柴胡桂枝汤在小儿反复呼吸道感染中的运用

来源 :2013年浙江省中医药学会儿科分会学术年会 | 被引量 : 0次 | 上传用户:ChampionHan
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认为小儿反复呼吸道感染迁延期或恢复期多为少阳枢机失利之证,可采用和解少阳法.盛丽先老师临床多选用柴胡桂枝汤加减治疗,正合小儿"易寒易热、易虚易实"的病理特点.柴胡桂枝汤为小柴胡汤和桂枝汤的合方,是《伤寒论》和法的代表方,用于小儿体虚反复呼吸道感染,其病机为正虚邪恋。其治疗方药是祛邪以出表,扶正以实里。和法用药缓和,兼顾祛邪与扶正。服药后可产生《伤寒论》所讲的:“上焦得通,津液得下,胃气因和,汗出而解”的作用。方中太子参、甘草、红枣补益中焦脾土、化生气血、培土生金,合柴胡、黄芩、半夏、生姜,从少阳之枢达太阳之气,逐在外之邪,桂枝汤调和营卫,两方合二为一,扶正祛邪,消补兼施,表里同治,正合小儿“易寒易热、易虚易实”的病理特点。
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