叶建州运用调心治神法治疗儿童特应性皮炎经验  

YE Jianzhou's Experience in Treating Atopic Dermatitis in Children with the Method of Regulating the Heart and Treating the Spirit

作　　者：杨瑾[1] 杨雪松[1] 伍迪[1] 赵丽娟[1] 张旭[1] 叶建州(指导)[1] YANG Jin;YANG Xuesong;WU Di;ZHAO Lijuan;ZHANG Xu(Yunnan Provincial Hospital of Traditional Chinese Medicine)

机构地区：[1]云南省中医医院,云南省昆明市650021

出　　处：《中医杂志》2024年第18期1865-1869,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目;国家中医药管理局第七批全国老中医药专家学术经验继承工作指导老师(国中医药人教函[2022]76号)。

摘　　要：总结叶建州教授运用调心治神法治疗儿童特应性皮炎(AD)经验。根据儿童AD瘙痒-睡眠心理障碍的临床表现,结合小儿“心常有余”“肝常有余”的生理特点,认为心神失调是儿童AD的重要病机。从中医整体观念出发,基于“五脏藏神”理论,提出调心治神治疗儿童AD的思路。急性期治以清心泻火宁神,方以自拟清心宁神汤加减;慢性期治以养心通脉安神,方以自拟养心安神汤加减;镇心潜阳摄神贯穿治疗全程,常配伍煅龙骨、煅牡蛎、珍珠母等潜阳摄神药以形神同治,为AD患儿的个体化施治提供了新的思路。This paper summarized Professor YE Jianzhou's experience in treating atopic dermatitis(AD)in children with the method of regulating the heart and treating the spirit.According to the clinical manifestations of itching-sleep psychological disorders in children with AD,and the physiological characteristics of"heart qi is prone to hyperactivity"and"liver qi is prone to hyperactivity"in children,it is believed that heart and spirit disharmony is an important pathogenesis of AD in children.From the concept of holism in traditional Chinese medicine,the principle of regulating the heart and treating the spirit has been proposed for treatment of AD in children,which is based on the theory of"the five zang(脏)organs store the spirit".In the acute stage,it is recommended to clear the heart,drain fire and calm the spirit with self-made Qingxin Ningshen Decoction(清心宁神汤)in modifications.In the chronic stage,the method of nourishing the heart,unblocking the meridians and calming the spirit is recommended,by using selfmade Yangxin Anshen Decoction(养心安神汤)with modifications.The method to tranquilize the heart,subdue yang and contain the spirit should be implemented throughout the entire treatment,and yang-subduing and spirit-containing medicinals such as Duanlonggu(Os Draconis Praeparatum),Duanmuli(Concha Ostreae Praeparatum)and Zhenzhumu(Concha Margaritiferae Usta)are usually used to treat the body and the spirit simultaneously.All these are offered to provide new ideas for the individualized treatment of children with AD.

关 键 词：特应性皮炎 调心治神 名医经验 叶建州 

分 类 号：R275.9[医药卫生—中西医结合]