黄甡脾虚久泄方治疗儿童慢性腹泻经验
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摘要
儿童慢性腹泻是儿科临床常见疾病和多发疾病,黄甡教授运用自拟脾虚久泄方加减治疗儿童慢性腹泻疗效显著,此文首先分析儿童慢性腹泻的病因病机,儿童腹泻日久黄甡教授认为应从脾虚湿盛、气阴两虚两方面进行辨证治疗。其次介绍了脾虚久泄方的组成、功用、适应症并附验案予以分析。最后总结凡属于慢性腹泻患儿,辨证符合脾虚湿盛、气阴两虚病机均可使用脾虚久泄方加减治疗。
Chinese Chronic diarrhea in children is a common and frequent disease in pediatrics. Professor HUANG Shen to use the long drain and subtract treating children chronic diarrhea curative effect significantly. This article first analyzes the etiology and pathogenesis of chronic diarrhea in children.For children diarrhoea, HUANG Shen professor from insufficiency of the spleen with overabundance of dampness, Qi and Yin deficiency in two aspects of dialectical treatment Therapy. Secondly, the composition of Pixu Jiuxie fang was introduced including the function and the indications and cases were analyzed. In conclusion, children with chronic diarrhea, Syndrome differentiation conforms to spleen deficiency wet, The pathogenesis of Qi and Yin deficiency can be treated with Pixu Jiuxie fang.
Chinese Chronic diarrhea in children is a common and frequent disease in pediatrics. Professor HUANG Shen to use the long drain and subtract treating children chronic diarrhea curative effect significantly. This article first analyzes the etiology and pathogenesis of chronic diarrhea in children.For children diarrhoea, HUANG Shen professor from insufficiency of the spleen with overabundance of dampness, Qi and Yin deficiency in two aspects of dialectical treatment Therapy. Secondly, the composition of Pixu Jiuxie fang was introduced including the function and the indications and cases were analyzed. In conclusion, children with chronic diarrhea, Syndrome differentiation conforms to spleen deficiency wet, The pathogenesis of Qi and Yin deficiency can be treated with Pixu Jiuxie fang.
引文
[1]叶礼燕,陈凤钦.腹泻病诊断治疗指南[J].实用儿科临床杂志,2009,24(19):1538-1540.
[2]李巧,李永武,张帆,等.5岁以下儿童腹泻与家庭卫生行为和卫生条件的关系[J].环境与健康杂志,2016,33(7):622-624.
[3]陈蕾.256例儿童腹泻轮状病毒感染情况分析[J].中国妇幼保健,2013,28(34):5749-5750
[4]杨蕙,都婧,张乐研,等.620例儿童腹泻患者病毒感染分析[J].解放军预防医学杂志,2015,33(6):642-643.
[5]刘友芬.儿童腹泻发病季节与年龄相关性分析[J].现代中西医结合杂志,2003(4):356-357
[6]毛萌.儿童腹泻与肠道微生态系统[J].实用儿科临床杂志,1998(4):232-234.
[7]余国俊,林科贤.小儿久泻伤阴的辨证论治[J].新中医,1975(1):20-22.
[8]丁瑛雪.食物过敏与儿童腹泻[J].中国医刊,2012,47(8):17-18.
[9]党晓慧.儿童腹泻伴惊厥的临床特点和病因分析[J].临床研究,2018,26(8):1-2.
[10]张茂燕.儿童腹泻伴惊厥病因探讨[J].安徽医学,2006(2):131-132.
[11]刘佳,郭文峰,任理,等.四君子汤对脾气虚证模型大鼠小肠葡萄糖吸收功能作用的影响[J].中国中西医结合杂志,2013,33(10):1389-1393.
[12]杨照坤.泄泻病证的古今文献研究与学术源流探讨[D].北京:北京中医药大学,2008.
[13]陈少夫,李宇权,何凤云,等.木香对胃酸分泌、胃排空及胃泌素、生长抑素、胃动素水平的影响[J].中国中西医结合杂志,1994(7):406-408.
[14]朱金照,冷恩仁,陈东风.木香对大鼠胃肠运动的影响及其机制探讨[J].中国中西医结合脾胃杂志,2000,8(4):236-238.
[15]王付.诃梨勒散加味治愈“气利”一得[J].湖北中医杂志,1994(6):14.
[16]李斌,李鑫,范源.诃子药理作用研究进展[J].药学研究,2015,34(10):591-595+603.
[17]倪秀琴,连维真.试论张锡纯治疗小儿泄泻之特色[J].福建中医药,1993(4):25-26.
[18]朱启镕.感染性腹泻病[J].临床儿科杂志,2002(3):187-190.
[2]李巧,李永武,张帆,等.5岁以下儿童腹泻与家庭卫生行为和卫生条件的关系[J].环境与健康杂志,2016,33(7):622-624.
[3]陈蕾.256例儿童腹泻轮状病毒感染情况分析[J].中国妇幼保健,2013,28(34):5749-5750
[4]杨蕙,都婧,张乐研,等.620例儿童腹泻患者病毒感染分析[J].解放军预防医学杂志,2015,33(6):642-643.
[5]刘友芬.儿童腹泻发病季节与年龄相关性分析[J].现代中西医结合杂志,2003(4):356-357
[6]毛萌.儿童腹泻与肠道微生态系统[J].实用儿科临床杂志,1998(4):232-234.
[7]余国俊,林科贤.小儿久泻伤阴的辨证论治[J].新中医,1975(1):20-22.
[8]丁瑛雪.食物过敏与儿童腹泻[J].中国医刊,2012,47(8):17-18.
[9]党晓慧.儿童腹泻伴惊厥的临床特点和病因分析[J].临床研究,2018,26(8):1-2.
[10]张茂燕.儿童腹泻伴惊厥病因探讨[J].安徽医学,2006(2):131-132.
[11]刘佳,郭文峰,任理,等.四君子汤对脾气虚证模型大鼠小肠葡萄糖吸收功能作用的影响[J].中国中西医结合杂志,2013,33(10):1389-1393.
[12]杨照坤.泄泻病证的古今文献研究与学术源流探讨[D].北京:北京中医药大学,2008.
[13]陈少夫,李宇权,何凤云,等.木香对胃酸分泌、胃排空及胃泌素、生长抑素、胃动素水平的影响[J].中国中西医结合杂志,1994(7):406-408.
[14]朱金照,冷恩仁,陈东风.木香对大鼠胃肠运动的影响及其机制探讨[J].中国中西医结合脾胃杂志,2000,8(4):236-238.
[15]王付.诃梨勒散加味治愈“气利”一得[J].湖北中医杂志,1994(6):14.
[16]李斌,李鑫,范源.诃子药理作用研究进展[J].药学研究,2015,34(10):591-595+603.
[17]倪秀琴,连维真.试论张锡纯治疗小儿泄泻之特色[J].福建中医药,1993(4):25-26.
[18]朱启镕.感染性腹泻病[J].临床儿科杂志,2002(3):187-190.