摘要
小儿肺痫是指与中医肺脏生理功能直接相关或者通过从肺论治有较好临床疗效的一类小儿痫病。其主要特征是外邪或药邪壅遏肺卫,肺失宣降,升降出入失司,肺气郁滞,水失输布,聚而为痰,痰阻气道,引动肝风,表现为发热、咳喘、痰鸣、憋气、神昏、抽搐等症。其核心病机是肺气壅郁、痰气逆乱,治以宣通肺气、引表达邪、豁痰息风。选取以银翘散为代表的风药,以辛开之性,引邪达表,疏通气血。
Pediatric lung epilepsy refers to a category of childhood epilepsy that is directly related to the physiological functions of the lungs in Traditional Chinese Medicine(TCM)or shows favorable clinical efficacy when treated by regulating the lungs.Its main characteristics include obstruction of the lung-defense system by external pathogens or medicinal toxins,leading to impaired lung diffusion and descent,dysfunction of qi movement,lung qi stagnation,and fluid retention transforming into phlegm.This phlegm obstructs the airways,stirs liver wind,and manifests as fever,cough,wheezing,phlegm rales,breathlessness,unconsciousness,and convulsions.The core pathogenesis lies in lung qi stagnation and phlegm-qi rebellion.The primary treatment principle is to diffuse lung qi,expel pathogens through the exterior,resolve phlegm,and calm wind.A distinctive therapeutic approach involves using wind-dispelling herbs represented by Yinqiao San(银翘散),which employ acrid-opening properties to release the exterior,unblock pathogens,and regulate qi and blood.
作者
陈汉江
戎萍
张喜莲
胡思源
马融
CHEN Hanjiang;RONG Ping;ZHANG Xilian;HU Siyuan;MA Rong(Department of Pediatrics,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300181,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300181,China)
出处
《中医儿科杂志》
2025年第4期47-49,共3页
Journal of Pediatrics of Traditional Chinese Medicine
基金
国家自然科学基金青年科学基金项目(81904251)。
关键词
肺痫
惊风三发便为痫
宣可去壅
银翘散
风药
证治规律
lung epilepsy
"Three episodes of convulsion become epilepsy"
dispersing to remove obstruction
Yinqiao San(银翘散)
wind-dispelling herbs
patterns of diagnosis and treatment
