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基于营卫理论探讨小儿过敏性紫癜的病机和证治 被引量:11

Exploring the Pathogenesis and Treatment of Henoch-Schonlein Purpura in Children Based on Yingqi-Weiqi Theory
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摘要 小儿过敏性紫癜发病的根本原因多是由于营卫不和,卫气亏虚,荣血偏盛,卫气消耗过多或外邪侵伐,不能顾护营阴,则营血四溢,发为紫癜。现在临床治疗紫癜多以清热凉血解毒为治疗原则,早期驱邪,后期扶正,有医家或从虚、或从瘀、或从湿热、或从风热、或从五脏论治,均有一定疗效,而对营卫不和对紫癜的影响未引起足够的重视,调和营卫法和清热凉血法结合治疗与单纯运用清热凉血法治疗相比,可明显缩短小儿过敏性紫癜的疗程。 The basic causes of children’s Henoch-Schonlein purpura are mainly due to the disharmony between ying-qi and wei-qi,deficiency of wei-qi and excessive rong-qi and blood.If excessive consumption of wei-qi or invasion of exogenous pathogens occurs,Yingyin can not be taken care of and pathogenic qi becomes disordered,thus ying blood overflows and Henoch-Schonlein purpura occurs.At present,clinical treatment of purpura mostly relies on the principle of clearing away heat,cooling blood and detoxifying toxins,dispelling pathogens in the early stage and strengthening the body in the later stage.Doctors have certain curative effects either from dealing with deficiency,or from blood stasis,or from damp heat,or wind heat,or from the five Zang-organs.However,insufficient attention has not been paid to yingqi-weiqi disharmony and its influence on purpura.Compared with the simple method of clearing away heat and cooling blood,the combined therapy can significantly shorten the course of treatment for children with Henoch-Schonlein purpura.
作者 朱华贺 薛征 ZHU Hua-he;XUE Zheng(Shanghai TCM Hospital Affiliated to Shanghai University of TCM,Shanghai,China,201203)
出处 《河南中医》 2019年第1期14-18,共5页 Henan Traditional Chinese Medicine
基金 上海市中医临床基地建设项目(ZY3-LPCT-1-1005)
关键词 小儿过敏性紫癜 卫弱荣盛 调和营卫 Henoch-Schonlein purpura in children weak wei-qi and prosperous rong-qi harmonizing ying-qi and wei-qi
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