倪菊秀治疗小儿百日咳痉咳经验探析

Analysis of Ni Juxiu's experience in treating spasmodic cough of pertussis in children

倪菊秀主任经过长期临床经验的积累,认为小儿百日咳的病因病机是外感时疫引动伏痰,相互搏结,阻遏气道,采取分期辨证施治,且尤以痉咳期为治疗重点。审证求因,治病求本,痉咳期以“痰热”为主要病因,以宣肺化痰,邪去正安为大法,给予三拗汤合止嗽散加减临证施治,并灵活结合外治针刺、穴位敷贴的外治治疗方法,临床上取得了很好的疗效,大大缩短了病程。

Director Ni Juxiu,based on her long-term accumulation of clinical experience,has come to the belief that the etiology and pathogenesis of pertussis in children are the exogenous disease inducing phlegm,which interact with each other,resulting in the blocking of air tube.The differentiated treatment is adopted,and the treatment of spasmodic cough is especially important.The treatment should focus on the cause of the disease instead of the symptoms,and the phlegm-heat is the main cause in spasmodic cough;therefore,the treatment aims to relieve lung and remove phlegm,and San'ao decoction and Zhike powder with modification are used in clinical treatment.In addition,acupunction and point application are used as external therapy,which has achieved significant effect and greatly shortens the disease course.