孙丽平治疗小儿肠系膜淋巴结炎
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摘要
孙丽平教授认为,小儿肠系膜淋巴结炎临证以乳食积滞型最为常见,因小儿"脾常不足",伤于乳食,致气机郁滞,纳运失职,不通则痛。故治以软坚散结,消积止痛为法,选用自拟方元术止痛散加减,联合穴位贴敷理气止痛膏外敷脐部治疗,消补兼施,内外合治,疗效显著。此外,孙丽平教授认为"脾为后天之本,气血生化之源",治疗上尚需保护胃气,忌用苦寒之品;久病迁延不愈者,兼以活血化瘀。并强调防重于治,行药治疗的同时,应注意饮食调节。
Professor Sun Liping believes that the most common clinical syndrome of mesenteric lymphadenitis in children is stagnation of milk and food. The deficiency of spleen causes impaired digestive functions and stagnation of qi and pain. The self-made Fangyuan Zhitong powder is combined with Liqi Zhitong Ointment for external application on acupoints. Elimination and supplementation combined with internal and external treatment, the curative effect is remarkable. Professor Sun Liping believes that "spleen is the root of the day after birth, the source of qi and blood", the treatment needs to protect stomach qi and avoid the use of bitter and cold drugs. If the disease persists for a long time, the method of activating blood circulation and removing blood stasis should be used to treat it. She also emphasizes that prevention is more important than treatment, and that dietary regulation should be paid attention to while medication is used.
Professor Sun Liping believes that the most common clinical syndrome of mesenteric lymphadenitis in children is stagnation of milk and food. The deficiency of spleen causes impaired digestive functions and stagnation of qi and pain. The self-made Fangyuan Zhitong powder is combined with Liqi Zhitong Ointment for external application on acupoints. Elimination and supplementation combined with internal and external treatment, the curative effect is remarkable. Professor Sun Liping believes that "spleen is the root of the day after birth, the source of qi and blood", the treatment needs to protect stomach qi and avoid the use of bitter and cold drugs. If the disease persists for a long time, the method of activating blood circulation and removing blood stasis should be used to treat it. She also emphasizes that prevention is more important than treatment, and that dietary regulation should be paid attention to while medication is used.
引文
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[4]陈婷,王伟,张芳,等.中医药治疗小儿肠系膜淋巴结炎的临床研究进展[J].云南中医中药杂志, 2018, 39(1):83-85.
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[6]张雯,钮妍,胡利军,等.百笑灸联合中药治疗小儿肠系膜淋巴结炎的临床疗效观察[J].现代中医临床, 2018, 25(2):4-6, 10.
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[9]张晓莹,马书鸽,陈凤媚.中药内服外敷治疗小儿肠系膜淋巴结炎湿热蕴脾证30例临床观察[J].中医儿科杂志,2017, 13(2):57-60.
[10]王晓萌,成秋,朱富华.朱富华治疗小儿肠系膜淋巴结炎经验[J].实用中医药杂志, 2017, 33(2):179-180.
[11]刘飞,陈俊松.肺炎支原体致小儿肠系膜淋巴结炎56例临床分析[J].中国实用医药, 2015, 10(8):109-110.
[12]周芳芳,尚莉丽.加减温胆汤治疗小儿肠系膜淋巴结炎(痰热互结型)的疗效观察[J].中国中西医结合儿科学,2016, 8(3):290-293.
[13]张晓莹,谢琼,邓雪梅,等.广东地区200例肠系膜淋巴结炎患儿的中医体质分析[J].山东中医杂志, 2016, 35(2):119-120.
[14]赵丽莹,刘丰艳,王烈,等.王烈教授治疗小儿慢性胃炎验案[J].中国中西医结合儿科学, 2015, 7(3):277-278.
[2]汪载芳,申昆玲,沈影.诸福棠实用儿科学[M].北京:人民卫生出版社, 2014:1465.
[3]张晓莹,马书鸽,陈凤媚,等.加减木香导滞丸治疗小儿急性肠系膜淋巴结炎湿热蕴脾证60例疗效观察[J].新中医,2014, 46(9):124-126.
[4]陈婷,王伟,张芳,等.中医药治疗小儿肠系膜淋巴结炎的临床研究进展[J].云南中医中药杂志, 2018, 39(1):83-85.
[5]叶敏如,许楷斯,倪晓良,等.许尤佳教授治疗小儿肠系膜淋巴结炎经验介绍[J].新中医, 2015, 47(7):8-9.
[6]张雯,钮妍,胡利军,等.百笑灸联合中药治疗小儿肠系膜淋巴结炎的临床疗效观察[J].现代中医临床, 2018, 25(2):4-6, 10.
[7]贾艳萍,罗世杰.罗世杰教授治疗小儿急性肠系膜淋巴结炎临证经验[J].中西医结合心血管病电子杂志, 2018,6(13):22-23.
[8]代晋,孙丽平.孙丽平教授治疗小儿便秘经验[J].中国中西医结合儿科学, 2012, 4(6):512-513.
[9]张晓莹,马书鸽,陈凤媚.中药内服外敷治疗小儿肠系膜淋巴结炎湿热蕴脾证30例临床观察[J].中医儿科杂志,2017, 13(2):57-60.
[10]王晓萌,成秋,朱富华.朱富华治疗小儿肠系膜淋巴结炎经验[J].实用中医药杂志, 2017, 33(2):179-180.
[11]刘飞,陈俊松.肺炎支原体致小儿肠系膜淋巴结炎56例临床分析[J].中国实用医药, 2015, 10(8):109-110.
[12]周芳芳,尚莉丽.加减温胆汤治疗小儿肠系膜淋巴结炎(痰热互结型)的疗效观察[J].中国中西医结合儿科学,2016, 8(3):290-293.
[13]张晓莹,谢琼,邓雪梅,等.广东地区200例肠系膜淋巴结炎患儿的中医体质分析[J].山东中医杂志, 2016, 35(2):119-120.
[14]赵丽莹,刘丰艳,王烈,等.王烈教授治疗小儿慢性胃炎验案[J].中国中西医结合儿科学, 2015, 7(3):277-278.