摘要
文章旨在归纳贾六金教授治疗小儿乳蛾的经验,根据起病缓急、病程长短,将小儿乳蛾分急、慢乳蛾两种,并认为急乳蛾多属实热,慢乳蛾多为虚火,因其病位在喉核,病因多属“火”,治疗上总以清咽利喉为要。临床根据小儿乳蛾的不同发病情况辨证论治,急乳蛾属风热侵犯者,治以疏风清热,解毒利咽,方用银柴退热汤,此型重在清热解毒,以尽快挫其高热之势;急乳蛾属肺胃热盛者,治以清肺胃热,化痰散结,宣通鼻窍,兼顾腺样体肥大的治疗,擅用黄芩、升麻、石膏、藿香、胆南星等,此型重点在于清肺胃热,解决小儿鼾眠问题;慢乳蛾多因肺肾阴虚,治以滋阴降火,清咽利喉,方用知柏地黄汤加减,此型小儿乳蛾反复发作,余邪不尽,邪热久羁耗伤肺肾之阴,治疗中协调扶正与驱邪之间的平衡,并积极预防乳蛾反复发作。目前临床对于扁桃体炎尚无特效疗法,相比之下,中医辨治独占优势,贾六金教授临证在处方用药方面颇具自己的特色,治疗本病屡获验效,文末附验案1则,以佐证。
The paper aims to summarize Professor Jia Liujin’s experience in the treatment of child tonsillitis.According to the onset of disease and the length of disease course,the disease is divided into acute and chronic tonsillitis.Professor Jia Liujin thinks that acute tonsillitis is mostly caused by solid heat while chronic tonsillitis is mostly due to fire of deficiency.Because the disease is in the throat and the cause is mostly fire,the primary principle of treatment is to clear throat.Clinically differentiated treatment is performed based on different onset of child tonsillitis.For acute tonsillitis of wind-heat invasion,the treatment principle is to relieve wind,clear heat,detoxify and clear throat,and the prescription of Yinchai Tuire decoction is used;for this type,the treatment focuses on clearing heat and detoxifying so as to stop high fever.For acute tonsillitis of excessive lung-stomach heat,the treatment principle is to clear lung and stomach heat,resolve phlegm and disperse stagnation,ventilate nose and manage adenoidal hypertrophy at the same time,and such medicines as Scutellaria baicalensis,Rhizoma cimicifugae,plaster,ageratum and Arisaema cum bile.The points in the treatment of this type of disease lie in clearing lung and stomach heat and solving the problem of snoring in children.Chronic tonsillitis is mostly due to Yin-deficiency of lung and kidney,and the treatment focuses on nourishing Yin and eliminating fire and clearing throat,and the prescription of Zhibai Dihuang decoction with modification is used.This type of tonsillitis is likely to recur,the remained evil is hard to be eliminated,and lingering evil heat damages Yin of lung and kidney,so in the treatment,attention should be paid to the balance between strengthening resistance and eliminating pathogenic factors and to the prevention of recurrence of tonsillitis.Currently there has been no significantly effective therapy for tonsillitis,and in contrast differentiated TCM treatment has its unique advantages.Professor Jia Liujin has his own features in clinical prescriptions and medication,which is proved to be effective in the treatment of this disease.A case report is attached for verification.
作者
闫向莉
贾六金
袁叶
YAN Xiangli;JIA Liujin;YUAN Ye(Shanxi University of Chinese Medicine,Taiyuan 030024,China)
出处
《中国中西医结合儿科学》
2022年第5期448-452,共5页
Chinese Pediatrics of Integrated Traditional and Western Medicine
基金
山西贾氏儿科流派传承工作室建设项目(2020PY-LP-02)
山西省中医药管理局科研项目(2019ZYYC028)。
关键词
小儿乳蛾
临床经验
贾六金
Child tonsillitis
Clinical experience
Jia Liujin
作者简介
闫向莉(1997-),女,山西中医药大学2020级硕士研究生在读.研究方向:小儿肺系疾病的诊治;通讯作者:袁叶,E-mail:498241210@qq.com。
