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小儿腹泻外敷泻痢平、暖脐膏疗法-
小儿腹泻外敷泻痢平、暖脐膏疗法

小儿腹泻外敷泻痢平、暖脐膏疗法

著名中医儿科专家黄明志教授,临证五十余载,医术精湛。对有深入的研究,他拟了许多外治方运用于临床,收到了较显著的疗效。特总结其外敷治疗小儿腹泻经验,以供同仁参考。

一、脾湿胃热泻痢生 外敷涌泉泻痢平

夏某,男,9个月。腹泻,稀水样便4天,经服蒙脱石(思密达)及妈咪爱无效。时见:大便质稀水样,夹有奶瓣及黏液,色黄绿而臭,日行十余次,每次量中伴低热,呕吐,小便黄,舌红,苔黄腻,肛周红,无脱水征。查粪常规:黄绿色黏液便,白细胞(+),指纹紫滞,风关以内。

辨证:湿热内蕴.脾胃反作。

治法:清热利湿。

处方:泻痢平外敷双足涌泉穴,每日一换药,3日后复诊,低热已除,呕吐已消,腹泻已愈。

泻痢平由川黄连30 g,没食子20 g,薤白10 g组成,共为细面,每次6~10 g,醋调加热外敷双足涌泉穴。方中黄连清热燥湿,泻火解毒;没食子入肾,涩精固沙气,治大肠虚滑,泻痢不止;薤白人胃及大肠,能理气通阳,治泄泻里急后重,施用于湿热泄痢,效果显著,取穴于涌泉穴,以其为肾经“井穴”。肾开窍于二阴、司二便,故“泻痢平”敷涌泉直到肾家收效甚捷。

小儿腹泻外敷泻痢平、暖脐膏疗法 中医儿科专家黄明志教授经验分享


二、脾健胃和泻自停 温中散寒暖脐宫

张某,女,1岁。患儿腹泻两月余,大便质稀糊水样,夹有不消化乳食,每日6~9次,腹胀,纳差,经服中西药治疗未见好转。时见:舌淡苔白腻;听诊:肠鸣音活跃;粪常规:脂肪球+1/HP。

诊断:脾虚泻。

治法:温阳健脾,和胃止泻。

方法:暖脐膏外敷脐,一日一换,连用3天。3日后复诊,腹泻已愈。

“暖脐膏”由炒苍术、白胡椒各30 g,大砂仁10 g组成,共为细面,混匀,每次3~5 g,醋调外敷“神阙穴”。方中炒苍术健脾祛湿,白胡椒湿中散寒,砂仁调中行气,开胃醒脾,施用于脾虚泻及脾肾阳虚泻,均可获良效。取穴神阙,以其为五脏六腑之本,元气收藏之根,故“暖脐膏”外敷于此,通过经络运行达到药物治疗疾病的目的。

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