陈陶后重用乌梅治疗小儿顽固性呃逆伴腹泻验案一则

文章信息/Info

• Title:陈陶后重用乌梅治疗小儿顽固性呃逆伴腹泻验案一则

• 卷期:2024年22卷13期

• 作者:魏芹芹1 王怡然1 郑仁1 王亚晓1 鲁艳芳2*

• 1.湖北中医药大学中医临床学院，湖北 武汉，430061；2.湖北中医药大学第一临床学院，湖北 武汉，430061

• Author(s):Wei Qinqin1  Wang Yiran1  Zheng Ren1  Wang Yaxiao1  Lu Yanfang 2 *

• 1. Clinical School of Traditional Chinese Medicine, Hubei University of Traditional Chinese Medicine, Wuhan, Hubei Province, 430061；2. The First Clinical College of Hubei University of Traditional Chinese Medicine, Wuhan, Hubei Province, 430061

• 关键词顽固性呃逆；腹泻；乌梅；通因通用；陈陶后

• Keywords: intractable hiccups；diarrhea；Wu-mei；treating diarrhea with purgative；Chen Taohou

• 摘要:呃逆指胃气上逆，致喉间连续发出短而频的呃呃声，令人难以自止的病证。呃逆持续时间超过48小时则为顽固性呃逆。该病病因复杂，治疗棘手，西医多采用肌松药或抗精神病药物进行对症治疗，起效快但常伴随较多不良反应，且易反复。陈陶后教授在总结前人经验的基础上，结合多年临床经验提出，小儿呃逆主要病机为气机升降失常，与中焦脾胃、肝密切相关；治疗该病时应该注重疏肝健脾，调畅气机。笔者通过详细记录陈陶后重用乌梅治疗的一则小儿顽固性呃逆伴腹泻案例，并分析其组方用药特点，以期为顽固性呃逆的临床治疗提供参考。                                                                                                                                                                                

• AbstractHiccup refers to the stomach gas superinverse , resulting in the throat of the continuous short and frequent hiccup sound, difficultto stop by themselves.Hiccups that last for more than 48 hours are called stubborn hiccups.The disease has a complex etiology and an intractable treatment.Western medicine mostly uses muscle relaxants or antipsychotic drugs for symptomatic treatment, with fast onset and effect but often accompanied by more adverse reactions, and it is easy to repeat.Professor Chen Taohou, on the basis of summarizing the experience of the predecessors and combining with years of clinical experience，put forward that the main disease machine of hiccups in children is abnormal air machine rise and fall, which is closely related to the spleen, stomach and liver of middle coke.When treating this disease, we should pay attention to comfortable liver qi, healthy the spleen and stomach，adjust qi machine.By recording the medical case of Chen Taohou use Wu-mei in high doses treatment of a Children with intractable hiccups associated with diarrhea medical record and analyzing the drug characteristics of the prescription group, we hope to provide a reference for the clinical treatment of intractable hiccups.

  陈陶后教授为湖北省首届名老中医药专家学术经验继承指导老师，湖北中医大师。现任全国中医药高等教育学会儿科研究会顾问，湖北省中医中药学会儿科专业委员会名誉主任委员，长期从事儿童疑难杂症的诊治。