摘要
介绍时毓民分期辨治儿童慢性特发性中性粒细胞减少症的临床经验。认为本病病机以肺脾肾不足、虚实夹杂为主,治疗重视标本兼顾、分期施治。感染期以祛邪治标为主,用药轻清发散、佐以扶正;稳定期以治本补虚为主,以健脾补肾、补益肺卫及益气补血、活血生血为主要治法,常用异功散、十全大补汤合左归丸加减治疗。并附验案1则。
This paper introduces Professor Shi Yumin’s experience in the treatment of chronic idiopathic neutropenia of children.It is believed that the disease is based on the deficiency of the spleen and kidney,and syndrome of intermingled deficiency and excess.In the treatment of the disease,attention should be paid to both root causes and symptom causes,and the disease should be treated by stages.At the stage of infection,the main treatment method is dispelling pathogenic factors and treating symptom causes with light,clearing and dispersing medical herbs,followed by the herbs with the function of strengthening healthy qi;at the stable stage,the main treatment method is treating the root causes and reinforcing deficiency,namely invigorating the spleen and tonifying the kidney,invigorating the lung and replenishing defensive qi,replenishing qi and supplementing blood,promoting blood circulation and generating blood.The disease is often treated with modified Yigong powder,Shiquan Dabu decoction combined with Zuogui pill.And one proven case is presented.
作者
和婧伟
汪永红
孙雯
时毓民
HE Jingwei;WANG Yonghong;SUN Wen;SHI Yumin(Department of Traditional Chinese Medicine,Children’s Hospital of Fudan University,Shanghai 201102,China)
出处
《上海中医药杂志》
2020年第2期2-5,1,共5页
Shanghai Journal of Traditional Chinese Medicine
基金
国家中医药管理局第六批全国老中医药专家学术经验继承工作项目[国中医药人教发(2017)29号]
国家中医药管理局时毓民全国名老中医传承工作室项目[国中医药人教发(2016)42号]
上海市卫计委时毓民名老中医学术经验研究工作室项目(SHGZS-2017009)
上海市中医药领军人才学术共同体建设项目(ZY3-RCPY-1-1001,2015-2018).
