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董幼祺教授认为小儿多汗可分为生理性多汗和病理性多汗,有虚、实、寒、热之分,既可单独为证,又可随病证发生。根据患儿临床表现分为肺脾气虚、营卫不和、气阴不足、阴虚火旺、脾胃积热,临床应在“生理之汗不必治,虚证之汗当调治,随病而汗者当辨证论治”的原则指导下,分清虚实寒热,以健脾益气、调和营卫、益气养阴、滋阴降火、清热导滞等治法辨证治之,同时可酌加收涩、止汗药物,以助止汗之力。并附典型案例1则,以资验证。
Dong Youqi think that children can be divided into hyperhidrosis hyperhidrosis and pathological hyperhidrosis, there is virtual, real, cold, hot points, either alone as evidence, but also with the disease card. According to the clinical manifestations of children is divided into lung and spleen Qi, Yingwei and not, lack of qi and yin, Yin Huo-wang, stomach heat, the clinical should be in the "physiological sweat do not have to rule, sweating when asthma regulation, with sweat Under the guidance of the principle of differentiation of symptoms and signs, we should distinguish between the actual situation and the cold, take the spleen and Qi, reconcile Yingwei, Qi and Yin, nourishing Yin and reduce heat, Antiperspirant drugs to help perspiration power. With a typical case 1, to verify.