从寒论治小儿扁桃体炎的理论探讨
Global Traditional Chinese Medicine（2021）
Abstract
纯阳之体多被误解为盛阳之体,又被炎症病名误导,故医者多从热论治小儿扁桃体炎.临床中用清热药多有不效者,亦有症状好转而又反复者,观察此类患儿寒证明显,服用温经解表药则快速痊愈.本文从寒论治扁桃体炎来解释这种临床现象.纯阳从稚阳作解,为小儿阳气稚嫩,久用抗生素及寒凉之药易造成脾阳虚衰,久病肾阳亦虚;基于《内经》卫出下焦理论,太阳卫外之阳根源于少阴肾中真阳,肾阳虚则卫气御外功能降低.外寒侵袭太阳少阴,发为太阳少阴合病,以少阴为主.治宜太阳少阴同治、散寒解表,方选麻黄细辛附子汤.
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