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2013年02月26日
The centralizer back to Yang Yang deficiency children fever rule of law
Zhu Yuanqiu Zhu Yuanqiu TCM clinic
China's traditional Chinese medicine to
Children with high fever, is one of pediatric clinical common symptom. In the treatment of children with high fever, qingrejiedu, thoroughly evil sluggish is the main treatment of dispel pathogenic heat. Found in clinical practice, however, some children with fever using conventional qingrejiedu of evil not only invalid, even aggravate, and there will be from the sweat, cold limbs, such as micro pulse is empty fame syndrome. If not carefully distinguish, often misdiagnosis and the adverse consequences.
"Jing yue: YangSheng heat, Yin sheng, cold, cold, hot, hot then cold again. Visible heat and hot syndrome, it is not a concept of equivalent, the fever is not necessarily the heat syndrome, heat syndrome is not always hot. Such children with fever should belong to false really cold syndrome, namely the cold syndrome, appearance against thermal image. Author in NaJiangShi health bureau and NaJiangShi TCM finishing editing of the NaJiangShi name old doctor of traditional Chinese medicine experience set, read written by TCM school Li He NaJiangShi teacher "children high fever with hot drugs are", inspired by, in pediatric clinical treatment by applying the method of centering back to Yang Yang fever, a satisfactory curative effect. Is presently as follows the method and the clinical practice experience summary.
Major clinical manifestations
Pediatric continuous high fever more than 2 ~ 3 days, temperature above 38 ~ 39 ℃, continued. Sweat more than more, manic disturbed restless, exhausted god is not food, thirsty drink, water is not much, shortness of breath and superficial, the tip of the tongue is red, pale tongue body. Pulse number for disease.
And pathogenesis
For children to childish Yang in the body, its mass and delicate, easy easy to virtual to real. Cancer invaded, a little sweat, slants cool, Yang due to Yin sheng, list all deficiency, qi yuan, no return Yang floating hot at outside. High fever time, big decline of vital qi, sun be the spirit disabled, is there evil, evil missed and not solid enough.
Dialectical point
1. Age and body mass: (1) the disease generally more for 1 ~ 5 years old children, because for Yang in the body, and its easy to easy to virtual to real. (2) found in ferrite with spleen and stomach weak indigestion, had the or has a history of chronic diarrhea; (3) see more at surface on puffiness, easy to sweat out, sun be the spirit virtual. 2. High fever in more than 3 days, thermal potential missed that sweat more, and with clear heat and fever is not retreated, the disease aggravating. 3. Appear pale, sweating, pale tongue, urinate, defecate pond, limbs cold, pulse weakness is empty fame license, etc.
Have the above symptoms, although a fever of 40 ℃, can also be bold use back to Yang save inverse heat of sexual medicine. Clinically, should seize the primary symptom of just only can used for pediatric Yang a dew clue, change is the fastest, as soon as possible by applying the method of centering back to Yang, can prevent disease development, and can improve the curative effect, has the work back to life and to save the critically ill patient.
TCM syndromes
When righting back to Yang, the four flavor to Yang flavored wine: ginger, ginseng, attached sheets, gun keel, oysters, grilled licorice, with effectively dosage over 10 grams). And certificates, if any, shall be on the basis of fundamental slightly to add and subtract in the rule. Nov.17 treating pediatric so, not only adults. Such as red crimson tongue no moss, pulse count, Yin fluid, gaza, caulis dendrobii, radix ginseng, fructus schisandrae, etc. Medicine to Yin; Loose stools once more, limbs cold, belongs to the spleen kidney both deficiency, atractylodes, fructus alpiniae oxyphyllae, dosage of ginger and aggravate the gun by removing the spleen kidney; Shortness of breath and promote, what is more, it is not kidney qi, with black Dan town of tin.
If appear pale, inverse sputum, asthma sweat, limbs jue inverse, micro pulse, breathing shallow and promote, such as wu Yang out of the crisis, when the children are of vital importance to the serious crisis, the only appropriate receive big agent GanWen back to Yang, Yang is back, Yang go to dead, hurry cornus should be based on above to join the mountain, to enhance back to Yang is off work. Or use the shanxi LingShiXian li ke abnormality of old Chinese medicine save heart soup treatment. Mountain calling meaty acid temperature, big can convergence, spirits, solid acerbity slippage, astringent, and have a sex of clear and smooth, so it is also the nine qiao, dredge veins, and the folding of the upright without folding of the pathogens. Zhang Xichun in medical applications in the west "record" praise "cornus save off, more wins than the cords, stilbene. GaiYu meat of sex, not only fill the liver also, every person of qi and blood, Yin and Yang will scatter person can collect. So save off the drug, when cornus as the first". Li old doctor of traditional Chinese medicine of abnormality is save heart soup, zhongjing four inverse soup enhances the party back to Yang save inverse effect. The abnormality is to reuse the monkshood, cornus, make his own qualitative change happened. The author treated several cases of clinically used this soup wu Yang to take off the critically ill patient, fully cured, do have the wonders of coming back to life.
Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2013-02/25/content_70504.htm