中医对小儿传染性肝炎的认识和治疗

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小儿传染性肝炎是一种常见的疾病,中医虽无此名,但是由于我们在党的正确领导下,通过中西医的密切合作,共同诊断,应用中药治疗,取得一定效果,计在门诊和住院部共治疗患儿共计28例,从临床症状实践,肯定了中医对本病的治疗是有可靠的效果。我国古典医学如内经素问平人气象论曰:“溺黄赤安卧者黄疸,目黄者曰黄疸。”又灵枢论疾诊尺篇曰:“身痛而色微黄,齿垢黄,爪甲上黄,黄疸也。安卧小便黄赤,胀小而濇者不嗜食”。说明古人对黄疸一症,很早就有了明确的认识。黄疸又分成很多类型,如“金匮”有五疸的分别,“巢氏病原”另立九疸候,并附急黄劳疸等十多种名称。我们认为“传染性肝炎”这个疾病,已括在黄疸的范畴。又如“伤寒论”说“阳明病发热汗出者,此为热越,不能发黄但头汗出,剂颈而还,小便不利,渴饮水浆者,此为瘀热在里,身必发黄,茵陈蒿汤主之”。又唐朝孙思邈的千金方说:“凡遇时行热病,多必内瘀发黄”。沈氏尊生又说:“有天行疫厉,以致发黄者俗谓之瘟……等的这些记载,可以看出古人对黄疸的传染性已有清楚的认识。 Infectious hepatitis is a common disease in children, although there is no such name in traditional Chinese medicine, but because of our correct leadership, through the close cooperation of traditional Chinese and western medicine, we have jointly diagnosed and applied traditional Chinese medicine and achieved some results. Total treatment of children in a total of 28 cases, from the clinical symptoms of practice, affirmed the treatment of the disease of Chinese medicine is a reliable effect. Classic medicine in our country, such as Nei Jing Suping people meteorological theory said: “drowning yellow red lying jaundice, head yellow said jaundice.” And Lingshu Commentary on foot disease article reads: “body color and yellow, tartar yellow, claw A yellow, jaundice also sleeping yellow yellow, small swelling and not eat. Explain the ancients of jaundice, has long been a clear understanding. Jaundice is divided into many types, such as ”golden“ have five jaundice, respectively, ”nest disease“ another nine jaundice, with acute jaundice and other more than 10 kinds of names. We think the disease of ”infectious hepatitis“ is included in the category of jaundice. Another example is ”Treatise on Febrile Diseases,“ said ”Yangming fever sweat, which is hot, can not yellow, but the first sweat, neck and neck, urine adverse, thirsty drinking water slurry, which is stasis in the body Will be yellow, Yin Chen Hao main soup. “ The Sun Side of the daughter of the Tang Dynasty, said: ”Where the line of fever, and more will be stasis yellow.“ Shen Sang Zun Sheng added: ”There are days of epidemics so sharp, that yellow people vulgarity that ... ... these records, we can see that the ancients have a clear understanding of the infectious jaundice.
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