摘要
任勤教授认为小儿过敏性紫癜是由于正气不足,外感时邪及饮食失节等所致,基本病机为血络不畅,瘀血内停。任教授将本病分为急性期和迁延期进行辨证分型论治,急性期以实热证居多,治以清热凉血,选犀角地黄汤联合组方加味治疗;迁延期以虚实夹杂证、气虚证、阴虚证多见,分别治以健脾疏肝、健脾益气、滋阴降火,选丹栀逍遥散、归脾汤、知柏地黄汤加味治疗。强调养血活血须贯穿本病始终,疗效显著。附案例1则,以资验证。
Professor REN Qin holds that children with allergic purpura results from insufficiency of healthy qi,external contraction of seasonal pathogenic factors and improper diet,etc.,the basic pathogenesis lies in inhibited collaterals and interior retention of blood stasis.Professor REN divides it into acute stage and protracted stage and performs syndrome differentiation and treatment by stages.In acute stage,sthenia-heat syndrome is in the majority,and thus the treatment is clearing away heat to cool blood,selecting Xijiao Dihuang Tang(犀角地黄汤)combined with modified composing prescriptions to treat;In protracted stage,mixture of asthenia and sthenia syndrome,qi asthenia syndrome and yin deficiency syndrome are commonly encountered,and thus the treatment is strengthening spleen to soothe liver,invigorating spleen and supplementing qi and nourishing yin to reduce fire,respectively,selecting Danzhi Xiaoyao San(丹栀逍遥散),Guipi Tang(归脾汤)and modified Zhibai Dihuang Tang(知柏地黄汤)to treat.She stresses that nourishing blood and activating blood should span the whole course of the disease,which has obtained marked efficacy.One case is attached for verification.
作者
闫雨迎
任勤(指导)
YAN Yuying;REN Qin(Department of Pediatrics,The First Affiliated Hospital of Tianjin University of Chinese Medicine,Tianjin,300193,China;不详)
出处
《中医儿科杂志》
2021年第6期29-31,共3页
Journal of Pediatrics of Traditional Chinese Medicine
关键词
小儿
过敏性紫癜
辨证分型
临床经验
任勤
children
allergic purpura
syndrome differentiation and typing
clinical experience
REN Qin
