“通阳不在温,而在利小便”治小儿高热

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儿科发热原因很多,湿温所致者并不少见,一般起病即表现为持续高热,无汗,恶寒少见,精神困倦,胃纳欠佳,口无干,或口唇红干,但不欲饮水,小便正常.而头重如裹,胸闷脘痞,腹胀等在儿科诊断上意义不大.通常的三仁汤或藿朴夏苓汤类疗效不尽满意.吾重温叶天士“通阳不在温,而在利小便”之旨,重用白茅根30g为君,利尿清热,竹叶15g、滑石15g为辅,加强利尿清热,其中滑石利毛窍,结合薄菏2g、连翘6g、蝉衣5g、青蒿10g解表清热,更有利于通阳,甘草调和诸药.利小便以达通阳发汗,解表清热,仅需一二剂即愈.现举例如下: Pediatric fever for many reasons, caused by wet temperature is not uncommon, the general onset is manifested as sustained high fever, no sweat, aversion to cold rare, sleepy, poor appetite, dry mouth, or lips dry, but do not want to drink water , Normal urine.While the head weight such as wrapped, chest stuffy ruffian, abdominal distension and other pediatric diagnosis is of little significance.Usually San Ren Tang or Huapu Chaoling soup are not satisfied with the efficacy.I refreshed Ye Tianshi “Tong Yang is not in the warm, and In Lee urine, ”the purpose of reuse Rhizoma Imperatae 30g for the king, diuretic heat, bamboo leaves 15g, supplemented with 15g of talc to enhance diuretic heat, including talcum ointment, combined with mint 2g, forsythia 6g, Chan Yi 5g, green Artemisia 10g solution table heat, but also conducive to Tong Yang, licorice reconcile the various drugs. Lee urine to reach Tong Yang sweating, solution table heat, only one or two JIU Yu. For example as follows:
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