摘要
袁斌教授认为,小儿肺炎喘嗽的血分证型临床明确存在,使用血分药物对于肺炎的预后具有积极作用。肺炎极期时,痰热闭肺,瘀阻血络,可在宣肺开闭、清热化痰的基础上配伍活血药以促进炎症吸收、缩短病程;肺炎迁延期及恢复期时,部分患儿久咳难愈,当补益气血;若反复感染、并发哮喘,此时病及血络,当活血通络,以活血药佐虫类药缓缓透邪外出。临床可灵活配伍,达到未病防病、既病防变的功效。附案例1则,以资验证。
Professor YUAN Bin posits that blood-level syndrome in pediatric pneumonic cough has clear clinical manifestations,and the application of blood-level medicines can positively influence disease prognosis.During the acute phase,when phlegm-heat obstructs the lungs and stasis blocks the blood collaterals,activating blood circulation medicines should be combined with lung-diffusing,obstruction-relieving,heat-clearing,and phlegm-resolving therapies to promote inflammation absorption and shorten disease duration.In the prolonged or recovery phases,children with refractory cough require qi and blood supplementation.For cases of recurrent infections or asthma complications where the disease involves blood collaterals,blood-activating and collateral-dredging therapies should be employed,incorporating mild doses of insect medicinals to gradually expel pathogens.Clinical application requires flexible formulation to achieve"preventing disease before its onset"and"controlling progression after onset."One representative case is included for demonstration.
作者
邵子建
袁斌
SHAO Zijian;YUAN Bin(Department of Pediatrics,Affiliated Hospital of Nanjing University of Chinese Medicine(Jiangsu Provincial Hospital of Traditional Chinese Medicine),Nanjing,Jiangsu 210029,China)
出处
《中医儿科杂志》
2025年第4期21-23,共3页
Journal of Pediatrics of Traditional Chinese Medicine
关键词
肺炎喘嗽
小儿
血分证
临床经验
袁斌
pneumonic cough
pediatrics
blood-level syndrome
clinical experience
YUAN Bin
