吴丽萍主任医师辨证论治小儿汗证经验

Experience of archiater WU Liping in syndrome differentiation and treatment of children with hidrosis syndrome

吴丽萍主任医师认为,小儿汗证的发生与小儿脏腑娇嫩、形气未充等自身生理特点有着密切的关系。临床分为表虚不固证、营卫不和证、气阴两虚证和脾胃积热证,分别治以益气固表、收敛止汗,调和营卫兼以止汗,益气养阴兼以止汗,清热泻脾兼以止汗,依次予以玉屏风散合牡蛎散加减、黄芪桂枝五物汤加减、生脉散合四君子汤加减、泻黄散合二陈汤加减。但治疗时要防止过早收敛或收敛太过而致闭门留寇,且药量不宜太大,药味不宜太多。附案例1则,以资验证。

WU Liping holds that the onset of children with hidrosis syndrome is closely associated with the physiological characteristics of children’s delicate viscera and underdeveloped constitution and vitality.In clinical practice,it consists of exterior deficiency insecurity syndrome,disharmony between yingqi and weiqi syndrome,deficiency of both qi and yin syndrome and accumulated heat in spleen and stomach syndrome,each of which is given replenishing qi to consolidate superficies and stopping sweating with astringents,regulating yingqi and weiqi to stop sweat concurrently,replenishing qi and nourishing yin to stop sweat concurrently as well as clearing away heat and purging spleen to stop sweat concurrently,respectively.The prescriptions of modified Yupingfeng San(玉屏风散)combined Muli San(牡蛎散),modified Huangqi Guizhi Wuwu Tang(黄芪桂枝五物汤),modified Shengmai San(生脉散)combined Sijunzi Tang(四君子汤),and modified Xiehuang San(泻黄散)combined Erchen Tang(二陈汤)were given accordingly.However,during treatment,it is necessary to prevent premature astringency or excessive astringency,either of which may result in retention of residual pathogenic factors,moreover,the dosage should not be too large and the flavors should not be too much.One case is attached for verification.