国医大师王烈教授治疗小儿反复呼吸道感染经验

Experience of traditional Chinese medicine master Professor Wang Lie in treating recurrent respiratory tract infections in children

本文总结国医大师王烈教授治疗小儿反复呼吸道感染的诊疗经验。根据病机和发病特点,王教授将本病分为急性感染期、非急性感染期和巩固治疗期三期论治。王教授认为在急性感染期,外邪与内毒互结是导致发热不退的主要病机,治当明辨虚实,患者实则清感解毒,予清感方加减,虚则滋阴退热,予清虚热养阴之品。非急性感染期以调理肺脾肾三脏为主,明辨虚实分证论治,若食积肺热则清肺消积,常以黄芩配伍运脾导滞之品;若肺脾肾三脏素有不足,则益气扶正,予益气强身方加减;若肺阴亏虚则润肺滋阴,予补肺散加减。巩固治疗期重视瘥后防复,常用小儿龙牡胶囊、益气固本胶囊,配合防复香囊,内治外治相结合,同时提倡科学的养护方法和均衡的饮食习惯,临床疗效显著。附验案1则以佐证。

This paper summarizes the clinical experience of Professor Wang Lie, a traditional Chinese medicine master, in treating recurrent respiratory tract infections in children. According to the pathogenesis and morbidity characteristics,Professor Wang divides the disease into three phases: the acute infection phase, the non-acute infection phase and the consolidation treatment phase. Professor Wang believes that during the acute infection phase, the intertwining of external evils and internal toxins is the main pathogenesis that leads to persistent fever. The treatment should clearly distinguish between the excess and the deficiency. The patient who is suffering from excess should be given the modified Qinggan Decoction which could clear sense and toxic materials. For the patient who is suffering from deficiency, medicines that clear deficiency heat and nourish yin should be used. During the non-acute infection phase, the lung, spleen and kidney are mainly to be regulated, and the treatment relies on the syndrome differentiation and the identification of deficiencies and excesses. For the patient with food accumulation and lung heat, Professor Wang matches Scutellariae Radix and other herbs to transport the spleen. In this way, the lung heat could be cleared and accumulation and stagnation could be eliminated. If there is deficiency in the lung, spleen, and kidney, Professor Wang uses modified Yiqi Qiangshen Decoction to benefit qi and strengthen the vital qi. In the case of lung yin in deficiency syndrome, Professor Wang uses modified Bufei Decoction to moisten the lung and nourish yin. During the consolidation treatment phase, great attention should be paid to the prevent recurrence of disease after treatment, and therefore Professor Wang adopts combined internal external therapy. In this situation, the Pediatric Longmu Capsules and Yiqi Guben Capsules are commonly used in combination with the Fangfu Sachet. Scientific maintenance methods and a balanced diet are advocated as well. The clinical results are significant, and one medical record is attached to prove our view.