崔霞教授运用升麻鳖甲汤治疗小儿急性扁桃体炎经验

Professor CUI Xia’s experience in using Shengma Biejia Tang(升麻鳖甲汤)to treat children with acute tonsillitis

总结崔霞教授运用升麻鳖甲汤治疗小儿急性扁桃体炎的经验。崔教授临证时发现,急性扁桃体炎缓解后若余邪未尽,迁延日久可出现扁桃体肿大难缩,再次急性发作时扁桃体虽肿大却无明显红绛及咽峡部充血,认为与以往过用抗生素或苦寒中药有关,导致阳气被遏,寒凝气滞,无以透达驱邪,余邪内伏。提出当予温药温而散之,畅通咽喉之气机。方选《金匮要略》升麻鳖甲汤加减治疗,辛散温化寒凝,使气机通畅,伏邪有出路。附案例1则,以资验证。

This paper summarizes professor CUI Xia’s experience in using Shengma Biejia Tang(升麻鳖甲汤)to treat children with acute tonsillitis.In clinical practice,she finds that the tonsils may become swollen,en⁃larged and difficult to shrink if incomplete elimination of remnant pathogenic factors after palliation of acute tonsilli⁃tis protract for a prolonged period.For occurrence of repeated episodes of acute tonsillitis manifesting with swollen and enlarged tonsils but without obvious crimson and congestion of the pharyngeal isthmus,she holds that they are related to the overuse of antibiotics and Chinese materia medica with bitter⁃cold property,which causes the obstruc⁃tion of yangqi,cold congealing and qi stagnation,failure to outthrust through and expel pathogenic factors and the remnant ones lurk deep inside.And she puts forward that warm medicinals should be used to warm and dissipate,smooth and dredge the qi activity of throat,selecting the prescription modified Shengma Biejia Tang of Synopsis of Golden Chamber to treat,aiming for warming and resolving cold congealing with pungency,whereby dredging and smoothing qi activity and releasing latent pathogenic factors out.One case is attached for verification.