马融从“少火生气”论治婴儿痉挛症经验

MA Rong’s experience in treating infantile spasm based on ‘junior fire supporting vital qi’

马融教授提出癫痫多为本虚标实之证,婴儿痉挛症作为一种年龄依赖性癫痫,其"本虚"之证尤为明显。马教授合小儿特有的生理特点,以及本病常可夹风、夹痰、夹瘀的病理因素,极易造成小儿精神运动发育迟滞或减退等临床症状,提出应用"少火生气"的理论解释并治疗此病,即息风通络以止痉痫,清心豁痰以利开窍,温补少火以固元气,自拟附子细辛汤在临床上取得较好疗效。文章将马教授治疗此病的理论及经验加以总结,以期给今后临床治疗提供思路和方法。

Professor MA Rong proposed that epilepsy is mostly syndrome of deficiency in root cause and excess in manifestation, and infantile spasms as an age-dependent epilepsy, the syndrome of ‘deficiency in root cause’ is particularly obvious. Professor MA combined with the unique physiological characteristics of children, and the pathological factors of wind,phlegm, and stasis, which can easily cause clinical symptoms such as retarded or decreased mental motor development in children,and put forward the theoretical explanation of ‘junior fire supporting vital qi’ and treat this disease, namely calming wind and dredging collaterals to stop convulsions, clear heart and phlegm to facilitate unblocking stuffy orifice, mildly reinforce the junior fire to solidify original qi, self-made Fuzi Xixin Prescription has achieved better clinical results. This article summarizes professor MA’s theory and experience in treating this disease, hoping to provide ideas and methods for future clinical treatment.