常克教授辨治小儿外感发热经验

Professor CHANG Ke’s experience in differential treatment of children with exogenous fever

分析总结常克教授辨治小儿外感发热的经验。常克教授在诊法方面重视舌诊、咽诊,细辨邪气属性。同时针对邪气具有体质从化的特点,结合小儿"阳常有余""形气未充"的生理特点,重视截断疗法的应用,阻隔传变,安"未受邪之地"。用药方面,以证为先,细审药性,灵活使用药对,提高了处方的疗效性。附典型医案1则,以资验证。

This paper analyzes and summarizes professor CHANG Ke’s experience in differential treatment of children with exogenous fever.In the aspect of diagnostic method,professor CHANG Ke attaches importance to inspection of tongue and throat,and differentiates the nature of pathogenic factor in detail.Meanwhile,aiming at pathogenic factor possessing the characteristics of constitutionally influenced transformation,combined with physiological characteristics of children with"superabundance of usual yang"and"insufficiency of body and qi",focusing on applying truncation therapy,obstructing transmission and change,he tranquilizes"the parts free from the attack of pathogenic factor".In the aspect of medication,giving first place to syndrome,under close examination of medicinal properties and by flexibly using couplet medicinal,he improves the efficacy of the prescription.One proved case is attached for verification.