中医儿科杂志2025，Vol.21Issue(4)：17-20,4.DOI:10.16840/j.issn1673-4297.2025.04.06
陈光明教授辨治小儿过敏性紫癜经验
Professor CHEN Guangming's Insights on the Diagnosis and Treatment of Pediatric Allergic Purpura
摘要
Abstract
Professor CHEN Guangming believes that the etiology of pediatric allergic purpura can be cat-egorized into internal and external factors.In the early stage of the disease,external pathogens invade the body,with pathogenic excess as the dominant pattern,where wind,heat,and blood stasis are the primary pathological factors.The fundamental treatment principle is to eliminate pathogens,stabilize the collaterals,and resolve macules.For the pattern of wind-heat injuring the collaterals,the treatment should focus on dispel-ling wind,clearing heat,cooling the blood,and calming the collaterals,using a modified Yinqiao San(银翘散).For the pattern of hemorrhagic disorder caused by blood-heat,the treatment should emphasize clearing heat,detoxifying,cooling the blood,and stopping bleeding,with a modified Xijiao Dihuang Tang(犀角地黄汤).In the later stages of the disease,prolonged or recurrent conditions often lead to deficiency patterns or a mixture of deficiency and excess.Treatment should prioritize reinforcing healthy qi while eliminating patho-gens.For the pattern of yin deficiency with effulgent fire,the approach involves nourishing yin,clearing heat,cooling the blood,and stopping bleeding,using a modified Xijiao Dihuang Tang without Buffalo Horn and Gyp-sum.For the pattern of qi failing to contain blood,the treatment should strengthen the spleen,boost qi,and re-strain blood to stop bleeding,with a modified Guipi Tang(归脾汤).Professor CHEN consistently incorporates blood-activating and stasis-resolving methods throughout the treatment course.He tailors prescriptions based on the severity and urgency of the condition.For cases with prolonged recurrence,he emphasizes protecting the spleen and stomach,prioritizing dampness elimination,and paying close attention to dietary regulation,ad-dressing both the root and the manifestation while considering symptoms and causes.A case example is in-cluded for validation.关键词
过敏性紫癜/儿童/辨证论治/临床经验/陈光明Key words
allergic purpura/children/syndrome differentiation and treatment/clinical experience/CHEN Guangming分类
医药卫生引用本文复制引用
袁洋,陈光明,马海龙,许璿,杨学会,闫雪,唐悦..陈光明教授辨治小儿过敏性紫癜经验[J].中医儿科杂志,2025,21(4):17-20,4.基金项目
江苏省名老中医药专家传承工作室项目(苏中医科教[2021]7号) （苏中医科教[2021]7号）
江苏省第六期"333高层次人才培养工程"项目(苏人才[2022]1号). （苏人才[2022]1号）
