基于“透热转气”理论治疗小儿外感温热病发热

Treatment of Children′s Exogenous Fever Based on Theory of"Tou Re Zhuan Qi"

小儿外感温热病发热的病因病机为小儿外感温热之邪,外邪与小儿体内痰湿、瘀血、水饮等病理产物相兼为病,致气机不畅,热邪外达受阻,出现高热难解等症状。“透热转气”作为温病第一要法,以“开达郁热、宣畅气机、给邪出路”为核心治疗思想,可适用于小儿外感温热病卫气营血各个阶段。临证治疗小儿外感温热病发热时,可根据患儿病情轻重、病邪兼夹,观热邪停留于卫气营血的层次,以调畅气机为先,选用相应的方法开达郁热,使其道路畅通,由里出表,郁热外达而邪去病愈。

The etiology and pathogenesis of exogenous Heat disease in children is the pathogen of exogenous Heat in children.The exogenous pathogens and pathological products such as Phlegm-Dampness,blood stasis,and internal Water in children result in poor Qi movement and external Heat pathogens,which is difficult to resolve.As the first essential method for febrile diseases,"Tou Re Zhuan Qi",with the core idea of"opening up stagnant Heat,dispelling Qi stagnation,and giving way out to the evil factors",can be applied to all stages of infantile exogenous febrile fever disease.In treatment of children with exogenous Heat disease and fever,it can be based on the severity of the child′s condition and the combination of pathogens.Observe the stay level of the pathogens in defending Qi and blood.First regulate Qi mechanism,and select the corresponding method to cure the stagnation of Heat to make the road from the inside to the outside smooth,and the stagnant Heat would be driven the outside and the eventually the disease is healed.