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运用温病学理论辨治小儿肺炎 被引量:11

Apply theory of warm diseases to diagnosis and treatment of infantile pneumonia
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摘要 小儿肺炎是儿科常见的高发高危疾病,近年来由于病原学和疾病谱的改变,病毒性肺炎、支原体肺炎及混合感染性肺炎的比例日渐增多,西医常规的病原治疗优势减少。中医药治疗小儿肺炎中抗菌、抗病毒、缓解症状、不易耐药、不良反应少等优点凸显。基于小儿肺炎发病急、传变快及'小儿多热'的病理生理特点,从温病论治小儿肺炎,疗效显著。临证时,考虑儿科为'哑科',重视舌诊,兼顾小儿指纹,则可执简驭繁,全面分析病情、指导治疗及预示疾病转归。 Infantile pneumonia is a common high-risk disease in pediatrics.In recent years,due to the changes of etiology and disease spectrum,there has dramatic increasing proportion of viral pneumonia,mycoplasma pneumonia and mixed infection pneumonia,and the advantage of conventional treatment in western medicine have been reduced.The advantages of traditional Chinese medicine in treating infantile pneumonia with antibacterial,antiviral,symptom relief,non-resistance,and fewer adverse reactions have been highlighted.In particular,based on the the pathophysiological characteristics of acute onset and rapid transmission and‘high incidence of febrile disease in children’of infantile pneumonia,the treatment of infantile pneumonia from the perspective of warm disease has remarkable curative effect.At the time of clinical trial,consider pediatrics as a‘difficult interrogation in children’,paying attention to tongue diagnosis and giving consideration to infantile venule of index finger,then we can perform simple and comprehensive analysis of the disease,guide the treatment and predict the outcome of the disease.
作者 徐婧 吕文亮 XU Jing;LYU Wen-liang(Hubei University of Chinese Medicine,Wuhan430065,China;Hubei College of Chinese Medicine,Jingzhou434020,China)
出处 《中华中医药杂志》 CAS CSCD 北大核心 2019年第10期4662-4664,共3页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 湖北省卫计委2016-2017年度中医药中西医结合科研项目(No.鄂卫生计生通[2017]20号)~~
关键词 小儿肺炎 温病 舌诊 小儿指纹 Infantile pneumonia Warm disease Tongue inspection Infantile venule of index finger
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