ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2019, Vol. 11 ›› Issue (1): 4-8.doi: 10.3969/j.issn.1674-3865.2019.01.002

• 专栏 • 上一篇    下一篇

海派徐氏儿科治疗小儿肺炎喘嗽治法治则的文献研究

徐万超,曹芳,虞坚尔,薛征,张新光   

  1. 200071 上海,上海中医药大学附属市中医医院儿科(徐万超,虞坚尔,薛征,张新光),护理部(曹芳);201203 上海,上海中医药大学市中医临床医学院(徐万超);200071 上海,上海市中医药研究院中医儿科研究所(虞坚尔,薛征,张新光)
  • 出版日期:2019-02-25 发布日期:2019-07-11
  • 通讯作者: 虞坚尔,E-mail:1066@szy.sh.cn
  • 作者简介:徐万超(1991-),男,医学硕士,医师。研究方向:小儿肺系疾病的诊治
  • 基金资助:
    国家中医临床研究基地业务建设科研专项课题(JDZX2015038)

Literature research on the treatment principles of Shanghai Xu's pediatrics in the treatment of childhood pneumonia

XU Wanchao,CAO Fang,YU Jianer,XUE Zheng,ZHANG Xinguang   

  1. Affiliated City Traditional Chinese Medicine Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China
  • Online:2019-02-25 Published:2019-07-11

摘要:
目的
运用文献研究的方法,总结海派中医徐氏儿科治疗小儿肺炎喘嗽治则治法的学术思想及沿革。
方法
通过计算机检索各数据库建库至2018年12月的徐氏儿科治疗小儿肺炎喘嗽的相关文献,按照纳入与排除标准进行筛选,对文献治法治则类型及学术思想进行总结分析。
结果
共纳入80篇中文文献,文献类型中学术经验类(44篇)多于临床及基础研究等类,分为清法类(25篇)、温清并举(22篇)和温法类(15篇);学术经验中辛凉宣肺法与清热化痰法出现最多,余次序为温阳解表、温肺化饮、温清并举等,共温法类37次,清法类25次,温清并举8次,其他类6次;临床研究中运用辛凉宣肺法治疗病例863人,多于清肺化痰法535人、祛瘀化痰法330人等。
结论
辛凉宣肺、清肺化痰等清法为徐氏儿科治疗肺炎喘嗽的常法,温法为徐氏儿科治疗该病的学术特色,包括温阳解表、温肺化饮、温阳开窍救逆等法,后辈相继提出了食疗平补、祛风解表、解毒化瘀通腑、清肺通络等治法治则,未来可从基础实验角度对治法治则做进一步研究。

关键词: 肺炎喘嗽, 徐氏儿科, 治则治法, 文献研究

Abstract:
Objective
To summarize the academic thoughts and the evolution of Shanghai Xu's pediatrics in the treatment of childhood pneumonia by way of literature research.
Methods
The literatures on Shanghai Xu's pediatrics in the treatment of childhood pneumonia were searched by computer in the databases from the inception to December 2018. According to the inclusion and exclusion criteria, these literatures were screened, and those about treatment principles and academic thoughts were summarized and analyzed.
Results
A total of 80 literatures were included, among which 44 were about academic experience, more than those about clinical and basic researches, and the literatures were classified into 3 types: clear method (25), combination of clearing and warming method(22) and warming method(15). In the literatures about academic experience, the method of clearing lung and reducing phlegm appeared often, followed by the method of warming Yang to relieve heat, warming lung to reduce watery phlegm, and the combination of warming and clearing. In total, the warming method appeared 37 times, clearing method 25, combination 8, and others 6. Clinically a total of 863 patients were treated by clearing lung with cooling drugs, more than the method of clearing lung to reduce phlegm and removing stasis(535) to reduce phlegm(330).
Conclusion
The clearing methods of clearing lung with cooling drugs and clearing lung to reduce phlegm are often used in Xu's pediatrics in the treatment of childhood pneumonia. The warming method is its academic features, including warming Yang to relieve heat, warming lung to reduce watery phlegm and warming Yang to induce resuscitation. The people of following generation have also established the treatment principles of food therapy, expelling the pathogenic wind, relieving heat and clearing lung. In the future, the treatment principles can be further studied on the basis of basic experiments.

Key words: Pneumonia, Xu's pediatrics, Treatment methods, Literature research