摘要
过敏性紫癜早期为疾病活动期,以祛邪为主,扶正为辅,治以疏肝理气,清热凉血,兼以养阴液之法。后期久病至虚,扶正兼祛邪,以健脾益气,滋阴降火辅之。儿童及青少年对外界情绪易感性高,情绪抑郁,肝失调达,气机不畅,郁而化热,乘脾犯胃,故须疏肝解郁,凉血除烦。且此时期对肾精、阴血需求较大,常出现阴血不足,而脾虚气血化生不继,故须健脾益气,养阴生津。同时该疾病具有时相性,不同阶段病位、病因、病性、病势不同,须因证立法,随法选方,随证加减。
The early stage of Allergic Purpura is the active stage of the disease,which is mainly based on eliminating pathogenic factors,supplemented by strengthening the body resistance,soothing the Liver and regulating Qi,clearing Heat and cooling blood as well as nourishing Yin Fluid.In the later stage,the long-term illness leads to deficiency,strengthening the body resistance and eliminating evil factors,supplemented by invigorating Spleen and Qi,nourishing Yin and reducing Fire.Children and adolescents are highly susceptible to external emotions,depressed,Liver disorders,Qi stagnation,depression and Heat,which can attack Stomach and Spleen,so it is necessary to soothe the Liver Qi and relieve Qi depression,to cool blood and remove annoyance.In this period,there is a great demand for Kidney Essence and Yin blood,so Yin blood deficiency often occurs when Spleen deficiency and Qi and blood cannot be transformed,so it is necessary to strengthen the Spleen and replenish Qi,nourish Yin and produce body Fluid.At the same time,the disease has different characteristics in different time,and the location,etiology,nature and potential of the disease are different at different stages.It is necessary to treat it according to the syndrome,by choosing different prescription according to the method,and modify the prescription according to the syndrome.
作者
尹千璐
周小莉
熊川
郑宇航
YIN Qianlu;ZHOU Xiaoli;XIONG Chuan;ZHENG Yuhang(Graduate School of Guizhou University of Traditional Chinese Medicine,Guiyang Guizhou China 550025;Chongqing Hospital of Traditional Chinese Medicine,Chongqing China 400021)
出处
《中医学报》
CAS
2023年第9期1941-1945,共5页
Acta Chinese Medicine
基金
全国中医临床特色技术传承骨干人才培训项目[国中医药(2019)36号]
第五批全国中医临床优秀人才研修项目{国中医药人教函〔2022〕1号}
重庆市市级中医重点建设项目[渝中医(2022)4号]
重庆市巴渝中医药学术流派传承工作室建设项目。
关键词
儿童过敏性紫癜
“调气为先”
疏肝理气
清热凉血
滋阴降火
固护脾胃
张嗣兰
children allergic purpura
"regulating Qi first"
soothing the Liver and regulating Qi
clearing Heat and cooling blood
nourishing Yin and reducing Fire
care for Spleen and Stomach
Zhang silan
