吕草原老中医治小儿外感发热经验.docVIP

吕草原老中医治疗小儿外感发热经验 　　[摘要] 文章总结吕草原老中医在治疗小儿外感发热方面的临床经验，根据小儿脏腑娇嫩、纯阳之体、易感外邪及感邪后易传变的生理病理特点，确立“卫气同治，截断扭转”为治疗原则，注意卫气营血同治，在解表同时，亦清气分热及透营血分之热，并注重固护津液。遣方时重用清热解毒，早用苦寒，及时凉血透营，配伍养阴保津，如此数法联用取得良好临床效果。 中国论文网 /6/viewhtm　　[关键词] 小儿外感发热；吕草原；卫气同治；截断扭转 　　[中图分类号] R272；R249.2 [文献标识码] B [文章编号] 1673-9701（2016）06-0115-03 　　Experiences of LV Caoyuan the veteran doctor of traditional Chinese medicine in treating exogenous fever of children 　　ZHANG Jie LV Caoyuan 　　Internal Medicine Department， Beijing Shijingshan District T.C.M Hospital， Beijing 100043， China 　　[Abstract] The clinical experiences of LV Caoyuan the veteran doctor of TCM in treating exogenous fever of children were summarized in this article. According to the physiological and pathological characteristics of children， such as delicate viscera， pure-Yang constitution， susceptible to exogenous pathogen and easy transmission， establish “treating Wei and Qi simultaneously， truncating and reversing” as the therapeutic principle， emphasize treating Wei， Qi， Ying and Xue at the same time. While relieving exterior syndrome， clear heat at Qi level and let out heat at Ying-Xue level. Simultaneously， protect body fluid. In herbal prescription， use more heat-clearing and detoxifying herbs， using bitter and cold herbs early， cool blood and let out ying promptly， combine with nourishing-Yin and protecting-fluid. With those methods， then can get good clinical effects. 　　[Key words] Exogenous fever of children； LV Caoyuan； Wei and qi simultaneously treatment； Truncating and reversing 　　吕草原老师为北京著名的中医儿科专家，曾师从中医儿科大师裴宗义、刘韵远，学识渊博，造诣精深，行医40余载，对儿科诸证独具匠心，尤善治小儿肺系疾病及脾胃疾病，其根据小儿独特的生理特点及不同的证候表现，灵活运用中医辨证论治方法，以“卫气双解”为基础，佐以“截断扭转”法，治疗小儿外感发热，效果显著，无不良反应，临床疗效突出，获得患儿家属的广泛赞誉。笔者有幸跟师学习，受益匪浅，今将吕老治疗小儿外感发热经验述之，以飨同道。 　　1 病因病机 　　凡因外感邪毒所致而以体温升高、并伴有恶寒口渴、脉数等为主要临床特征者称为外感发热。小儿发热的原因较多，其中以外感触发最为多见，此类发热多由风、寒、暑、湿、燥、火“六淫”致病，严重者或由疫疠之气感染引起。清代医家吴鞠通从阴阳学说出发，认为小儿时期的机体柔嫩、气血未充、脾胃薄弱、肾气未充、腠理疏松、神气怯弱、筋骨未坚等特点，可以归纳为“稚阳未充，稚阴未长者也”[1]。吕老根据小儿独有的生理病理特点，认为小儿外感发热的病因病机为小儿脏腑娇嫩，腠理疏薄，表卫未固，气血未充，易受外邪侵