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邵征洋教授分期辨治小儿腺样体肥大经验

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邵征洋教授认为小儿腺样体肥大的病因在于痰、热、瘀、虚。病机为本虚标实,以脾肺两虚为本,且与肾相关;以痰热瘀结为标。邵教授将病程分为急性期、反复期、缓解期3期,分期治疗中重视本虚,解决标实为先。急性期治以通窍散结、疏风豁痰,方予川芎茶调散加减;反复期治以健脾化痰、宣通散结,方予清腺通络方;缓解期治以益肺健脾、兼以祛痰化瘀散结,方予四君子汤合玉屏风散加减。并根据临床兼症加减药物,疗效满意。附案例1则,以资验证。
Professor SHAO Zhengyang's experience in staged diagnosis and treatment of pediatric adenoid hypertrophy
Professor SHAO Zhengyang believes that the causes of adenoid hypertrophy in children are phlegm,heat,blood stasis and deficiency.The pathogenesis of the disease was deficiency of the essence and excess of appear-ance.The deficiency of essence refer to the spleen and lung,which was related to the kidney.Phlegm heat stasis be-comes a symbol of excess.Professor SHAO divides the course of the disease into three stages:acute phase,recurrent phase,and remission phase.In staged treatment,emphasis was placed on addressing the deficiency of the root cause and prioritizing the resolution of symptoms.In the acute stage,the treatment is to clear the orifices and stasis,dredge wind and eliminate phlegm,and the modified Chuanxiongcha Tiaosan Fang is used.Recurrent treatment involves in-vigorating the spleen and resolving phlegm,promoting circulation and dispersing stasis,and Qingxian Tongluo Fang is used.During the remission period,the treatment should benefit the lungs and strengthen the spleen,as well as dis-pel phlegm and remove blood stasis.Modified Sijunzi Tang and Yupingfeng San are used.Professor SHAO added or subtracted the medicine according to the clinical syndrome,which significantly improved the clinical symptoms of the patient and the treatment effect was satisfactory.One case is presented for verification.

adenoid hypertrophypediatricstaged treatmentclinical experienceSHAO Zhengyang

姚想、连俊兰、邵征洋

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浙江中医药大学第二临床医学院,浙江 杭州 310053

浙江省中西医结合医院儿科,浙江 杭州 310003

腺样体肥大 小儿 分期论治 临床经验 邵征洋

浙江省中医药科技计划项目

2023ZL132

2024

中医儿科杂志
甘肃中医学院,中华中医药学会

中医儿科杂志

影响因子:0.82
ISSN:1673-4297
年,卷(期):2024.20(4)