| 步鑫萍,汪受传.汪受传消风法治疗小儿湿疹经验[J].浙江中医药大学学报,2024,48(11):1400-1403. |
| 汪受传消风法治疗小儿湿疹经验 |
| Clinical Experience of Professor WANG Shouchuan in Treating Childhood Eczema with the Method of Clearing away Wind |
| DOI：10.16466/j.issn1005-5509.2024.11.010 |
| 中文关键词: 湿疹 儿科 消风法 内外合治 医案 名医经验 汪受传 |
| 英文关键词: eczema pediatrics dispersing wind therapy treated internally and externally medical records clinical experience of famous doctor WANG shouchuan |
| 基金项目:国家中医药管理局全国名中医传承工作室建设项目(国中医药办人教发〔2021〕272号) |
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| 中文摘要: |
| [目的] 总结汪受传教授治疗小儿湿疹的临证经验。[方法] 通过查阅相关资料、跟师临证、收集整理医案等方式，阐述汪教授对小儿湿疹病因、病机、病位的认识，分析并总结汪教授治疗该病的诊治思路及用药经验，附验案以资验证。[结果] 汪教授认为小儿湿疹，风、湿、热邪是关键致病因素，伏风内潜是病机关键，病位在肌表，与肺、脾、心、肝诸脏均有关。辨证施治上以消风为治则，湿热浸淫者治以消风止痒祛湿热，火毒炽盛者治以凉血消风解火毒，脾虚湿蕴者治以除湿消风健脾气，血虚风燥者治以润燥消风滋阴血。所附验案中患者初为湿热壅盛之证，方拟四妙散化裁；后转为脾虚湿盛证，方选参苓白术散为底，随症加减，终获良效。[结论] 汪教授辨治小儿湿疹，结合伏风理论及小儿的体质特点，紧扣病机，以消风为第一要义，佐以除湿、清热、健脾、养血等法，疗效显著，其经验值得学习及推广。 |
| 英文摘要: |
| [Objective] To summarize the experience of Professor WANG Shouchuan in treating childhood eczema. [Methods] By consulting relevant materials， following up teachers collecting and organizing medical records， etc.， this article elaborated Professor WANG’s understanding of the etiology， pathogenesis and location of childhood eczema， analyzed and summarized Professor WANG’s diagnosis and treatment ideas and medication experience in treating the disease. One typical case was attached as proof. [Results] Professor WANG believed that wind， dampness and heat were the key pathogenic factors of childhood eczema. The underlying wind was the key pathogenesis. The disease was located on the muscle surface and was related to the lungs， spleen， heart and liver. The principle of treatment based on syndrome differentiation was to eliminate wind. The treatment of the syndrome of dampness and heat accumulated in the skin was to dispel wind， relieve itching and eliminate damp and heat. The remedy of the type of fire poison was to cool blood， dispel wind and detoxify fire. The cure of the syndrome of spleen deficiency and dampness accumulation was to remove dampness， eliminate wind and strengthen the spleen. The therapy of the type of blood deficiency and wind dryness was to moisten dryness， dissipate wind， nourish Yin and blood. In the attached case， the patient initially had the syndrome of dampness and heat accumulation， and the prescription was based on Simiao Powder. Later， it turned to the syndrome of spleen deficiency and dampness accumulation， and Shenling Baizhu Powder was selected as the base. It was added and subtracted according to the symptoms. In the end， the patient recovered from the illness. [Conclusion] Professor WANG combines with the theory of latent wind and the physical characteristics of children， closely linked to the pathogenesis， took eliminating wind as the first essence， supplemented with dehumidification， heat clearing， spleen strengthening， blood nourishing and other methods to treat childhood eczema and got significant curative effect. His experience of treating childhood eczema is worth learning and promoting. |
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