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马融教授运用五脏辨证体系论治小儿癫痫经验
魏娟1,2, 张喜莲1,2, 戎萍1,2, 刘璇1,2
1.天津中医药大学第一附属医院, 天津 300381;2.国家中医针灸临床医学研究中心, 天津 300381
摘要:
儿童癫痫是儿科神经系统常见病,中医药治疗有一定特色。文章总结了马融教授运用五脏辨证体系论治小儿癫痫经验。认为病机关键为本虚标实,以痰浊雍盛、引动肝风为标,以肝肾阴虚、脾肾亏虚、心脾气阴两虚为本,病位主要在心、肝、脾、肾,与肺的关系亦相关。治疗时应首辨虚实,再辨病位,实证以豁痰息风为主,虚证则以补脾肾为主,从而确立治法治则及遣方用药,为临床癫痫治疗提供借鉴。
关键词:  小儿癫痫  五脏辨证  名医经验  马融
DOI:10.11656/j.issn.1672-1519.2022.07.03
分类号:R742.1
基金项目:天津市卫生计生行业高层次人才选拔培养工程项目(津门医学英才)。
Experience of MA Rong treating children epilepsy based on syndrome differentiation system of five zang-organs
WEI Juan1,2, ZHANG Xilian1,2, RONG Ping1,2, LIU Xuan1,2
1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China;2.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Abstract:
Children epilepsy is one of the major pediatric nervous system diseases,and treatment of traditional Chinese medicine has become certain characteristics. This paper summarized the experience of Professor MA Rong in treating children with epilepsy by syndrome differentiation system of five zang-organs. Professor MA Rong puts forward that the main pathogenesis of children epilepsy is asthenia in origin and asthenia in superficiality,phlegm and turbid yongsheng,induced liver wind as the standard,deficiency of liver yin and kidney yin,spleen and kidney deficiency,the heart temper yin two empty for the essence. The main disease sites are heart,liver,spleen and kidney,and the relationship with lung is also related. Deficiency syndrome and excess syndrome should be identified first in treatment,then distinguish disease position,the excess syndrome is mainly to clear phlegm and dissipate wind,while the deficiency syndrome is mainly to invigorate spleen and kidney,so as to establish the treatment and treatment of prescription drugs for clinical epilepsy treatment to provide reference.
Key words:  epilepsy in children  syndrome differentiation of five zang-organs  experience of famous doctors  MA Rong
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