玉露散加味临床治疗小儿泄泻150例体会(1)

    【关键词】  玉露散；泄泻；辨证施治

      Actual realize about utilize YuLuSan increase composition to treat one hundred fifty childrens diarrhea

        【Abstract】  Objective  From motherland medical theory guiding,discuss about utilize YuLuSan increase composition to treat childrens diarrhea. Methods  Analysis accumulate examples of one hundred fifty childrens diarrhea in last few years (include ninety-three male children and fifty-seven female children ). Results  In the examples of one hundred fifty childrens diarrhea,whose take one dose to recover are twenty-one,proportion is 14%;whose take two doses to recover are ninety-seven,proportion is 65%;whose take three doses to recover are twenty-nine,proportion is 19%;whose take four doses to recover are three,proportion is 2%. Conclusion  Utilize YuLuSan increase composition to treat childrens diarrhea which cause of wet and heat,it gets effect to remove wet and heat,curative effect is good,it offers examples for treatment.

    【Key words】  YuLuSan;diarrhea; actual realize

    泄泻是由多种外感、内伤因素引起，以大便次数增多，粪质稀薄或如水样为特征的一种小儿常见病［1］。《医宗金鉴》“泻证门”中治疗小儿泄泻（火泻），首用玉露散以清其源，为治泻选方提供范例。笔者曾多次效法，加味运用，临床疗效甚佳。本文对近几年临床积累的病例综合分析，体会如下。

    1  临床资料

    1.1  一般资料   小儿泄泻（火泻）150例，年龄最小3个月，最大5岁；男93例，女57例；病程最短6h，最长4天。

    1.2  诊断依据   参照2004年新世纪全国高等中医药院校七年制规划教材《中医儿科学》诊断标准。

    1.3  临床特征   泄泻，泻时暴注下迫，多为黄水，泻出如射，粪出谷道犹如汤热，泻多涩滞，非食泻泻后觉宽之可比；肛门焦痛难禁，脘腹肌肤灼热，肚腹疼痛；心烦口渴或壮热烦渴，大渴引饮；溺赤短少或无尿，舌红干苔黄，脉数。

    1.4  治疗方法   处方：寒水石15～20g，石膏15～20g，甘草2g，茯苓5g，猪苓5g，泽泻5g，滑石10g，通草5g，黑栀子5g，煎水服。呕哕甚加姜莲4g，竹茹4g。烦渴甚加羚羊角1～2g。

    1.5  治疗结果   服用上述方剂，1剂痊愈21例，占14%；2剂痊愈97例，占65%；3剂痊愈29例，占19%；4剂痊愈3例，占2%。

共2页: 1 [2] 下一页