| 基于六经辨治小儿外感发热合并便秘 |
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| 引用本文： | 屈永,赵潇湘,刘宇琦,刘薇薇.基于六经辨治小儿外感发热合并便秘[J].中医儿科杂志,2021(2):7-10. |
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| 作者姓名： | 屈永 赵潇湘 刘宇琦 刘薇薇 |
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| 作者单位： | 天津中医药大学研究生院;天津中医药大学第二附属医院儿科 |
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| 基金项目： | 国家自然基金青年基金项目(81001538);天津市卫计委课题(2017157)。 |
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| 摘 要： | 小儿外感发热伴便秘在临床较多见,其外感发热多见六经辨证中的三阳证,即太阳证、少阳证、阳明证与三阳并病证。三阳证引发便秘的病机为表邪犯里,扰乱气机与津液代谢,内结成实。太阳便秘为邪犯太阳,肺治节失司,宜宣通解表,选用银翘散等加减。少阳便秘为肝-肺气机循环障碍,三焦水、气代谢失常,宜和解清热,选用小柴胡汤等加减。阳明便秘为经热蒸腾,内结腑实。阳明经热便秘宜清经泻热,选用栀子汤等加减;阳明腑实便秘宜用下法,选用调胃承气汤等加减。少阳并病便秘宜在和解少阳的基础上配伍,选用大柴胡汤等加减。由于小儿脾胃软脆,一融之气易伤,故健脾消食化滞应贯穿治疗的始终,且小儿气血未定,忌以误下。附案例1则,以资验证。
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| 关 键 词： | 外感发热 便秘 小儿 三阳证 辨证论治 |
Differential treatment of children with exogenous fever complicated with constipation based on six meridians |
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| QU Yong,ZHAO Xiaoxiang,LIU Yuqi,LIU Weiwei.Differential treatment of children with exogenous fever complicated with constipation based on six meridians[J].Journal of Pediatrics of Traditional Chinese Medicine,2021(2):7-10. |
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| Authors: | QU Yong ZHAO Xiaoxiang LIU Yuqi LIU Weiwei |
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| Institution: | (School of Postgraduate,Tianjin University of Chinese Medicine,Tianjin,300193,China;Department of Pediatrics,The Second Affiliated Hospital of Tianjin University of Chinese Medicine,Tianjin,300250,China) |
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| Abstract: | |
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| Keywords: | exogenous fever constipation children three-yang syndromes syndrome differentiation and treatment |
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