| 李芳芳,胡珏,俞珂频,等.陈健教授从“伏火”论治儿童周期性发热综合征经验[J].浙江中医药大学学报,2024,48(2):178-180, 192. |
| 陈健教授从“伏火”论治儿童周期性发热综合征经验 |
| Professor CHEN Jian’s Experience in Treating Periodic Fever Syndrome in Children from “Latent Fire” |
| DOI：10.16466/j.issn1005-5509.2024.02.008 |
| 中文关键词: 儿童周期性发热综合征 伏火 辨证论治 益气除热 养阴清热 经验 陈健 |
| 英文关键词: periodic fever syndrome in children latent fire syndrome differentiation and treatment supplementing Qi and removing heat nourishing Yin and clearing heat experience CHEN Jian |
| 基金项目:陈健名老中医专家传承工作室项目(GZS2021023) |
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| 中文摘要: |
| [目的] 总结陈健教授从“伏火”论治儿童周期性发热综合征的临床经验。[方法] 通过门诊跟诊学习、病案收集整理及查阅相关文献，探讨儿童周期性发热综合征的病因病机，总结陈教授从“伏火”论治该病的治疗经验，并举验案一则加以验证。[结果] 陈教授认为，儿童周期性发热综合征的核心病机为“伏火”，“伏火”为发病之本，痰、毒、瘀既是病理产物，也是贯穿病程始终的重要致病因素，郁为存在于发病全过程的病理状态。治疗上以益气除热或养阴清热与调气之法并行，并以自拟方药为治疗儿童周期性发热综合征的有效验方。所举验案以周期性发热为主要症状，辨为阴虚发热证，投以养阴清热、行气解郁之法，取得了较好的疗效。[结论] 陈教授从“伏火”论治儿童周期性发热综合征，疗效显著，具有一定的指导意义，值得临床参考借鉴。 |
| 英文摘要: |
| [Objective] To summarize the clinical experience of Professor CHEN Jian in treating periodic fever syndrome(PFS) in children from “latent fire”. [Methods] Through outpatient follow-up study， collection of medical records and review of relevant literature， this paper summarized the etiology， pathogenesis and Professor CHEN’s treatment experience of PFS in children from “latent fire”， and a case was presented for verification. [Results] Professor CHEN believes that the core pathogenesis of PFS in children is “latent fire”. Phlegm， poison and stasis are not only pathological products， but also important pathogenic factors throughout the course of the disease. Depression is the pathological state of the whole course of the disease. In the treatment， the method of supplementing Qi to remove heat or nourishing Yin to clear heat is used and combined with regulating Qi， and the self-prepared prescription is the effective treatment of PFS in children. The main symptom of the case was periodic fever， which was differentiated as Yin deficiency fever. The treatment of nourishing Yin and clearing heat， promoting Qi movement and relieving depression was applied， and good effect was achieved. [Conclusion] Professor CHEN’s treatment of PFS in children from “latent fire” is effective， has certain guiding significance， and is worthy of clinical reference. |
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