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从湿热论治儿童传染性单核细胞增多症

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传染性单核细胞增多症(IM)患儿以湿热邪气致病者居多,故从湿热特性出发,结合IM发热、咽峡炎和颈部淋巴结肿大的临床表现,阐述二者的相关性。以三焦辨证为纲领,治以开宣上焦、宣畅中焦、渗利下焦,使湿热从三焦而走;在疾病后期,应重视清热凉血、活血化瘀、化痰散结、固护气阴等药物的使用。附案例1则,以资验证。
Treating infectious mononucleosis in children from the perspective of damp heat
Infectious mononucleosis(IM)is characterized by fever,angina,and cervical lymphadenopathy,which can be categorized under the scope of"warm diseases"in traditional Chinese medicine(TCM).In clinical practice,most pediatric patients with this disease are caused by damp heat pathogens,and the application of the treatment method of clearing heat and removing damp has achieved satisfactory efficacy.Starting from the character-istics of damp heat,combined with the clinical manifestations of IM,this paper elaborates on the correlation between them.Based on the syndrome differentiation of the Three Warmers(San Jiao),the treatment involves opening and declaring the Upper Jiao,promoting the smooth flow of the Middle Jiao,and eliminating damp from the Lower Jiao,allowing the damp heat to be eliminated through the Three Warmers.In the later stages of the disease,attention should be paid to the use of herbs that clear heat and nourish blood,promote blood circulation to remove blood sta-sis,resolve phlegm and disperse nodules.One case study is presented for verification.

infectious mononucleosischildrendamp heatsyndrome differentiation of the Three Warmers(San Jiao)

蔡丽萍、黄碧华、邱丹丹、李蕙

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福建中医药大学第一临床医学院,福建 福州 350122

北京中医药大学厦门医院儿科,福建 厦门 361001

传染性单核细胞增多症 儿童 湿热 三焦辨证

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(6)