本文選題：古代文獻(xiàn) + 小兒發(fā)熱　； 參考：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：本文選取了自《內(nèi)經(jīng)》以來至明清時(shí)期歷代具有代表性的兒科專著及包含小兒發(fā)熱相關(guān)內(nèi)容的綜合性醫(yī)書及方書,以之作為參考文獻(xiàn),運(yùn)用文獻(xiàn)學(xué)與中醫(yī)理論研究的方法,旨在對(duì)古今中醫(yī)小兒發(fā)熱診療理論相關(guān)文獻(xiàn)進(jìn)行系統(tǒng)的整理研究。首先查閱相關(guān)書目,列出設(shè)有小兒“發(fā)熱門”或“熱證”專章的醫(yī)書目錄,以之為最終研究范圍;其次以歷史時(shí)間軸為主線,按照兩漢、南北朝、隋唐、宋元、明清的朝代變更順序,將各期醫(yī)家對(duì)小兒發(fā)熱的相關(guān)論述進(jìn)行歸納整理,理清了小兒發(fā)熱的各種病名、病因病機(jī)、辨證論治、鑒別診斷、治則治法及調(diào)護(hù)之基本內(nèi)涵與發(fā)展源流,對(duì)歷代醫(yī)家于小兒發(fā)熱病因病機(jī)及治則治法的認(rèn)識(shí)進(jìn)行了比較研究。本研究得出如下結(jié)論:1.中醫(yī)文獻(xiàn)小兒發(fā)熱相關(guān)病名主要有潮熱、壯熱、溫壯、煩熱、積熱、骨蒸熱、往來寒熱、驚熱和夜熱。2.導(dǎo)致小兒發(fā)熱的病因,外感六淫主要有風(fēng)邪、寒邪、風(fēng)寒、風(fēng)熱、暑熱、時(shí)氣溫?zé)嶂虏?內(nèi)傷主要由食積、驚嚇引起,胎熱、乳母遺熱、失治誤治、病后余毒等也可致小兒發(fā)熱。3.小兒發(fā)熱的病機(jī),主要有虛、實(shí)兩類�！皩�(shí)熱”又分“表熱”“里熱”和“半表半里之熱”。表熱包括“風(fēng)寒外襲,陽氣拂郁”“暑熱邪氣,熏蒸肌表”。里熱包括“五臟生熱,熏發(fā)于外”“飲食積滯,郁熱外發(fā)”“暴受驚恐,五志化火”。半表半里者即膽腑之病機(jī)。虛熱包括“氣不歸元,陽浮于外”“邪熱傷陰,陰虛內(nèi)熱”及“病后體虛,邪熱內(nèi)乘”。4.治療原則:“實(shí)熱宜疏下,虛熱宜調(diào)補(bǔ)”“先固其中,次解其表”“不可過服涼藥,中病即止”“哺乳期患兒,兼治其母”。5.治療方法:內(nèi)治法有“解表法”“清熱法”“瀉下法”“消食和胃法”“補(bǔ)氣調(diào)中法”“氣血雙補(bǔ)法”“滋陰補(bǔ)血法”“和解法”,同時(shí)也用“外治法”治療。
[Abstract]:This article selects the representative pediatrics monographs and comprehensive medical books and prescriptions which contain the related contents of infantile fever from the Inner Classic to the Ming and Qing dynasties, and takes them as reference documents, and applies the methods of philology and theoretical research of traditional Chinese medicine. The purpose of this paper is to make a systematic study on the literature related to the diagnosis and treatment of pediatric fever in ancient and modern Chinese medicine. First, refer to the relevant bibliography and list the medical books catalogue with a special chapter on children's "hot hair" or "heat syndrome", taking it as the final scope of study; secondly, taking the historical time axis as the main line, according to the Han, Southern and Northern dynasties, Sui and Tang dynasties, Song and Yuan dynasties, The order of the changes of the Ming and Qing dynasties, the related expositions of the physicians on infantile fever were summarized and sorted out, and the names, etiology, pathogenesis, syndrome differentiation and treatment, differential diagnosis and diagnosis of infantile fever were sorted out. In this paper, the basic connotation and the source of development of the principle of treatment and the regulation of nursing are compared and studied on the understanding of the etiology and pathogenesis of fever in children and the treatment of the principle of treatment. This study draws the following conclusion: 1. TCM literature related names of fever in children include hot flashes, strong fever, warm, bothersome, accumulated fever, bone steaming fever, exchange cold and heat, shock fever and night fever. 2. The causes of fever in children are mainly caused by wind evil, cold evil, wind cold, wind heat, summer heat, temperature heat, and internal injury mainly caused by food accumulation, shock, fetal fever, fever left by nursing mother, lost treatment and mistreatment. The residual virus after illness can also cause fever in children. 3. The pathogenesis of infantile fever, mainly have deficiency, real two kinds. "solid heat" is divided into "surface heat" and "half-meter-half-mile heat". Surface heat includes "wind and cold outside attack, Yang Qi blowing depression", "heat evil, fumigation muscle watch." Internal fever includes "five viscera heat, fumigating outside", "food stagnation, heat stagnation", "violent panic, five Zhi fire." Half-table half-mile is the pathogenesis of the gallbladder organs. Deficiency heat includes "Qi does not return to the Yuan, Yang floats outside", "evil heat injures Yin, Yin deficiency internal heat" and "body deficiency after disease, evil heat internal multiplication" .4. The treatment principle: "solid heat should be sparse, deficiency heat should be adjusted and replenished", "first fix it, then solve its table" can not take cooling medicine, the middle disease is stopped "lactation period child, simultaneously treat its mother" .5. Treatment methods: the internal treatment includes the method of resolving table, the method of clearing away heat, the method of catharsis, the method of eliminating food and stomach, the method of tonifying qi and regulating the middle, the method of supplementing qi and blood, the method of nourishing yin and tonifying blood, and the method of external treatment.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R272

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