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古方今用“牛蒡甘桔汤”治小儿乳蛾(儿童急、慢性扁桃体炎 )-
古方今用“牛蒡甘桔汤”治小儿乳蛾(儿童急、慢性扁桃体炎 )

古方今用“牛蒡甘桔汤”治小儿乳蛾(儿童急、慢性扁桃体炎 )

乳蛾中医又称为“喉蛾”或“莲房蛾”。相当于西医学的急性扁桃体炎和慢性扁桃体炎的范畴。以儿童及青年多见,多发于春秋两季;病程迁延、反复发作者,多为虚证或虚实夹杂证。起病急、恶寒、高热,咽痛明显,吞咽时尤甚,剧烈者可放射至耳部,小儿常因不能吞咽而哭闹不安。

【来源】《外科正宗》

【组成】牛蒡子3克 桔梗3克 陈皮3克 天花粉3克 黄连3克 川芎3克 赤芍3克 甘草3克 苏木3克 (儿童用量酌减)

【用法】上水煎,食后服。

【功用】小儿清热利咽。

【主治】小儿乳蛾表邪已尽,耳项结肿,微热不红而疼痛。

【方解】方中牛蒡子清热解毒,消肿散结,为君药:生甘草、桔梗利咽排脓,陈皮、川芎理气散结,天花粉滋阴清热,黄连清热解毒,赤芍药凉血散血,苏木活血祛瘀止痛,诸药合起来有清热利咽散结之用。

【临床应用】

1.用方要点小儿症见颐毒表邪已尽,耳项结肿,微热不红而疼痛为本方用方要点。

2.现代应用 临床上多用于小儿咽结合膜热,急性喉炎,急性化脓性扁桃体炎。

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