小儿癫痫病因病机溯源

目的:溯源小儿癫痫病因病机。方法:归纳历代小儿癫痫有关著作、论述,著名医家见解,进行分析、总结。结论:小儿癫痫病因病机计有:正气亏虚,孕期受累,暴受惊恐,惊风成痫,痰阻窍道,饮食失宜,积热成痫,瘀血内停,虫积为患,伏邪致痫。     

儿童甲型H1N1流感中医药防治指南

儿童甲型H1N1流感中医药防治指南,包括预防、诊断、临床治疗、调护4部分。其中,药物预防强调无病辨体,针对正常质、气虚质、内热质、痰湿质等不同体质儿童分别用药;临床治疗结合轻症、重症、危重症、恢复期等不同情况进行辨治,内含风热犯卫、湿遏卫气、热毒闭肺、毒盛气营、心阳虚衰、邪陷厥阴及余邪未尽,气阴两伤等证候;调护强调隔离保暖、清淡饮食、患儿的护理等。     

马融教授治疗两例失神癫痫患儿疗效优劣的分析

马融教授认为,失神发作病因复杂,机制不明,无论痰气逆乱,肝脾失调均不离乎阴阳。因此调理阴阳气机,维持其动态的均势即为治疗的关键。并附案例2则以资验证。     

益肾填精法治疗儿童多动症临证体会

马融教授根据小儿“肾常虚”的生理特点,及肾-精-髓-脑之间的密切相关性,以及多动症患儿注意力及行为能力落后于实际年龄水平这一特点,结合中医及现代学理论知识,通过多年的临床实践,提出了“髓海发育迟缓致儿童注意缺陷多动障碍”病机假说,认为本病病位在脑,其本在肾,病机关键为“肾精亏虚,髓海发育迟缓,阴阳失调,阳动有余,阴静不足”,据此确立了“益肾填精”为主的治疗大法,临床中采用《备急千金要方》中的“孔圣枕中丹”化裁治疗,取得了较好的疗效.     

清解透络养阴法治疗小儿长期高热案

刘×,男,8岁。住院号:2433。5个月前因感冒见有发烧、咳嗽、流涕、头痛、呕吐,继而出现荨麻疹,曾到当地医院进行治疗,疹退后出现间断发热,初期2～3日发热一次,以后每天均有发热,体温自上午11时开始上升,高达39℃以上,持续4小时左右,多能自行缓解,查体除咽部稍红外,未见其它阳性体征。又到天津某医院就医,未能确诊而来我院住院治疗。实验室检查:血、尿、便常规未见异常,血沉12毫米/1小时;抗链“O”1:400,嗜酸细胞计数22个/毫米~3,IgGl407毫克%,IgA     

Clinical Observation on 930 Child Epilepsy Cases Treated with Anti-epilepsy Capsules

1090 cases of child epilepsy were divided randomly into two groups: the treatment group (930 cases treated with anti-epilepsy capsules) and the control group (160 cases treated with luminal). The results showed that in the treatment group, 534 cases were markedly effective, 241 effective, 96 improved, 46 ineffective, and 13 aggravated, with a total effective rate of 83.33%; while in the control group, 64 cases were markedly effective, 19 effective, 38 improved, 29 ineffective, and 10 aggravated, with a total effective rate of 51.88%. The treatment group showed an obviously higher total effective rate than that in the control group (P < 0.01). After treatment, cases in the two groups all had lower frequency of epilepsy attacks and shorter duration of each attack as compared with that before treatment (P < 0.01), but the situation was obviously better in the treatment group. The anti-epilepsy capsules had very good effect on various types of epilepsy, especially on autonomic epilepsy and on epilepsies due to wind, phlegm, or terror as differentiated in TCM. After treatment, the recovery rate shown by EEG examination was 54.3% in the treatment group, while 38.4% in the control group, the former being obviously higher than the latter (P < 0.01).     

多动症儿童的脑电图变化机制

目的:通过儿童多动症患儿脑电图的变化探讨其发病机制及其疾病的本质。方法:在现代儿童多动症脑电研究成果的基础上,结合传统中医理论,探讨其脑电图变化机制,为中西医结合治疗儿童多动症提出新的思路。结果:儿童多动症是儿童期发病率较高的心理行为障碍性疾患,其疾病本质是由于脑功能障碍引起的心理、行为异常。脑电描计术就是通过检测脑神经电生理活动而反映脑功能改变情况的临床检测手段。近年来对于儿童多动症的脑电图研究进展较快。结论:儿童多动症被认为是特殊大脑调节功能失调的外在表现。患儿整个环路,即脑干网状结构-丘脑非特异性核团-大脑皮质的调节能力不足,脑功能紊乱,适宜的调节不能被强化,不利的调节得不到抑制,从而表现出儿童多动症的诸多问题。每个行为都是皮质与皮质、皮质与皮质下的网络建立联系来保持一种激活状态。网络保持激活状态或抑制状态时,其刺激性与脑电图方面同步,皮质活动和控制情况可以通过皮质神经活动诸如脑电图波谱的密度、分布、波幅及波形等观察到。