张士卿教授运用达原清热方治疗小儿外感发热经验  

Professor ZHANG Shiqing's experience in treating infantile exogenous fever with Dayuan Qingre Fang(达原清热方)

作　　者：万成秀 李玉霞 张士卿(指导) WAN Chengxiu;LI Yuxia;ZHANG Shiqing(School of Clinical Chinese Medicine,Gansu University of Chinese Medicine,Lanzhou,Gansu,730101,China;Department of Pediatrics,Affiliated Hospital of Gansu University of Chinese Medicine,Lanzhou,Gansu,730020,China;不详)

机构地区：[1]甘肃中医药大学中医临床学院,甘肃兰州730101 [2]甘肃中医药大学附属医院儿科,甘肃兰州730020 [3]不详

出　　处：《中医儿科杂志》2024年第5期1-4,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：第五批全国中医临床优秀人才研修项目(001076)。

摘　　要：张士卿教授指出小儿外感发热病因病机主要为小儿神识未开,饮食不知自节,容易伤于乳食,积滞阻碍脾胃气机,导致脾胃运化失司,水湿内停,久之成湿热,外兼六淫等邪气袭表,内外合邪,阳气郁遏,正邪相争不下,故而发热。治以疏风清热,消积化痰。方予达原清热方治疗。同时,治疗时需分清病因,注重辨证,在治疗过程中要紧扣病机,结合小儿特殊的生理病理特点,用药宜精简轻灵,且药量不宜过大,做到药简力专,中病即止,在透邪的同时尤顾护脾胃,切合病因病机,疗效满意。附案例2则,以资验证。Professor ZHANG Shiqing points out that the etiology and pathogenesis of infantile exogenous fever mainly lie in the fact that children's minds are not fully developed,and they do not know how to regulate their diet,easily leading to indigestion of milk and food,which forms stagnation that hinders the movement of qi in the spleen and stomach.This results in dysfunction of spleen and stomach in transporting and transforming food,internal retention of dampness and water,and eventually the formation of damp-heat over time.Additionally,exogenous pathogens such as the six external pathogens invade the exterior,combining with internal factors,causing the stagnation of yang qi,and a prolonged struggle between the healthy qi and pathogens,leading to fever.The treatment principles include dispelling wind and clearing heat,eliminating stagnation,and resolving phlegm.The prescription,Dayuan Qingre Fang,is formulated based on Dayuan Fang(达原方),Baihu Tang(白虎汤),and Shengjiang San(升降散).Meanwhile,during treatment,it is crucial to differentiate the etiology,emphasize syndrome differentiation,closely follow the pathogenesis,and consider the unique physiological and pathological characteristics of children.Medication should be simple,light,and precise,with a moderate dosage.The goal is to achieve targeted efficacy with minimal medication and stop treatment once the disease is alleviated.Special attention should be paid to protecting the spleen and stomach while eliminating pathogens,aligning with the etiology and pathogenesis,resulting in satisfactory therapeutic effects.Two case studies are attached for verification.

关 键 词：小儿 外感发热 达原清热方 临床经验 张士卿 

分 类 号：R256.1[医药卫生—中医内科学]