从阳明论治儿童过敏性紫癜

Treatment of Henoch-Schönlein purpura in children based on the theory of Yangming

过敏性紫癜(HSP)是儿童时期常见的系统性小血管炎,可累及皮肤、关节、胃肠道、肾脏等多个器官,并且复发率高。西医以对症治疗为主,病情严重者使用激素及免疫抑制剂治疗。中医治疗HSP有确切的疗效及优势。HSP属于温病范畴,与阳明热毒关系密切。文章从病因病机、儿童体质特点入手,探讨HSP源于阳明之热,主要病理基础是热邪伤络、血热妄行,多属热证、实证。治疗HSP,应溯本求源,以阳明为本,分经论证,可提高临床疗效,减少复发,避免肾脏损害。

Henoch-Schönlein purpura(HSP)is a common systemic small vasculitis in children,which can involve the skin,joints,gastrointestinal tract,kidney and other organs,and the recurrence rate is high.Western medicine focuses on symptomatic treatment.Severe cases are treated with hormones and immunosuppressants.Traditional Chinese medicine has definite curative effect and advantage in treating HSP.HSP belongs to the category of febrile disease and is closely related to Yangming heat.This article from purpura etiology and pathogenesis,children’s physical characteristics,the origin of the disease is Yangming inner heat.The main pathological basis of HSP are mostly heat syndrome and excess syndrome.The treatment of HSP,should be traced to the source,Yangming as the basis,points by demonstration,can improve clinical efficacy,reduce recurrence,and avoid kidney damage.