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 ›› 2020, Vol. 12 ›› Issue (3): 218-221.doi: 10.3969/j.issn.1674-3865.2020.03.010

• 学术探讨 • 上一篇    下一篇

宣白承气汤干预儿童肺炎的应用体会

韩冬阳,吴振起,李晓菲,高畅   

  1. 110847 沈阳,辽宁中医药大学2017级中医儿科学专业研究生(韩冬阳,李晓菲,高畅);110032 沈阳,辽宁中医药大学附属医院儿科(吴振起)
  • 出版日期:2020-06-25 发布日期:2021-05-17
  • 通讯作者: 吴振起,E-mail:zhenqiwu@163.com
  • 作者简介:韩冬阳(1991-),女,辽宁中医药大学2017级硕士研究生在读。研究方向:中医药防治感染性疾病
  • 基金资助:
    国家自然科学基金面上项目(81373687、81874490);第四批全国中医(临床、基础)优秀人才研修项目(国中医药人教发[2017]24号);辽宁省“百千万人才工程”人选资助项目(辽人社[2018]47号);沈阳市中青年科技创新人才支持项目(RC180246)

Application experience of Xuanbai Chengqi decoction in treatment for children with pneumonia

  • Online:2020-06-25 Published:2021-05-17

摘要: 儿童肺炎以肺热多见,邪袭肺卫,久郁失宣,病邪入里,肺合大肠,临床常见发热、咳喘、气促、咯痰,便秘等肺热腑实之象。宣白承气汤乃吴鞠通创立治疗阳明温病下之不通的代表方,常用于治疗儿童肺炎兼见腑气不通之肺热腑实证。内服宣肺通腑泄热,脏病治腑。外敷透皮可疏经通络,直达病所。宣白承气汤内服外用治疗儿童肺炎疗效显著,值得我辈深入思考。

关键词: 肺炎, 宣白承气汤, 肺热腑实证, 内外合治, 儿童

Abstract: Lung heat is most common in children with pneumonia. Its pathogenesis is mainly as follows: pathogens invade the lung defensive system and can not be eradicated in the case of prolonged invasion and further invade large intestine. Clinical signs of lung heat and fuviscera excess are common, such as fever, cough and asthma, shortness of breath, phlegm, constipation, etc. Xuanbai Chengqi decoction is a representative prescription created by Wu Jutong to treat febrile diseases in Yangming meridian with constipation. It is usually used in the treatment of children with pneumonia and visceraqi obstruction of the lung heat and fuviscera excess syndrome. Oral administration of this decoction can diffuse the lung, clear the hollow viscera and discharge heat. External application on skin can relax channels and dredge collaterals, with its effects reaching the disease site directly. Xuanbai Chengqi decoction for internal and external use in the treatment of pediatric pneumonia has a remarkable effect, which is worthy of our indepth thinking.

Key words: Pneumonia, Xuanbai Chengqi decoction, Lung heat and fuviscera excess syndrome, Combined internal and external treatment, Children