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 ›› 2017, Vol. 9 ›› Issue (4): 348-349.doi: 10.3969/j.issn.1674-3865.2017.04.024

• 临证心得 • 上一篇    下一篇

赵坤教授从湿温论治小儿暑季发热经验

李刚,刘晓静,赵坤   

  1. 450000 郑州,河南中医药大学2015级中医儿科学专业研究生(李刚);2016级中医儿科学专业研究生(刘晓静);河南中医药大学第一附属医院儿科(赵坤)
  • 出版日期:2017-08-25 发布日期:2017-12-08
  • 通讯作者: 刘晓静,E-mail:619232625@qq.com
  • 作者简介:李刚(1990-),男,河南中医药大学2015级硕士研究生在读。研究方向:小儿呼吸系统疾病的中医药防治

Experiences of professor Zhao Kun on treatment of summer fever in children based on the theory of damp-warm syndrome

LI Gang,LIU Xiaojing,ZHAO Kun   

  1. The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450000,China
  • Online:2017-08-25 Published:2017-12-08

摘要:
小儿暑季发热是儿科临床中常见的一种疾病,病因多与小儿时期体温调节中枢发育不健全有关,该病具有发病季节明显、病势缠绵及抗生素治疗效果欠佳等特点;赵坤教授认为此病属中医“湿温病”范畴,指出病因有多为外因、内因及内外因相合;其中脾胃为病变之中心,气遏湿阻为病机之关键;治疗上:调理脾胃气机贯穿疾病治疗的始终,结合病位之浅深、湿热之轻重、正邪之强弱而选方用药,临证多能应手获效。

关键词: 发热, 湿温病, 暑湿, 儿童

Abstract:
Summer fever is a common disease in children, and its pathogeny is related to the improper development of thermotaxic centers in childhood in most cases. The characteristics of summer fever is various, including being obviously seasonal, lingering illness,ineffective treatment with antibiotics and so on. This disease belongs to the damp-warm syndrome in Chinese medicine, according to Professor Zhao Kun, who thinks that the pathogeny contains external cause, internal cause or  both of them. The visceral lesions mainly involve spleen and stomach, and the key of pathogenesis is obstruction of flow of qi and dampness blockage. Regulating the movement of qi of the spleen and stomach should be emphasized throughout the whole treatment. It can achieve good effect in clinics to make clear the location of the lesion and the seriousness of dampness and heat, and to make comparison between healthy qi and pathogenic qi in choosing the proper treatment.

Key words: Fever, Damp-warm syndrome, Summer-damp, Children