,应进一步清热散湿,脱敏祛风,予以脱敏散加减;缓解期以心、肝耗伤为主,治以养血安神,佐以调补脾肾,常用安神汤加减;稳定期则以肾元不足、肺阴耗伤为主,治以滋养肺肾,佐以益气补血,予补血散加减。治疗上尤为注重瘥后防护,序贯治疗,效果持久。Professor Wang Lie,the master of traditional Chinese medicine,treats children with chronic eczema,according to the characteristics of pathogenesis,the disease is divided into attack stage,remission stage,and stable stage.Professor Wang believes that in the attack period,excluding the pathogenic wind,damp,and heat of exogenous disease,there are still five zang viscera consumed injury,mainly the liver,spleen,and lung.Therefore,we should further clear heat and dissipate dampness,desensitizing and dispelling wind,and Jiajian Tuomin Powder should be given.In the remission stage,the heart and liver are mainly consumed,the treatment is to nourishing blood for tranquillization,supplemented by regulating and tonifying the spleen and kidney,Jiajian Anshen Decoction is commonly used.In the stable stage,the main symptoms are insufficient nephros and lung yin depletion injury.The treatment was to nourishing the lung and kidney,supplementing qi and tonifying blood,and Jiajian Buxue Powder should be given.In the treatment,special attention should be paid to the protection after recovery,and the sequential treatment has a lasting effect.

关 键 词：慢性湿疹 五脏并治 三期分治 名医经验 王烈 

分 类 号：R272.6[医药卫生—中医儿科学]