摘要
介绍了李秀亮教授治疗小儿癫痫的经验,李教授认为该病为本虚标实之证,指出痰为癫痫发作的主要因素,标实多为痰邪,本虚则为脾肾不足,故在治疗上实证多从痰论治,虚证多从脾肾论治,治疗以豁痰息风、健脾补肾为主。附典型案例2则,以资验证。
This article introduces professor LI Xiuliang's experience in the treatment of children with epilepsy,and professor LI deems that the disease is syndrome of deficiency in origin and excess in superficiality.He points out that phlegm is the main factor of epileptic seizures,and that most excess in superficiality is phlegm as the pathogenic factor,and the deficiency in origin is the deficiency of spleen and kidney.Therefore,the treatment mostly is based on the theory of phlegm,and the deficiency syndrome is mainly treated from the spleen and kidney,and the treatment is mainly eliminating phlegm and calming the endogenous wind,tonifying spleen and tonifying kidney. Two cases are attached for verification.
引文
[1]张奇文,朱锦善.实用中医儿科学[M].北京:中国中医药出版社,2016:919.
[2]汪受传.中医儿科学[M].2版.北京:人民卫生出版社,2011:832-842.
[3]虞坚尔.中西医结合儿科学[M].北京:人民卫生出版社,2012:150-154.
[4]马融,刘振寰,张喜莲,等.中医儿科临床诊疗指南·小儿癫痫(修订)[J].中医儿科杂志,2017,13(6):1-6.
[5]Aneja S,Jain P. Refractory epilepsy in children[J]. Indian J Pediatr,2014,81(10):1063-1072.
[6]涂雪松.癫痫的流行病学研究[J].脑与神经疾病杂志,2017,25(8):523.
[7]钟燕.重视癫痫儿童共患心理行为问题[J].武汉大学学报(医学版),2018,39(2):198.