从“少火生气法”论治儿童脑性瘫痪合并癫痫
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摘要
介绍马融教授治疗脑性瘫痪合并癫痫的经验。根据小儿"肾常虚"的生理特点、肾-精-气-水的密切相关性,提出脑性瘫痪合并癫痫属虚痫,病位在肾,常涉及心肝,病机关键在于肾精不足、肾气不充、髓海空虚、痰浊留着、蒙蔽清窍、外闭经络,运用"少火生气法"治则,使用补肾助阳、豁痰开窍、熄风止痉治法,方用河车八味丸化裁。
This article presents Professor MA Rong's experience in the treatment of cerebral palsy compli cated with epilepsy. According to the children's physiological characteristics "kidney tending to be deficient",and the close correlation between kidney-essence-qi-phlegm,he proposed that cerebral palsy complicated with epilepsy mostly belonged to deficient epilepsy. The disease location is in the kidney,often involving heart,and the key mechanism is that kidney essence deficiency and kidney yang deficiency result in insufficiency of the marrow and phlegm turbidity retention,blocking clear orifice and the meridians. Therefore Professor MA Rong used Heche Baiwei pill to tonify kidneys and promote yang,to resolve phlegm and unblock orifice,and to relieve convulsion and spasm.
This article presents Professor MA Rong's experience in the treatment of cerebral palsy compli cated with epilepsy. According to the children's physiological characteristics "kidney tending to be deficient",and the close correlation between kidney-essence-qi-phlegm,he proposed that cerebral palsy complicated with epilepsy mostly belonged to deficient epilepsy. The disease location is in the kidney,often involving heart,and the key mechanism is that kidney essence deficiency and kidney yang deficiency result in insufficiency of the marrow and phlegm turbidity retention,blocking clear orifice and the meridians. Therefore Professor MA Rong used Heche Baiwei pill to tonify kidneys and promote yang,to resolve phlegm and unblock orifice,and to relieve convulsion and spasm.
引文
[1]中华医学会儿科学分会神经学组.小儿脑性瘫痪的定义、诊断条件及分型[J].中华儿科杂志,2005,43(4):262.
[2]文香淑,王贞,刘晶红,等.脑性瘫痪及其合并癫痫的临床和病因分析[J].中华儿科杂志,2005,43(9):58-59.
[3]文香淑,邓富萍,张金梅.脑性瘫痪合并癫痫的临床和预后[J].中国伤残医学,2010,18(1):25-27.
[4]时宝林,郎森阳,时霄冰,等.102例癫痫患者预后的危险因素分析[J].脑与神经疾病杂志,2006,14(5):363-365.
[5]Singhi P,Jagirdar S,Khandelwal N,et al.Epilepsy in children with cerebral palsy[J].J Child Neurol,2003,18(3):174-179.
[6]饶立德,黄新芳,林彩梅.脑性瘫痪合并癫痫43例病因分析[J].中国临床康复,2003,7(28):3912.
[2]文香淑,王贞,刘晶红,等.脑性瘫痪及其合并癫痫的临床和病因分析[J].中华儿科杂志,2005,43(9):58-59.
[3]文香淑,邓富萍,张金梅.脑性瘫痪合并癫痫的临床和预后[J].中国伤残医学,2010,18(1):25-27.
[4]时宝林,郎森阳,时霄冰,等.102例癫痫患者预后的危险因素分析[J].脑与神经疾病杂志,2006,14(5):363-365.
[5]Singhi P,Jagirdar S,Khandelwal N,et al.Epilepsy in children with cerebral palsy[J].J Child Neurol,2003,18(3):174-179.
[6]饶立德,黄新芳,林彩梅.脑性瘫痪合并癫痫43例病因分析[J].中国临床康复,2003,7(28):3912.