刘克丽教授用补心丹联合果糖二磷酸钠治疗小儿夜啼经验

Professor LIU Keli’s experience in treating nocturnal fretful and crying in infants with Buxin Dan plus fructose sodium diphosphate

小儿白天能安静入睡,入夜则啼哭不安,时哭时止,或每夜定时啼哭,甚则通宵达旦,称为小儿夜啼,此病多见于新生儿及6个月内的小婴儿。现代医学认为其病因尚不清楚,并将其归为睡眠障碍。小儿处于生长发育的关键时期,其生长过程中需要充足的睡眠,长期睡眠障碍会影响小儿体格、心理、免疫系统、神经系统的发育。针对小儿睡眠障碍问题,现代医学以营养支持、睡眠干预和睡眠环境改善、心理干预、社会环境改善等方法进行干预。中医学对小儿夜啼有较多的论述。中医主要运用药物、针灸、推拿治疗该病,以调整小儿脏腑之气。湖南中医药大学第一附属医院刘克丽教授行医已四十年,在儿科常见病、多发病的辨治方面积累了丰富的临床经验,对小儿夜啼的治疗有独特见解。刘教授认为,最常见的小儿夜啼原因为心阴不足,心神失养。从现代医学角度看,刘克丽教授临床发现小儿夜啼常提示有心肌损伤,用补心丹配合果糖二磷酸钠联合治疗,益气养阴,宁心安神,往往可以获得良好疗效。文章结合案例介绍刘克丽教授治疗小儿夜啼的经验,以期为临床提供参考。

Infants sleep quietly during the day,but cry restlessly at night.They cry at night for a while and then stop,or cry at regular intervals every night,or even cry all night long.It is called nocturnal fretful and crying in infants.This disease is commonly seen in newborns and infants within 6 months.Modern medicine believes that its cause is still unclear,and it is classified as sleep disorder.Infants are in a critical period of growth and development.They need adequate sleep during their growth.Long term sleep disorder will affect the development of children’s physical,psychological,immune system and nervous system.In view of sleep disorders in infants,modern medicine mainly uses nutrition support,sleep intervention and sleep environment amelioration,psychological intervention,social environment amelioration and other methods to intervene sleep.There are many discussions on nocturnal fretful and crying in infants in TCM.TCM mainly uses medicines,acupuncture and massage to treat the disease,in order to regulate Qi(气)of Zang-fu(脏腑).Professor LIU Keli,from the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,has been practicing medicine for 40 years.Prof.LIU has accumulated rich clinical experience in the syndrome differentiation and treatment of pediatric common diseases and frequent diseases,and has a unique view on the treatment of nocturnal fretful and crying in infants.Prof.LIU believes that the most common cause of nocturnal fretful and crying in infants is insufficient heart-Yin(心阴)and mental disorder.From the perspective of modern medicine,Professor LIU Keli has found that nocturnal fretful and crying in infants often indicates myocardial injury.The combination of Buxin Dan(补心丹)and fructose sodium diphosphate can often achieve good curative effects on supplementing Qi and nourishing Yin,calming the mind and nerves.In this article,Professor LIU Keli’s experience in treating nocturnal fretful and crying in infants is introduced with the empirical case analysis,with a view to providing a reference for clinical practice.