温法治疗小儿长期发热疾病临证举隅

Appreciation of Children Long-term Fever Diseases Case with Warm Therapy

[目的]探讨温法治疗小儿长期发热的临床经验。[方法]整理本科室应用温法治疗小儿长期发热疾病的相关案例,并分析之。通过对人参败毒散验案、桂枝汤验案、桂枝人参汤验案、附子理中汤验案、四逆汤验案的分析,阐述温法治疗小儿长期发热的辨治思路。[结果]对虚人感寒、太阳中风、太阳太阴合病、太阴少阴合病、少阴证五则由感受寒邪或阳气虚弱所致的长期发热验案,采用辛温解表、益气扶正、发汗解肌、调和营卫、温中解表、温补脾肾、回阳救逆等法治疗,方用人参败毒散、桂枝汤、桂枝人参汤、附子理中汤、四逆汤等加减,取得较好疗效。[结论]应用六经辨证思路,采用温法治疗寒证引起的小儿长期发热可取佳效,值得临床进一步推广。

[Objective]Discussing the clinical experiences in children long-term fever diseases case with warm therapy. [Methods]Collecting, organizing and analyzing the cases on children long-term fever diseases with warm therapy in our department.By analyzing the Renshen Baidu San case,Guizhi Tang case,Guizhi Renshen Tang case,Fuzi Lizhong tang case,Sinitang case,to expound thoughts of diagnosising and syndrome differentiation in treating children longterm fever diseases with warm therapy.[Results]For the five cases which were caused by suffering cold-evil or who were yang-deficiency,such as deficient person contracted by external cold,wind-stroke syndrome of Taiyang channel, Taiyang-Taiyin combination disease,Taiyin-Shaoyin combination disease,Shaoyin syndrome,using relieving methods such as superficies syndrome with pungent and warm natured drugs, tonifying and strengthening the body qi,sweating and releasing the exterior, regulating ying and wei, warming the middle and relieving exterior syndrome, warming and tonifying the spleen and kidney, and restoring yang to rescue from counter flow,and prescribe the prescription such as Bai Du San,Guizhitang,Gui Zhi Ren Shen Tang,Fu Zi Li Zhong Tang,Si Ni Tang,often obtain a better curative effect.[Conclusion]Applying the thoughts of the six-meridian syndrome-differentiation,using the warmmethods to treat children long-term fever caused by cold syndrome, acquired a good effect,deserving promotion in clinic in further.