文章摘要
孙冬阳,徐宇杰,代鲁慧,等.新安医家程杏轩治疗小儿惊风经验探析[J].浙江中医药大学学报,2021,(5):542-544.
新安医家程杏轩治疗小儿惊风经验探析
Analysis of Xin’an Medical Practitioner CHENG Xingxuan’s Experience in Treating Pediatric Convulsion
投稿时间:2020-10-26  
DOI:10.16466/j.issn1005-5509.2021.05.020
中文关键词: 小儿惊风  急惊风  慢惊风  暑风惊风  程杏轩  名医经验  新安医家
英文关键词: pediatric convulsion  severe convulsion  slow convulsion  summer wind convulsion  CHENG Xingxuan  experience of famous doctor  Xin'an medical practitioner
基金项目:
作者单位E-mail
孙冬阳 浙江中医药大学第三临床医学院 杭州 310053  
徐宇杰 浙江中医药大学附属第三医院 sky20010827@yeah.net 
代鲁慧 浙江中医药大学第三临床医学院 杭州 310053  
王哲 浙江中医药大学第三临床医学院 杭州 310053  
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中文摘要:
      [目的]总结程杏轩论治小儿惊风的临床经验,为后世医家诊治小儿惊风提供临床思路。[方法]通过研读《杏轩医案》及《医述》中小儿惊风相关内容,分析程氏对小儿惊风病因病机、理法方药的认识,归纳总结出小儿惊风的诊治特色。[结果]程氏根据病机不同,将小儿惊风分为急惊风、慢惊风和暑风惊风。认为急惊风多由邪热外感,内入心肝,发为抽搐;慢惊风为各种原因导致的脾胃虚弱,肝木乘脾土而致虚风内盛;暑风惊风分为两类,其中暑邪直中心肝者为急惊风,暑邪直中脾胃者为慢惊风。由此提出急惊风初期宜清解、中期和阳熄风、末期养阴存津,慢惊风宜温补脾土,以及一切金石重坠之品皆不可用等治则治法。[结论]程杏轩对小儿惊风辨证准确,从初中末三期论治急惊风、温补脾元论治慢惊风的思想,为小儿惊风临床诊治提供了新的思路,值得进一步探索和学习。
英文摘要:
      [Objective]To summarize CHENG Xingxuan's clinical experience in treating pediatric convulsion and provide clinical ideas for later generations of medical practitioner to diagnose and treat pediatric convulsion.[Methods] Through studying the contents of pediatric convulsion in “Xingxuan Medical Records” and “Medical Statements”, analyzing CHENG Xingxuan's understanding of the etiology, pathogenesis, principles and prescriptions of pediatric convulsion, the characteristics of diagnosis and treatment of pediatric convulsion were summarized.[Results]According to different pathogenesis, CHENG Xingxuan divided pediatric convulsion into severe convulsion, slow convulsion and summer wind convulsion. He believed that severe convulsion was mostly caused by exogenous pathogenic heat, which invaded the heart and liver to cause convulsion; slow convulsion was caused by the weakness of the spleen and stomach led by various reasons and wood of the liver subjugating earth of the spleen to cause the wind of deficiency abundant in the interior; summer wind convulsion could be divided into two types, if the summer-heat evil directly harmed the heart and liver, it was called severe convulsion, and if summer-heat evil directly harmed the spleen and stomach, it belonged to slow convulsion. Therefore, CHENG proposed the therapeutic principles and methods of removing the summer-heat on the early stage of severe convulsion, harmonizing “Yang” to extinguish the wind on the middle stage and nourishing “Yin”and retaining fluid on the last stage; for slow convulsion, warming and invigorating the spleen and stomach was suitable; and all the metal and stone products must not be used for treatment.[Conclusion]CHENG Xingxuan's syndrome differentiation thoughts of treating pediatric convulsion were accurate, his idea of treating severe convulsion from the early, middle and last stages and treating slow convulsion by warming and invigorating the spleen provided a new idea for clinical diagnosis and treatment of infantile convulsion, which is worthy of further exploration and study.
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