桂枝二越婢一汤治疗小儿外感发热的临床体会
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摘要
小儿外感发热无论在儿科门诊或住院患儿中均占有重要比例,大多数由病毒感染所致。西医对于病毒感染尚缺乏特效药,主要以非甾体类药物退热为主,若应用不当可有严重不良反应。中医则认为小儿外感发热常为六淫之邪侵袭为病,目前中药对小儿外感发热的治疗效果显著,农志飞对于本病的治疗有独到的见解,特别是对于平素体弱易患外感发热的患儿,临床常应用桂枝二越婢一汤治疗,临床疗效颇佳。
Children with external sensation fever account for an important proportion in pediatric outpatients or inpatients, most of which are caused by viral infections. Western medicine lacks specific drugs for viral infections, mainly non-steroidal antipyretic, if applied Improper can have serious adverse reactions; Chinese medicine believes that children 's exogenous fever is often caused by the evil of six kinky. At present, traditional Chinese medicine has a significant therapeutic effect on children with exogenous fever. The instructor has a unique experience in the treatment of this disease, especially for children who are vulnerable to exogenous fever, and often use Guizhi Eryue Biyi decoction in clinical practice. Treatment, clinical efficacy is quite good.
Children with external sensation fever account for an important proportion in pediatric outpatients or inpatients, most of which are caused by viral infections. Western medicine lacks specific drugs for viral infections, mainly non-steroidal antipyretic, if applied Improper can have serious adverse reactions; Chinese medicine believes that children 's exogenous fever is often caused by the evil of six kinky. At present, traditional Chinese medicine has a significant therapeutic effect on children with exogenous fever. The instructor has a unique experience in the treatment of this disease, especially for children who are vulnerable to exogenous fever, and often use Guizhi Eryue Biyi decoction in clinical practice. Treatment, clinical efficacy is quite good.
引文
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[2]吴瑞萍,胡亚美,江载芳.诸福棠实用儿科学[M]. 6版.北京:人民卫生出版社,1996:1134.
[3]梅长林.中国内科年鉴·第四部分各类细菌性感染的治疗原则及病原治疗[M].上海:第二军医大学出版社,2005(24):578.
[4]王小衡.小儿瑞氏综合征10例报告[J].中国全科医学,1999(5):417.
[5]郭晓黎,任小宁,南貌.小儿外感发热常见证型及辨证治疗[J].内蒙古中医药,2015,34(1):38.
[6]侯江红,单海军,王晓燕,等.中药药浴对风热型小儿外感发热的退热疗效观察[J].南京中医药大学学报,2012,28(4):318-320.
[7]石昌熙.药浴治疗小儿外感发热30例[J].中国民间疗法,1999(10):23.
[8]冯晓纯,冯晓娜,张强,等.刮痧治疗小儿外感发热[J].吉林中医药,2014,34(5):486-488.
[9]王丽清,葛金玲.捏脊疗法治疗小儿外感发热临床观察[J].河南中医学院学报,2006(5):47.
[10]张鹤.推拿疗法治疗小儿外感发热的临床观察[J].光明中医,2013,28(12):2588-2589.
[11]井夫杰,张静.穴位刺血治疗小儿风热型外感发热90例[J].针灸临床杂志,2013,29(1):46-47.
[12]万薇.穴位贴敷对外感发热退热效果的研究[D].广州中医药大学,2016.
[13]武月萍,张建刚.中药灌肠剂治疗小儿外感发热215例临床观察[J].现代预防医学,2012,39(14):3520-3521,3523.
[14]邓雪,叶如梅,陈桂东.中药不同剂型灌肠治疗小儿外感发热疗效观察[J].四川中医,2014,32(5):127-129.
[15]李赛美,李宇航.伤寒论讲义[M]. 2版.北京:人民卫生出版社,2014:56-57.
[16]李静华,赵秀荣,郭玉成,等.桂枝二越婢一汤组合方剂解热作用的实验研究[J].时珍国医国药,2007(9):2080-2081.
[17]李宇铭.《伤寒论》表郁轻证三方研究(下)[J].国医论坛,2012,27(4):1-3.
[18]傅瑞年.《伤寒论》第27条新解[N].中国中医药报,2007-11-08(005).
[19]清·尤在泾编注.伤寒贯珠集[M].北京:学菀出版社,2009:23.