摘要
本文以中医经典为依据,临床医案为依托,总结朱珊教授从温病理论分期论治小儿过敏性紫癜的经验。朱珊教授认为过敏性紫癜发生的主要原因为外感温邪,其病机为热伤血络、血溢脉外,其病程符合卫气营血传变的一般规律,故以温病学理论为指导,将其分为邪犯卫表期、邪入营血期及正虚邪恋期三期;其治疗上遵循叶天士之“在卫汗之可也,到气才可清气,入营犹可透热转气,入血就恐耗血动血,直需凉血散血”的治疗大法,分期论治,使邪祛血宁人安。
Based on the classics of traditional Chinese medicine and clinical records,this article summarizes Professor Zhu Shan’s experience in treating children allergic purpura by stages based on the theory of warm disease.Professor Zhu Shan thinks that the main cause of allergic purpura is exogenous pathogenic factor.The pathogenesis is that heat injures blood collaterals and blood overflows outside the veins.The course of disease is in accordance with the general law of blood transmission of weifen,qifen,yingfen,and xuefen.Therefore,guided by the theory of febrile diseases,it can be divided into three stages:the stage of evil attacking the exterior,the stage of evil entering the blood and the stage of positive deficiency and evil love.The treatment follows Ye Tianshi’s treatment method of“when you enter the camp,you can still transfer qi from heat to heat.when you enter the camp,you are afraid of consuming blood and moving blood,you need to cool blood and disperse blood”.Treating by stages,dispelling pathogenic factors and calming people.
作者
付海波
刘亚
霍秀云
朱珊
FU Haibo;LIU Ya;HUO Xiuyun;ZHU Shan(Department of Pediatrics,the Second Affiliated Hospital of He’nan University of Chinese Medicine,He’nan Province,Zhengzhou 450002,China)
出处
《中国医药导报》
CAS
2021年第13期129-132,共4页
China Medical Herald
基金
河南省高等学校重点科研项目(19A360005)。
关键词
温病理论
分期论治
过敏性紫癜
经验总结
Warm disease theory
Treatment by stages
Allergic purpura
Experience summary
作者简介
付海波(1993.12-),女,河南中医药大学第二临床医学院2018级中医儿科专业在读硕士研究生,研究方向:中医药防治小儿呼吸系统疾病;通讯作者:朱珊(1965.12-),女,主任医师,教授,硕士生导师,研究方向:中医药防治小儿免疫、呼吸、消化及泌尿系统疾病。
