曹烨民教授分期论治小儿青斑样血管炎的经验荟萃  

Professor Cao Yemin's Experience in Treating Pediatric Blue-Spot Vasculitis in Stages

作　　者：吴迪 曹烨民 WU Di;CAO Yemin(Shanghai Pudong New Area Sanlin Community Health Service Center,Shanghai 200123,China;Shanghai University of Traditional Chinese Medicine Affiliated Shanghai Hospital for Integrated Traditional Chinese and Western Medicine Vascular Disease Diagnosis and Treatment Center,Shanghai 200086,China)

机构地区：[1]上海市浦东新区三林社区卫生服务中心,上海200123 [2]上海中医药大学附属上海市中西医结合医院脉管病诊疗中心,上海200086

出　　处：《云南中医药大学学报》2024年第6期78-80,84,共4页Journal of Yunnan University of Chinese Medicine

基　　金：全国基层名老中医药专家传承工作室建设项目(Z155080000004);上海市市名老中医学术经验研究工作室建设项目(SHGZS-202248);上海市卫健委临床研究专项(20224Y0387);上海市虹口区卫生健康委员会项目(HKQGYQY-ZYY-2022-05,HKGYQYXM-2022-30)。

摘　　要：总结曹烨民教授诊治小儿青斑样血管炎的临床经验,提高对青斑样血管炎的临床诊治能力。青斑样血管炎是一种非炎性、真皮内血管阻塞性皮肤病,以双下肢远端反复出现疼痛性溃疡、网状青斑以及瓷白色瘢痕以卫星状瘢痕为特征的疾病。好发于夏季,青斑样血管炎的病因尚不明确,当前研究表明,致病因素有机体高凝状态、纤维蛋白溶解障碍和(或)与免疫系统疾病相关。曹教授根据小儿的生理病理特点,辨病求因,认为本病病位在“络”,发病特点为“虚、邪、瘀”,根据临床表现,分急性发作期、好转恢复期2期,辨病与辨证相结合。急性期以清热凉血、和营化瘀为治则,予自拟凉血和营方加减;恢复期以扶正化瘀、凉血通络为治则,予自拟扶正清解方加减。此外,曹教授善内外治兼治,重情志调护,以达病后防瘥的目的。To summarize the clinical experience of professor Cao Yemin in the diagnosis and treatment of pediatric livid vasculitis,and to improve the clinical diagnosis and treatment ability of livid vasculitis.Lividuct vasculitis is a non-inflammatory,intradermal vascular obstructive skin disease characterized by recurrent painful ulcers,reticular lividuct,and satellite scars of porcelain white at the distal extremities of both lower limbs.It usually occurs in summer.The etiology of livid vasculitis is not clear.Current studies have shown that the pathogenic factors are hypercoagulable organism,fibrinolysis disorder and/or related to immune system diseases.According to the physiological and pathological characteristics of children,professor Cao identified the cause of the disease,that the disease position in the"collaterals",the characteristics of the disease is"deficiency,evil,blood stasis",according to the clinical manifestations,divided into acute attack,recovery and recovery period 2 stages,disease differentiation and syndrome differentiation combined.In the acute stage,clearing heat and cooling blood,and removing blood stasis with Ying were the treatment principles,and the prescription of cooling blood and Ying was added or subtraction.During the convalescence period,Fuzheng Qingjie prescription was added or subtracted by Fuzheng Qingjie prescription.In addition,Professor Cao is good at both internal and external treatment,and attaches great importance to emotional care,so as to achieve the purpose of after-treatment.

关 键 词：青斑样血管炎 曹烨民教授 凉血和营方 扶正清解方 

分 类 号：R272.6[医药卫生—中医儿科学]