贾六金分期治疗儿童癫痫经验
|
摘要
介绍贾六金治疗儿童癫痫的临证经验。根据癫痫病机特点,将癫痫分为发作期与休止期进行辨治。认为癫痫发作期证型以痰痫为主,故当化痰熄风以定痫,予涤痰汤加减,佐以平肝止痉定痫之品。休止期则以脾肾虚损、心神失养为主,治予调补脾肾以培本、养血宁心以安神,常用可保立苏汤加减。强调治疗过程中用药宜平和,勿戕伐正气。
This paper introduced Professor JIA Liujin's clinical experience in the treatment of children.Based on pathogenic characteristics of epilepsy,epilepsy was divided into attack stage and resting stage for syndrome differentiation and treatment.It is believed that the main pathological factor of epilepsy attack stage was phlegm epilepsy,so the treatment should resolve phlegm and extinguish wind to stabilize the epilepsy.The patient was given modified Ditan Decotion(涤痰汤),combined with herbs of calming the liver,arresting convulsion and stabilizing epilepsy.During the resting stage,the pathogenesis was the spleen and kidney deficiency,malnutrition of heart and mind.The patient was given regulating and supplementing the spleen and kidney to consolidate the root,nourish blood and calm the heart for tranquillization.Kebao Lisu Decoction(可保立苏汤) was frequently used.And mild drugs should be adopted to avoid impairing vital qi.
This paper introduced Professor JIA Liujin's clinical experience in the treatment of children.Based on pathogenic characteristics of epilepsy,epilepsy was divided into attack stage and resting stage for syndrome differentiation and treatment.It is believed that the main pathological factor of epilepsy attack stage was phlegm epilepsy,so the treatment should resolve phlegm and extinguish wind to stabilize the epilepsy.The patient was given modified Ditan Decotion(涤痰汤),combined with herbs of calming the liver,arresting convulsion and stabilizing epilepsy.During the resting stage,the pathogenesis was the spleen and kidney deficiency,malnutrition of heart and mind.The patient was given regulating and supplementing the spleen and kidney to consolidate the root,nourish blood and calm the heart for tranquillization.Kebao Lisu Decoction(可保立苏汤) was frequently used.And mild drugs should be adopted to avoid impairing vital qi.
引文
[1]YU J,LUO N,WANG Z,et al.Current status of epilepsy treatment and efficacy of standard phenobarbital therapy in rural areas of Northern China[J].Int J Neurosci,2017,127(8):659-666.
[2]DWIVEDI R,RAMANUJAM B,CHANDRA PS et al.Surgery for Drug-Resistant Epilepsy in Children[J].NEngl J Med,2017,377(17):1639-1647.
[3]皮婷,薛小燕,罗焕敏.远志皂苷元神经营养作用研究[J].中药材,2013,36(9):1477-1480.
[4]贾皓,庞晓丛,赵赢,等.远志治疗阿尔茨海默病的网络药理学作用机制[J].中国新药杂志,2018,27(4):398-344.
[5]蒋征奎,李晓,陈卓.石菖蒲挥发油对链脲佐菌素致大鼠痴呆模型学习记忆能力的影响[J].中国老年学杂志,2018,38(2):263-265.
[6]郭晓恒,严铸云,刘涛,等.僵蚕单体化合物抗惊厥活性[J].中国实验方剂学杂志,2013,19(4):248-250.
[7]周园,王涛,周玖瑶.地龙不同提取部位镇静催眠、抗惊厥作用的研究[J].中药材,2010,33(4):1146-1148.
[8]安磊.蝉蜕的抗惊厥作用[J].中国医药导报,2008,5(4):35-36.
[9]罗炳凡.可保立苏汤治疗小儿眼肌型重症肌无力[J].江西中医药,2006,37(285):29.
[10]王雪红.李士懋应用可保立苏汤经验[J].河北中医,2010,32(1):9-10.
[11]赵连红,乔卫,许岚.酸枣仁中生物碱抗惊厥作用的实验研究[J].天津药学,2007,19(4):4-5.
[2]DWIVEDI R,RAMANUJAM B,CHANDRA PS et al.Surgery for Drug-Resistant Epilepsy in Children[J].NEngl J Med,2017,377(17):1639-1647.
[3]皮婷,薛小燕,罗焕敏.远志皂苷元神经营养作用研究[J].中药材,2013,36(9):1477-1480.
[4]贾皓,庞晓丛,赵赢,等.远志治疗阿尔茨海默病的网络药理学作用机制[J].中国新药杂志,2018,27(4):398-344.
[5]蒋征奎,李晓,陈卓.石菖蒲挥发油对链脲佐菌素致大鼠痴呆模型学习记忆能力的影响[J].中国老年学杂志,2018,38(2):263-265.
[6]郭晓恒,严铸云,刘涛,等.僵蚕单体化合物抗惊厥活性[J].中国实验方剂学杂志,2013,19(4):248-250.
[7]周园,王涛,周玖瑶.地龙不同提取部位镇静催眠、抗惊厥作用的研究[J].中药材,2010,33(4):1146-1148.
[8]安磊.蝉蜕的抗惊厥作用[J].中国医药导报,2008,5(4):35-36.
[9]罗炳凡.可保立苏汤治疗小儿眼肌型重症肌无力[J].江西中医药,2006,37(285):29.
[10]王雪红.李士懋应用可保立苏汤经验[J].河北中医,2010,32(1):9-10.
[11]赵连红,乔卫,许岚.酸枣仁中生物碱抗惊厥作用的实验研究[J].天津药学,2007,19(4):4-5.