汪受传从伏风瘀热论治小儿过敏性紫癜经验

WANG Shouchuan's Experience in Treating Pediatric Allergic Purpura: Hidden Wind and Stagnated Heat

汪受传认为,伏风内潜、外风引发、瘀热伤络为小儿过敏性紫癜的病机关键,清热消风、活血化瘀法贯穿治疗始终。小儿过敏性紫癜可分为急性发作期、临床缓解期和慢性迁延期三期治疗,急性发作期根据患儿风、热、湿邪的偏重程度分别予以祛风清热、清热凉血、清热燥湿法;临床缓解期以益气养阴、活血散瘀为主;慢性迁延期以扶正气为主,以御外风、抑伏风防其再发。

WANG Shouchuan holds that hidden wind internal immersing,exogenous wind inducing,stagnated heat damaging collaterals are the pathogenesis key of pediatric allergic purpura. The methods of clearing heat,removing wind and activating blood circulation to dissipate blood stasis should be used throughout the treatment. The disease could be treated in 3 phases,acute attack stage,clinical remission stage and chronic extension stage. At acute attack stage,according to children patients＇ degree of wind,heat and dampness pathogen,the methods of dispelling wind-clearing heat,clearing heat-cooling blood and clearing heat-eliminating dampness are used respectively. At clinical remission stage,the methods of benefiting Qi-nourishing Yin and activating blood circulation to dissipate blood stasis are mainly used. At chronic extension stage,strengthening vital Qi is mainly used,combined with resisting exogenous wind and inhibiting hidden wind to prevent the disease recurrence.