朱锦善教授辨治小儿过敏性紫癜验案举隅

Professor Zhu Jinshan's experience in the treatment of Henoch-Schonlein purpura:report of some cases

过敏性紫癜是以毛细血管和小动、静脉为主的变态反应性疾病。朱锦善教授对纯中医治疗过敏性紫癜等儿科疑难杂症临床见解独到,疗效确切。提出本病的病因病机由外感六淫与温热伏邪相引而发,辨治初期首重凉血散血,注意疏邪外出;中期清热凉血,要顾护阴液,后期则攻补兼施,不忘兼清余热。本文结合病例分析,将朱教授治疗小儿过敏性紫癜的经验进行简要总结。

Henoch-Schonlein purpura(HSP)is an allergic disease mainly involving capillaries and small arteries and veins.Professor Zhu Jinshan has unique clinical opinions on the treatment of allergic purpura and other pediatric difficult and miscellaneous diseases with pure Chinese medicine,which has achieved great effect.It is suggested that the etiology and pathogenesis of this disease are the exogenous six evils and heat underlying evils.At the early stage of differentiated treatment the first thing is to cool and disperse blood heat,and pay attention to the discharge of evils;at the middle stage,when clearing heat and cooling blood,we should take care of the Yin fluid,and at the later stage,Both attack and complement should be carried out,and we should not forget to clear the residual heat.Based on case analysis,this paper summarizes Professor Zhu's experience in the treatment of children with Hencch-Schonlein purpura.