桂枝汤治疗小儿盗汗理论与实践探讨  

Theory and Practice of Guizhi Decoction in Treating Night Sweats in Children

作　　者：梅娜 鲁法庭[1] Mei Na;Lu Fating(Chengdu University of Traditonal Chinese Medicine,Chengdu,611137,China)

机构地区：[1]成都中医药大学,四川成都611137

出　　处：《成都中医药大学学报》2025年第2期45-47,共3页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号)。

摘　　要：“盗汗”意为睡中汗出,醒后汗止。古今医家对小儿盗汗的认识主要从虚、内热立论,并未重视从营卫不和认识藏无他病的小儿盗汗。因小儿“稚阴稚阳,脏腑娇嫩,形气未充”的生理特点,临床上营卫不和所致的“藏无他病”的小儿盗汗亦不少见,如不加重视,容其发展,长期汗出易致气阴两伤,反复外感影响小儿生长发育。本文基于《伤寒论》第54条,从理、法、方、药对小儿“藏无他病”盗汗证治加以论述,并结合桂枝汤调和营卫治疗“藏无他病”患儿盗汗验案,提出用桂枝汤调和营卫治疗小儿盗汗的治疗方案,以供同道商榷。“Night sweats”means sweating during sleep and ceasing after waking up.Ancient and modern doctors understandings of children s night sweats are mainly from the deficiency,internal heat,and did not pay attention to the understanding of children s night sweats without other diseases from Yingwei.Because of the physiological characteristics of children“young Yin and Yang,delicate viscera,shape and Qi is not filled”,the children s night sweats caused by clinical Yingwei are also not rare.If you do not pay attention to its development,long-term sweat is easy to cause two injuries of Qi and Yin,repeated external effects on children s growth and development.Based on article 54 of the Treatise on Febrile Diseases,this article discusses the treatment of children s night sweat syndrome of“Zang have no other disease”from principles,methods,prescriptions and medicines,and combines the case of Guizhi Decoction and Yingwei to treat the night sweat of children with“Zang have no other disease”,and puts forward the treatment plan of using Guizhi decoction and regulating Yingwei to treat children s night sweat.

关 键 词：盗汗 藏无他病 桂枝汤 调和营卫 伤寒论 

分 类 号：R222.2[医药卫生—中医基础理论] R272.6[医药卫生—中医学]