从瘀热辨治儿童五官疾病验案三则  

Three Cases of Diagnosis and Treatment of Ophthalmology and Otorhinolaryngology Diseases in Children Based on Stagnated Heat

作　　者：郭子宜 梁峻铭 刘叶 赵靖 崔霞 GUO Ziyi;LIANG Junming;LIU Ye;ZHAO Jing;CUI Xia(Beijing University of Chinese Medicine,Beijing 100029,China;The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学第三附属医院,北京100029

出　　处：《山东中医杂志》2024年第6期642-646,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：北京中医药大学第三附属医院横向课题(编号:HXGSHT-BZYSY-2022-012);国家中医药管理局第四批全国中医优秀人才研修项目(批文号:国中医药办人教函[2017]124)。

摘　　要：瘀热是血热与血瘀胶结而成的一种病理因素,广泛存在于外感热病和内伤杂病的不同阶段。儿童五官血络丰富,感邪易从热化,产生痈肿诸疾,其形肿大,其色暗红,难以彻清,反复出现,与瘀热致病特点相吻合,由此推测瘀热是儿童五官疾病重要病机之一。基于瘀热理论重新审视当归六黄汤,创新性提出运用当归六黄汤治疗儿童五官疾病,以霰粒肿、慢性根尖周炎、慢性扁桃体炎三种儿童常见五官疾病为例,论述运用当归六黄汤治疗儿童五官疾病瘀热证的辨治思路,阐释异病同治的中医内涵。Stagnated heat is a pathological factor formed by the combination of blood heat and blood stasis,which widely exists in different stages of external pathogenic heat diseases and internal miscellaneous diseases.Children have abundant blood vessels in their five apertures,and pathogenic factors invading into their body are easy to turn to heat,resulting in various conditions such as abscesses and swelling.These conditions characterized by significant swelling and a dark red color are difficult to be cleared up completely and tend to recur repeatedly,which aligns with the pathological characteristics of stagnated heat.Therefore,it can be inferred that stagnated heat is one of the important pathological mechanisms in ophthalmology and otorhinolaryngology diseases in Children.Based on the theory of stagnated heat,this paper reexamines Danggui Liuhuang Decoction(当归六黄汤)and innovatively puts forward the application of it in treating children’s ophthalmology and otorhinolaryngology diseases.Taking common chil-dren’s ophthalmology and otorhinolaryngology diseases such as chalazion,chronic apical periodontitis,and chronic tonsillitis as examples,this paper discusses the diagnosis and treatment ideas of using Danggui Liuhuang Decoction to treat stagnated heat syndrome in these diseases,explaining the concept of treating different diseases with the same method in traditional Chinese medicine.

关 键 词：瘀热 五官疾病 霰粒肿 根尖周炎 扁桃体炎 当归六黄汤 异病同治 

分 类 号：R272.6[医药卫生—中医儿科学] R249[医药卫生—中医学]