疏肝和胃汤治疗小儿急性肠系膜淋巴结炎经验探析——以凌湘力教授经典医案为例

Analysis of Acute Mesenteric Lymphadenitis in Children with Shugan Hewei Tang——Take Professor Ling Xiangli's Classic Medical Case as an Example

凌湘力教授认为小儿急性肠系膜淋巴结炎导致的腹痛病在大肠筋膜,与肝脾密切相关,其基本病机为气机失调,脾胃肠腑气滞,不通则痛,基本治法以调肝理脾、调和气机、行气止痛为主,自拟疏肝和胃汤治疗小儿腹痛肝脾不和型,收效显著。疏肝和胃汤由柴胡、白芍、枳壳、香附、郁金、茵陈、金钱草、黄芩、炒谷芽、炒麦芽、延胡索、甘草十二味药组成。全方共奏疏肝和胃、清热利湿止痛之功,纠正肝胆脾胃气郁湿热等失衡失和之状态,适用于肝脾不和兼有湿热内蕴者。对经典医案进行了总结,以资校验。

Professor Ling Xiangli believes that the abdominal pain caused by acute mesenteric lymphadenitis in children is closely related to the liver and spleen in the fascia of the large intestine.Its basic pathogenesis is qi dysfunction,spleen stomach and intestinal organ qi stagnation.If not,pain occurs.The basic treatment method mainly involves regulating the liver and regulating the spleen,regulating qi,and promoting qi circulation to relieve pain.The self formulated Shugan Hewei Tang has been eff ective in treating pediatric abdominal pain with liver spleen disharmony.Shugan Hewei Tang is composed of twelve herbs:Chaihu,Bai Shao,Zhike,Xiangfu,Yujin,Yinchen,Jinqiancao,Huangqin,stir fried grain sprouts,stir fried malt,Yanhusuo,and licorice.The whole formula plays the role of soothing the liver and stomach,clearing heat,promoting dampness,and relieving pain,correcting the imbalance and disharmony of liver,gallbladder,spleen,stomach,qi stagnation,dampness,and heat.It is suitable for those with disharmony between the liver and spleen and internal dampness and heat accumulation.Summarize a classic medical case for verification.