基于“火郁发之”论泻黄散治疗儿童过敏性紫癜

Discussion on Using Xiehuang Powder for the Treatment of Childhood Allergic Purpura with Dispersing Stagnated Fire Theory

论文基于"火郁发之"理论,结合近50年成都中医药大学4位儿科知名专家的个人临床诊治经验,总结泻黄散治疗儿童过敏性紫癜早期的用方规律:(1)脾胃伏火是儿童过敏性紫癜反复发作的主要原因。(2)过敏性紫癜早期治疗以祛除阳热实邪为要,临床采用清热、凉血等法直折其火的同时,务必配以祛风、除湿、泻火、解毒、活血等法因势利导,消散"火郁"。(3)临床可辨病选用泻黄散治疗儿童非肾型过敏性紫癜早期。(4)泻黄散中防风用量不宜过大。(5)使用泻黄散的同时,还应根据早期患儿个体病理特点,酌情加强祛风、除湿、清热、解毒、化瘀之法。

This article put forward the rules of using Xiehuang Powder for the treatment of early childhood allergic purpura,by reviewing the theory of dispersing stagnated fire and summarizing the clinical experience of four famous pediatricians from Chengdu University of Traditional Chinese Medicine in recent 50 years.(1)Latent Fire in spleen and stomach is the main recurrence cause of childhood allergic purpura.(2)The key to the treatment of early allergic purpura is eliminating excessive Yang heat. Clinically,such methods as clearing away heat and cooling the blood should be applied,together with methods of expelling wind,resolving dampness,purging fire,removing toxic substances and promoting blood circulation to dissolve stagnated fire.(3)In clinic,selecting Xiehuang Powder to treat early childhood allergic purpura,non-kidney type.(4) The dosage of Fangfeng in Xiehuang Powder should not be large.(5) When using Xiehuang Powder,according to the individual relative pathogenic preponderance,clearing away heat or removing toxic substances and stasis should be applied respectively.