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 ›› 2024, Vol. 16 ›› Issue (6): 534-536.doi: 10.3969/j.issn.1674-3865.2024.06.016

• 中医应用研究 • 上一篇    下一篇

基于“热毒理论”辨治小儿急乳蛾经验探析

董文瑾, 段晓征, 张伟, 吉柯昕, 苗小雨   

  1. 130117 长春,长春中医药大学中医儿科学专业研究生(董文瑾,吉柯昕,苗小雨);130021 长春,长春中医药大学附属医院儿童诊疗中心儿童内二科(段晓征,张伟)
  • 收稿日期:2024-05-25 修回日期:2024-06-28 出版日期:2024-12-25 上线日期:2024-12-25
  • 通讯作者: 段晓征,E-mail:2547723712@qq.com

Analysis of the experience in differential treatment of pediatric acute milk moth based on "heat-toxicity theory"

DONG Wenjin1,DUAN Xiaozheng2,ZHANG Wei2,JI Kexin1,MIAO Xiaoyu1   

  1. 1Changchun University of Traditional Chinese Medicine,Changchun 130117,China; 2The Affiliated Hospital of Changchun University of Traditional Chinese Medicine,Changchun 130021,China
  • Received:2024-05-25 Revised:2024-06-28 Published:2024-12-25 Online:2024-12-25
  • Contact: DUAN Xiaozheng,E-mail:2547723712@qq.com

摘要: 急乳蛾是小儿常见的咽部疾病,相当于西医的急性扁桃体炎、急性化脓性扁桃体炎。导师段晓征教授以国医大师王烈教授“热毒理论”思想为指导,并结合小儿生理病理特点及后天调护分析其病因病机,确立辨治法则,提出其治疗应立足于脾胃,初起治以清热解毒利咽;中期治以清热化湿,消积健脾;后期以补肺运脾为重。并附典型医案1例,为小儿急乳蛾的辨治提供参考。

关键词: 急乳蛾, 辨治经验, 脾胃, 热毒理论, 儿童

Abstract: Acute milk moth is a common pharyngeal disease in children,which is acute tonsillitis and acute suppurative tonsillitis in western medicine.Guided by the "heat-toxicity theory" of Professor Wang Lie,a master of Chinese medicine,Professor Duan Xiaozheng,the instructor,analyzed the etiology and pathogenesis of the disease based on the physiological and pathological features and acquired care of children,established treatment rules,and put forward the following points:the treatment should be based on the spleen and stomach;the treatment should focus on clearing the fever and removing toxins to benefit the pharynx in the early stage;in the middle stage,the treatment should be clearing heat and removing moisture to promote digestion and invigorate the spleen;in the late stage,the treatment should be replenishing the lungs to activate the spleen.Here is a typical case to provide reference for the differential treatment of acute milk moth in children.

Key words: Acute milk moth, Experience in differential treatment, Spleen and stomach, Heat-toxicity theory, Child