首页|经方在儿科应用传承的现状与思考

经方在儿科应用传承的现状与思考

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小儿脏腑娇嫩、形气未充,肺脾肾常虚、心肝之火常亢。应用经方治疗儿科疾病应注重药简效专,即配伍结构分明,药味少而性专效佳,且应将仲景护津存阴之法贯彻其中。临证应用经方治疗儿科疾病时,应根据小儿体质特点辨证施治。若小儿属肺常不足,宣肃失司,可以小青龙汤、射干麻黄汤、麻杏石甘汤治疗哮喘,以麻杏石甘汤、小柴胡汤治疗肺炎喘嗽;若小儿属脾常不足,升降失司,可以葛根芩连汤、理中丸、五苓散治疗泄泻,以桂枝汤、理中丸、四逆散治疗腹痛、胃脘痛;若小儿属肾常虚,气化失司,可以桂枝汤、肾气丸、桂枝加龙骨牡蛎汤治疗遗尿,以防己黄芪汤、五苓散治疗水肿;若小儿属心常有余,受邪化热,可以炙甘草汤、小柴胡汤、桂枝汤治疗病毒性心肌炎,以桂枝甘草龙骨牡蛎汤、桂枝汤、乌梅汤、甘麦大枣汤治疗不寐;若小儿属肝常有余,受邪枢机不利,可以柴胡加龙骨牡蛎汤、柴胡桂枝汤、四逆散、半夏厚朴汤治疗抽动障碍、多动障碍。此外,经方在儿科疾病领域内的应用还有所创新,产生了小儿肺热咳喘颗粒、小儿豉翘清热颗粒、茵栀黄颗粒等疗效显著、便于携带的中成药。
Reflection on Current Status of Application and Inheritance of Jing Fang(Classic Formula)in Pediatrics
Children's internal organs are delicate,the form and Qi is not yet full,the Lungs,Spleen and Kidneys are often weak,and the Fire of the Heart and Liver is often hyperactive.The application of Jing Fang(Classic Formula)in treating pediatric diseases should fo-cus on the simplicity and specialization of medicine,i.e.,the structure of the prescription is clear,the less kinds of the medicine the better,with high-level specialization effect and clinical efficacy,and the method of Zhongjing's protection Fluid and storage of the Yin can be carried out.When applying Jing Fang to treat pediatric diseases,the treatment should be based on the physical characteristics of the child.If the child is often deficient in the Lung,with Qi disorder,prescriptions such as Xiaoqinglong Decoction,Shegan Mahuang Decoction and Maxing Ganshi Decoction can be used to treat asthma,and prescriptions such as Maxing Ganshi Decoction and Xi-aochaihu Decoction can be used to treat pneumonia and coughing;If the child is often deficient in the Spleen,and there is a disorder in the Qi movement of the Spleen,Gegen Qinlian Decoction,Lizhong Pill and Wuling Powder can be used to treat diarrhea,and Guizhi De-coction,Lizhong Pill and Sini Powder can be used to treat abdominal pain and stomach pain;If the child is always deficient in the Kid-ney and there is a disorder in the Qi transformation of the Kidney,Guizhi Decoctiion,Shenqi Pill and Guizhi Jia Longgu Muli Decoction can be used to treat urorrhea and Fangji Huangqi Decoction and Wuling Powder can be used to treat edema;If the child is often defi-cient in the Heart and suffers from Heat due to evil factors,Zhigancao Decoction,Xiaochaihu Decoction and Guizhi Decoction can be used to treat viral myocarditis,and Guizhi Gancao Longgu Muli Decoction,Guizhi Decoctiion,Wumei Decoction and Ganmai Dazao De-coction can be used to treat insomnia;If the child suffer excess syndrom in the Liver with unfavorable pivot of Qi with evil factors,Caihu Jia Longgu Muli Decoction,Caihu Guizhi Decoction,Sini Powder and Banxia Houpo Decoction can be used to treat hyperactivity disor-der.In addition,there are innovations in the application of Jing Fang in treatment of pediatric diseases.Some Chinese patent medicines with remarkable efficacy and easy portability,such as Xiaoer Feire Kechuan Granule,Xiaoer Chiqiao Qingre Granule and Yizhihuang Granule,have been produced in applied in clinics.

Jing Fang(Classic Formula)pediatricsShang Han LunJin Gui Yao Lue"three cases of excess and four cases of defi-ciency"

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河南中医药大学第一附属医院儿科医院,河南郑州 450000

河南中医药大学儿科医学院,河南郑州 450046

经方 儿科疾病 《伤寒论》 《金匮要略》 "三有余四不足"

2025

中医学报
河南中医药大学,中华中医药学会

中医学报

影响因子:1.264
ISSN:1674-8999
年,卷(期):2025.40(1)