王有鹏运用甘露消毒丹治疗儿科疾病经验

WANG Youpeng’s Experience on Treating Pediatric Diseases with Ganlu Xiaodu Dan(甘露消毒丹)

甘露消毒丹是治疗湿温病的代表方剂,主要功效是利湿化浊,清热解毒。王有鹏教授认为湿热之邪致病广泛,湿热侵犯上焦,则咽喉肿痛、口渴、头晕、头痛;湿热交争中焦,则胸闷、腹胀、恶心;湿热下注,则小便短赤、大便黏,甚或泄泻、淋浊;湿热之邪弥漫,则四肢酸痛、重着。甘露消毒丹适用的疾病临床表现虽各有不同,但基本病机为湿热为患,根据“异病同治”“有是证用是方”的原则,王有鹏教授用甘露消毒丹为主方治疗了持续低热、水痘、感冒的患儿,临床疗效颇佳。文章旨在通过验案举隅的方式,总结王教授运用甘露消毒丹治疗儿科疾病的经验。

Ganlu Xiaodu Dan(甘露消毒丹)is a representative prescription for the treatment of damp-warm diseases.Its main effects are promoting urination,removing turbidity,clearing heat and detoxification.Professor WANG Youpeng believes that the evil of damp-heat causes a wide range of diseases.If damp-heat invades the upper Jiao,it will cause sore throat,thirst,dizziness and headache.If damp-heat alternates with middle Jiao,chest tightness,abdominal distension and nausea will occur.If damp-heat going downward,there is short red urine,sticky stool,or even diarrhea and stranguria.When the evil of damp-heat is diffuse,the limbs are sore and heavy.Although the clinical manifestations of the diseases applicable to Ganlu Xiaodu Dan are different,the basic pathogenesis is damp-heat.According to the principle of“treating different diseases with the same treatment”and“using the prescription for the syndrome”,Professor WANG Youpeng used Ganlu Xiaodu Dan as the main prescription to treat children with persistent low fever,chickenpox and cold,and the clinical therapeutic effect is quite good.The purpose of this paper is to summarize Professor WANG′s experience in the treatment of pediatric diseases with Ganlu Xiaodu Dan.