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钱玉凡主任中医师辨证调治小儿扁桃体炎经验

TCM archiater QIAN Yufan’s experience in syndrome differentiation and recuperative medical care of children with tonsillitis

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【作者】 方立静吴永林钱玉凡

【Author】 FANG Lijing;WU Yonglin;QIAN Yufan;Department of Pediatrics,Huzhou Municipal Hospital of TCM;

【机构】 湖州市中医院儿科

【摘要】 钱玉凡主任中医师认为小儿扁桃体炎外因多为感受风热之邪所致,内因为小儿先天肺肾不足。钱老师将本病分为急性发作期和缓解期,急性发作期辨为风热侵袭型、热毒壅盛型,缓解期辨为肺肾阴虚型、痰瘀互结型。钱老师采用急则治其标、缓则治其本的治疗原则,分别治以疏风散热利咽,清热解毒、清利咽喉,清虚热、补肺肾,化痰散结、行气活血,分别采用银翘散、普济消毒饮、元麦桔甘汤合百合固金汤、加味消瘰汤加减治疗,临床疗效显著。附案例1则,以资验证。

【Abstract】 TCM archiater QIAN Yufan holds that exogenous pathogenic factors of children with tonsillitis result from pathogenic wind-heat, while endogenous factors thereof result from congenital insufficiency of lung and kidney.He divides the disease into acute attack stage and remission stage.The acute attack stage was differentiated between wind-heat invasion and heat-toxin exuberance.The remission was differentiated between lung and kidney yin deficiency and phlegm and blood stasis binding.He adopts the treatment principles of treating the tip in acute diseases and treating the root in case of chronic diseases, respectively treats with dispelling wind and dispersing heat to relieve sore-throat, clearing away heat and removing toxin to clear away throat, clearing away deficiency-heat and invigorating lung and kidney, resolving phlegm to dissipate stagnation and promoting qi flow to activating blood circulation.He uses modified Yinqiao San(银翘散),Puji Xiaodu Yin(普济消毒饮), Yuanmai Jiegan Tang(元麦桔甘汤) combined Baihe Gujin Tang(百合固金汤) and Jiawei Xiaoluo Tang(加味消瘰汤) respectively, with marked clinical efficacy.One case is attached for verification.

  • 【文献出处】 中医儿科杂志 ,Journal of Pediatrics of Traditional Chinese Medicine , 编辑部邮箱 ,2021年04期
  • 【分类号】R249;R276.1
  • 【被引频次】1
  • 【下载频次】121
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