首页|"陈氏清凉方"在儿童外感发热中的应用与体会

"陈氏清凉方"在儿童外感发热中的应用与体会

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"陈氏清凉方"为陈氏儿科"清法"代表方剂.根据多年临床经验总结,在儿童外感风热疾病发热初起阶段即应用清气凉血、养阴生津药物,预防热病传变,沿用至今已有 50 余年,每获良效."陈氏清凉方"由"银翘散、四逆散"化裁而来,基本组成为金银花、连翘、蒲公英、赤芍、柴胡、生石膏、枳实、生甘草,有"辛凉透表、解肌清热凉血"之作用,适用于太阳温病初起,邪在卫分,卫气被郁,开合失司;或有表寒未解,寒邪入里化热初犯阳明、少阳之症.笔者通过先贤针对"小儿阳常有余,感邪后热化迅速"的生理病理特点,以及热病传变规律,在疾病"未病""欲病""已病"三个层次中,"务必先安未受邪之地"的防治原则,综合论述了"清凉汤"秉承"治未病"思想中"既病防变"理论,结合"小儿阳常有余,感邪后热化迅速"的体质特点,适当增加清气凉血药,提前布兵,以逸待劳,防止热邪由表入里而耗伤阴津,"留得一分津液,便有一分生机",热病治疗过程中应该始终注重培护阴津,予以表里双解以达到缩短病程,改善预后的目的.在分享典型医案的同时对感染性中性粒细胞减少症做了浅显的分析及对中医药治疗该类疾病的展望.
Experience in the application of"CHEN's Cool prescription"in treating exogenous fever in children
CHEN's Cool Prescription is the representative prescription of"Qingfa"in CHEN's Pediatrics.According to the conclusion of many years of clinical experience,at the initial stage of exogenous wind-heat diseases in childrcn,drugs for clearing Qi(气)and cooling blood,nourishing Yin(阴)and promoting body fluid should be used at the same time to prevent the spread of febrile disease.It has been used for more than 50 years and has achieved good results every time."CHEN's Cool Prescription"is derived from Yinqiao San(银翘散)and Sini San(四逆散),and its basic components are Jinyinhua(Honeysuckle),Lianqiao(Forsythia),Pugongying(Dandelion),Chishao(Red peony),Chaihu(Bupleurum),Shengshigao(Raw gypsum),Zhishi(Citrus aurantium),and Shenggancao(Raw licorice).It has the effect of"expelling pungent coolness to the surface,relieving muscles,clearing heat,and cooling blood".It is suitable for the early onset of febrile diseases in Taiyang(太阳)channels,the evil lies in the Weifen(卫分),the Weiqi(卫气)is stagnated,and the opening and closing fails.The author used the sages to understand the physiological and pathological characteristics of children with excess Yang(阳),rapid heat transformation after being infected with pathogenic factors,and the law of febrile disease transmission.In the three levels of"pre-disease","desired to be ill"and"already ill",the prevention and treatment principle of securing the unspoiled place first.It comprehensively discusses that"Qingliang Decoction"adheres to the theory of"preventing disease from exacerbating"in the idea of"preventing disease",combined with the physical characteristics of children with excess Yang and rapid heating after being infected with pathogens,appropriately adding medicines for clearing Qi and cooling blood,and deploying troops in advance,so as to prevent heat from entering the inside from the outside and damages Yin."If you retain a little body fluid,you will have a little vitality."During the treatment of febrile diseases,we should always pay attention to the cultivation of Yin and fluid achieve the purpose of shortening the course of the disease and improving the prognosis.While sharing typical medical cases,a simple analysis of infectious neutropenia and the prospect of traditional Chinese medicine for the treatment of such diseases are given simultaneously.

CHEN's Cool prescriptionExogenous feverProgress of diseaseNeutropenia

董必浩、王婷婷、江丽红、钱正修

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上海市嘉定区中医医院,上海,201800

陈氏清凉方 外感发热 传变 中性粒细胞减少

上海市嘉定区农业和社会事业科研项目

JDKW-2019-W40

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(3)
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