国医大师刘祖贻辨治小儿病毒性心肌炎
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摘要
国医大师刘祖贻认为小儿病毒性心肌炎的病机为邪毒伤正,由实渐虚。气阴两虚是病理基础,发病的动态过程为正邪交争,迁延难愈的根本原因是正损难复。论治重在虚实兼顾,以平为期:热毒淫心证,治以清热透表、益心安神,方用银翘散合丹参饮;湿热侵心证,治以清热化湿,解毒透表,方用葛根黄芩黄连汤合丹参饮;邪伤气阴证,治以益气养阴,清热解毒,方用生脉散合五味消毒饮;气阴两虚证,治以益气养阴,活血通络,方用生脉散合芪丹护心饮;心阳亏虚证,治以温补心阳,方用桂枝甘草汤合芪丹护心饮。
National Chinese medicine master Liu Zuyi advocated that pathogenesis of pediatric viral myocarditis is healthy invaded by evil poison gradualy. Qi-Yin deficiency is the phathological foundation, the dynamic process of the disease is to pay for healthy and evil, the root cause of the deferment painless is that the healthy damage is hard to recover. Diagnosis and treatment is focused on consideration of both deficiency and excess. Toxic-heat disoperation heart syndrome is treated by clearing heat and tranquilizing by nourishing the heart with Yinqiao powder and Danshen decoction.Damp-heat disoperation heart syndrome is treated by clearing heat and promoting diuresis and detoxication with Gegen Huangqin Huanglian decoction combined with Danshen decoction. Evil impairing Qi-Yin syndrome is treated by tonifying Qi and norishing Yin clearing heat and removing toxicity with Shengmai powder combined with Wuwei Xiaodu decoction. Deficiency of both Qi-Yin syndrome is treated by tonifying Qi and norishing Yin, activating blood circulation to remove meridian obstruction with Shengmai powder and Qidan Huxin decoction. Deficiency of heart-Yang syndrome is treated by warming heart-Yang with Guizhi Gancao decoction combined with Qidan Huxin decoction.
National Chinese medicine master Liu Zuyi advocated that pathogenesis of pediatric viral myocarditis is healthy invaded by evil poison gradualy. Qi-Yin deficiency is the phathological foundation, the dynamic process of the disease is to pay for healthy and evil, the root cause of the deferment painless is that the healthy damage is hard to recover. Diagnosis and treatment is focused on consideration of both deficiency and excess. Toxic-heat disoperation heart syndrome is treated by clearing heat and tranquilizing by nourishing the heart with Yinqiao powder and Danshen decoction.Damp-heat disoperation heart syndrome is treated by clearing heat and promoting diuresis and detoxication with Gegen Huangqin Huanglian decoction combined with Danshen decoction. Evil impairing Qi-Yin syndrome is treated by tonifying Qi and norishing Yin clearing heat and removing toxicity with Shengmai powder combined with Wuwei Xiaodu decoction. Deficiency of both Qi-Yin syndrome is treated by tonifying Qi and norishing Yin, activating blood circulation to remove meridian obstruction with Shengmai powder and Qidan Huxin decoction. Deficiency of heart-Yang syndrome is treated by warming heart-Yang with Guizhi Gancao decoction combined with Qidan Huxin decoction.
引文
[1]汪受传,韩新民.儿科疾病中医治疗全书[M].广州∶广东科技出版社,2000:375.
[2]桂永浩,薛辛东.儿科学[M].第3版.北京∶人民卫生出版社,2015:267-269.
[2]桂永浩,薛辛东.儿科学[M].第3版.北京∶人民卫生出版社,2015:267-269.