王有鹏教授治疗寒地儿童荨麻疹的临证经验

Summary of professor Wang Youpeng's clinical experience in treating urticaria in children in cold regions

王有鹏教授基于对寒地地域特点及小儿生理病理特点认识,立足临床实践,对寒地儿童荨麻疹的诊疗具有独到见解。王有鹏教授从发病邪气、脏腑、体质三个层面总结其病因病机为风邪主导,寒、热、湿邪兼杂为患;肺脾肾三脏虚损,心肝亢盛为本;同时受先天禀赋及体质因素的影响。根据寒地儿童荨麻疹发病特点将其分为风邪袭表证、湿热蕴肤证、肺脾气虚证,治疗以调和脏腑为本,祛除病邪为标,运用合方随证施治,同时兼顾调体养护,防患于未然,可取得较好疗效。

Professor Wang Youpeng has unique views on the diagnosis and treatment of urticaria in children in cold regions based on his understanding of the characteristics of cold regions and the physiological and pathological characteristics of children,and his clinical practice.From three aspects of pathogenic qi,zang-fu viscera,and constitution,Professor Wang Youpeng summarizes that the etiology and pathogenesis of the disease are dominated by wind pathogen,with cold,heat,and dampness pathogen coexisting as the main causes;Deficiency of the lungs,spleen,and kidneys,and hyperactivity of heart-liver fire are the root causes;Simultaneously they are influenced by innate endowment and physical fitness of the affected children.According to the characteristics of urticaria in children in cold regions,it can be divided into syndrome of superficies attacked by wind pathogen,pattern of dampness-heat amassing in skin,and lung-spleen qi deficiency pattern.The treatment is based on harmonizing zang-fu viscera,eliminating pathogenic qi as the standard,and using the combination of formulas to treat according to symptoms.At the same time it can achieve good curative effect by taking into account the body care and maintenance,and preventing the disease beforeitoccurs.