儿童周期性发热中医临证思辨

Traditional Chinese Medicine Clinical Thinking on Periodic Fever in Children

查各家医案记载,结合临证体会,分析儿童周期性发热的中医证治。认为阴阳失调、伏邪病机、瘀血病机是其基本病机,常见证包括营卫不和证、邪犯少阳证、邪伏膜原证、阴虚伏热证、瘀血发热证,可分别予桂枝加附子汤、小柴胡汤、达原饮、秦艽鳖甲散、血府逐瘀汤等方治之。

The author examines various medical records and combines clinical experience to analyze the traditional Chinese medicine treatment of periodic fever in children.The basic pathogenesis is imbalance of yin and yang,pathogenesis of latent-evil,pathogenesis of blood stasis.Common syndromes include disharmony between nutrient qi and defensive qi syndrome,pathogens invading the Shaoyang channel syndrome,latent pathogen in the pleurodiaphragmatic interspace syndrome,yin deficiency and latent heat syndrome,and fever due to blood stasis syndrome,which can be treated by Guizhi Jia Fuzi Tang(桂枝加附子汤),Xiaochaihu Tang(小柴胡汤),Dayuanyin(达原饮),Qinjiao Biejia San(秦艽鳖甲散)and Xuefu Zhuyu Tang(血府逐瘀汤)respectively.