韩雪合用经方从虚、痰、瘀论治小儿反复咳喘经验介绍
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R256.12

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河南省中医药科学研究专项课题(2019ZY3012);韩雪名中医学术经验研究工作室建设项目(zsmzy201810)


Experience Introduction of HAN Xue Treating Recurrent Cough and Asthma in Children with Classic Prescriptions Based on Deficiency and Phlegm and Stasis
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    摘要:

    介绍韩雪教授运用经方合方治疗小儿反复咳喘的临床经验。韩雪教授认为,小儿反复咳喘属本虚标实之证,以正气虚弱为本,痰瘀互结为标。故以温阳扶正、化痰平喘、祛瘀通络的基本治法贯穿始终。急性发作期多兼有表证,故在温化痰饮、补肾纳气的同时宣肺解表;缓解期因宿痰暗瘀阻于肺络,在调理肺、脾、肾功能的同时合用化痰、散瘀、通络之法。临证常合用的经方有:小青龙汤及其类方、桂枝加厚朴杏子汤、茯苓桂枝白术甘草汤、麻黄附子细辛汤、金匮肾气丸、桂枝茯苓丸。

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    Abstract: This paper introduces the clinical experience of Professor HAN Xue treating recurrent cough and asthma in children with classic combined prescriptions. Professor HAN holds that recurrent cough and asthma in children belongs to the syndrome of root deficiency and tip excess, with deficient healthy qi as the root and phlegm- stasis binding as the tip. Therefore, the basic methods throughout the treatment are warming yang to reinforce healthy qi, resolving phlegm and relieving cough, and dispelling stasis and unblocking collaterals. There are usually exterior syndromes during acute attack period,so it should not only warm and remove phlegm-rheum,and supplement the kidney for qi reception,but also diffuse the lung and release the exterior; in the remission period, retained phlegm and dark stasis may obstruct in the lung collaterals, so the regulation of the function of the lung, the spleen, and the kidney can be combined with methods of resolving phlegm,dispelling stasis,and unblocking collaterals. Classic prescriptions that are commonly used in combination in clinic are Xiaoqinglong tang and its similar prescriptions,Guizhi and Houpu Xingzi tang,Fuling Guizhi Baizhu Gancao tang, Mahuang Fuzi Xixin tang,Jinkui Shenqi pills,and Guizhi Fuling pills.

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李前前,潘丹萍,指导:韩雪.韩雪合用经方从虚、痰、瘀论治小儿反复咳喘经验介绍[J].新中医,2022,54(10):207-210

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  • 在线发布日期: 2022-05-24
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