麻杏石甘汤治疗小儿肺炎喘嗽

Pediatric Asthma and Cough Due to Pneumonia Treated with Ephedra,Apricot Kernel,Gypsum and Licorice Decoction

麻杏石甘汤出自《伤寒论》,用于治疗太阳病汗不得法或误治以下,导致邪热壅肺出现"汗出而喘,无大热"的主症。麻杏石甘汤为麻黄汤去桂枝加石膏,是变辛温发表之法为辛凉宣透之方。临床药物剂量应随患儿病证变化而制定,不可拘于一格,虽然小儿用药量常为成人量减半,但药物配比可灵活参考。煎煮时应将石膏、麻黄先煎,还应将麻黄"去上沫"。

Ephedra,Apricot Kernel ,Gypsum and Licorice Decoction is originate.d from Treatise on Cold Damage and used for failure of sweating or mistreatment of Taiyang disease inducing pathogenic heat accumulating the lung with main symptoms of ＂asthma with sweating but without high fever＂. Ephedra, Apricot Kernel, Gypsum and Licorice Decoction comes from Ephedra Decoction by removing Guizhi （Ramulus Cinnamomi） and Shigao （Gypsum Fibrosum） ,which is transforming the method of dispersing with pungent and warm drugs into dispersing with pungent and cold drugs. The dosage should be determined according to the syndrome of the infants. Even though the dosage for infants is half of that of adults, the matching of the drugs should be referred to flexibly. During decocting,Shigao （Gypsum Fibrosum） and Mahuang （Herba Ephedrae） should be decocted first and the upper foam of Mahuang （ Herba Ephedrae） should be removed.