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作 者:张萌 王钇杰 王有鹏[2] ZHANG Meng;WANG Yijie;WANG Youpeng(Graduate School,Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang,150040,China;Pediatric Department,The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang,150001,China)
机构地区:[1]黑龙江中医药大学研究生院,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第二医院儿科,黑龙江哈尔滨150001
出 处:《中医儿科杂志》2025年第2期29-32,共4页Journal of Pediatrics of Traditional Chinese Medicine
基 金:黑龙江省自然科学基金项目(LH2020H088)。
摘 要:总结王有鹏教授从湿热论治小儿汗疱疹的经验。王教授认为小儿汗疱疹病因总不离湿与热,外因责之于湿热侵袭,内因责之于脏腑功能失调,以湿热搏结肌肤、流窜于掌跖为病机关键,同时基于体病相关理论,认为湿热体质与汗疱疹密切相关,提出从湿热论治,以分消走泄法为总纲,方予温胆汤合薏苡竹叶散治之,随证配伍,达到清热利湿、纠正偏颇体质、内外兼顾、标本同治的目的。同时注重预防及调护,保持患儿心情舒畅,减少压力,调整饮食结构,改善生活习惯。附案例1则,以资验证。This article summarizes professor WANG Youpeng's experience in treating pediatric pompholyx from the perspective of damp-heat.Professor WANG believes that the etiology of pompholyx is closely related to dampness and heat.External factors involve the invasion of damp-heat,while internal factors are attributed to dysfunction of the internal organs.The key pathogenesis lies in the combination of damp-heat affecting the skin and spreading to the palms and soles.Based on the theory of the relationship between constitution and disease,professor WANG emphasizes that a damp-heat constitution is closely associated with pompholyx.He proposes treating the condition by addressing damp-heat,using the method of“resolving and dispersing dampheat”as the guiding principle.The prescribed formula combines Wendan Tang(温胆汤)and Yiyi Zhuye San(薏苡竹叶散),tailored to the specific symptoms,aiming to clear heat,resolve dampness,correct the imbalanced constitution,and address both the root cause and symptoms simultaneously.Additionally,professor WANG emphasizes prevention and care for affected children,including maintaining a positive mood,reducing stress,adjusting dietary habits,and improving lifestyle.A case study is included to illustrate the effectiveness of this approach.
关 键 词:汗疱疹 小儿 湿热 分消走泄法 温胆汤 临床经验 王有鹏
分 类 号:R752.1[医药卫生—皮肤病学与性病学]
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