| 蒋英,陈华,陶敏.陈华教授分期辨治小儿感染后咳嗽经验[J].浙江中医药大学学报,2022,46(8):853-856. |
| 陈华教授分期辨治小儿感染后咳嗽经验 |
| Professor CHEN Hua‘s Experience in Treating Children‘s Post-infectious Cough by Stages |
| DOI：10.16466/j.issn1005-5509.2022.08.007 |
| 中文关键词: 感染后咳嗽 分期辨治 浙派中医 儿科 临床经验 验案 陈华 |
| 英文关键词: post-infectious cough treatment by stage Zhejiang school of TCM pediatrics clinical experience medical records CHEN Hua |
| 基金项目:浙江省第七批省级名中医工作室建设项目(GZS2020019)；浙江省中医药科技计划项目(2017ZZ006) |
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| 中文摘要: |
| [目的] 介绍陈华教授分期辨治小儿感染后咳嗽的经验。[方法] 通过随师临诊，整理感染后咳嗽医案，熟读浙派中医儿科学术特色相关文献，结合笔者对中医学术的思考，在确定小儿感染后咳嗽分期的基础上，探究陈师基于不同分期辨治小儿感染后咳嗽的临床经验，并列举医案以验证。[结果] 陈师主张分“风邪束肺”“肺热壅盛”“正虚邪恋”三期辨治小儿感染后咳嗽，其中“正虚邪恋”期又以“脾虚痰湿”“阴虚内热”证为多见，分别采用疏风宣肺、清肃肺热、健脾化痰或滋阴清热法治疗，充分体现了浙派中医儿科“善用风药、巧用和法、健运脾胃、滋阴清热”的学术特色。所列案例为小儿感染后咳嗽的典型医案，风邪束肺期疏风宣肺，肺热壅盛期清肃肺热，正虚邪恋期养阴清热或健脾化痰，疗效确切。[结论] 陈师通过分期辨治小儿感染后咳嗽，灵活运用浙派中医儿科学术特色，可有效减轻咳嗽症状、改善患儿体质、减少反复发作，疗效显著，值得推广。 |
| 英文摘要: |
| [Objective] To introduce Professor CHEN Hua‘s experience in treating children‘s post-infectious cough by stages. [Methods] Through following Professor CHEN‘s clinic， sorting out post-infection cough medical cases， reading up on relevant literature with academic characteristics of Zhejiang school of traditional Chinese medicine(TCM) pediatrics， combining with the author‘s thinking on TCM， on the basis of determining the stages of children‘s post-infection cough， the clinical experience of Professor CHEN was explored in differentiating and treating children‘s post-infection cough based on different stages， and medical cases were listed for verification. [Results] Professor CHEN advocates three stages of differentiation and treatment of children‘s post-infectious cough: “Wind-evil bundle lung” “excessive obstruction of lung heat” and “positive deficiency and evil influence， in the period of “positive deficiency and evil influence”， the syndrome of “spleen deficiency and phlegm dampness” and “Yin deficiency and internal heat” are more common， and she adopts the methods of dispelling wind and promoting the lung， clearing lung heat， invigorating the spleen and reducing phlegm or nourishing Yin and clearing heat respectively， which reflects the academic characteristics of Zhejiang school of TCM pediatrics: “making good use of wind drug， skillfully of harmonizing， strengthening the spleen and stomach， nourishing Yin and clearing heat”. The cases listed were typical medical cases of children‘s post-infection cough， wind-evil bundle lung phase dispelling wind and promoting the lung， lung heat obstructing peak phase clearing lung heat， nourishing Yin and clearing heat or invigorating the spleen and reducing phlegm in positive deficiency and evil influence phase， which had obvious curative effect. [Conclusion] Professor CHEN treats children‘s post-infectious cough by stages， flexibly uses the academic characteristics of Zhejiang school of TCM pediatrics， which can effectively reduce the symptoms of cough， improve the children‘s physique， reduce the recurrence， the curative effect is significant and worthy of promotion. |
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