大汗方治疗小儿汗证（阳明经腑证）的临床观察

发布时间：2018-07-13 14:25

【摘要】：目的：本研究通过运用中医六经辨证,设立小儿汗证阳明经腑合病证型,拟大汗方观察其治疗阳明经腑证小儿汗证的临床效果,初步探讨大汗方治疗小儿汗证的有效性,为治疗开辟新的思路,进而更好的指导并应用于临床治疗。方法：将62例符合小儿汗证阳明经腑证,年龄在1～14岁的患儿作为研究对象,平行对照,治疗组31例、对照组31例。根据患儿年龄大小,治疗组和对照组分别口服大汗方汤剂和龙牡壮骨颗粒治疗,连续服用4周后,进行治疗前后的治疗组自身比较及与对照组在主症疗效和证候疗效的比较,对大汗方治疗小儿汗证的有效性进行评价。结果：1.两组患儿在性别、年龄及病程方面的比较无统计学意义(P0.05),具有可比性。2.主症疗效：治疗组痊愈20例、显效0例、有效8例、无效2例,总有效率93.33%；对照组痊愈12例、显效0例、有效13例、无效5例,总有效率83.33%。两组比较有统计学意义(P0.05),提示在疗效方面治疗组优于对照组。3.证候疗效：治疗组痊愈13例、显效12例、有效3例、无效2例,总有效率93.33%；对照组痊愈7例、显效6例、有效12例、无效5例,总有效率83.33%。两组比较有统计学意义(P0.05),在证候疗效方面治疗组优于对照组。4.两次诊治期间,治疗组与对照组积分呈减少趋势,治疗前后比较有统计学意义(P0.05),提示症状随着服药的时间在逐渐改善。结论：大汗方对阳明经腑证小儿汗证具有较好的治疗作用。
[Abstract]:Objective: to establish the syndrome type of syndromes of perspiration syndrome of Yangming meridian and to observe the clinical effect of Dahan prescription in treating the syndrome of infantile sweat of Yangming meridian syndrome by using the differentiation of six meridians of traditional Chinese medicine, and to explore the effectiveness of Dahan prescription in treating the syndrome of perspiration in children. For the treatment of new ideas, and then better guidance and application in clinical treatment. Methods: 62 cases of children with Yangming meridian syndromes according to the syndrome of perspiration in children, aged 14 years old, were used as the study objects. The treatment group (n = 31) and the control group (n = 31) were divided into two groups: control group (n = 31). According to the age of the children, the treatment group and the control group were treated with Dachan decoction and Longmu Zhuanggu granule respectively. After 4 weeks of continuous treatment, the treatment group was compared with the control group before and after treatment, and compared with the control group in the curative effect of the main symptoms and syndromes. To evaluate the effectiveness of Dahan recipe in treating children with sweat syndrome. The result is 1: 1. There was no significant difference in sex, age and course of disease between the two groups (P0.05). There were 20 cases of cure, 0 cases of marked effect, 8 cases of effective and 2 cases of ineffectiveness in the treatment group, while in the control group, 12 cases were cured, 0 cases were markedly effective, 13 cases were effective, 5 cases were ineffective, and the total effective rate was 83.33 cases. There was significant difference between the two groups (P0.05), suggesting that the treatment group is better than the control group. 3. Syndromes efficacy: in the treatment group, 13 cases were cured, 12 cases were markedly effective, 3 cases were effective, 2 cases were ineffective, and the total effective rate was 93.33.1 in the control group, 7 cases were cured, 6 cases were effective, 12 cases were effective, 5 cases were ineffective, and the total effective rate was 83.33 cases. There was significant difference between the two groups (P0.05), the treatment group was better than the control group in the effect of syndromes. 4. 4. The scores of the treatment group and the control group showed a decreasing trend during the two treatments (P0.05), indicating that the symptoms were gradually improved with the time of taking medicine. Conclusion: Dhanfang has better therapeutic effect on the syndrome of perspiration in children with Yangming meridian.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R272

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