The Clinical Experience of Professor LI Lan in Treating Pediatric Mycoplasma Pneumoniae Pneumonia
10.16466/j.issn1005-5509.2024.08.007
- VernacularTitle:李岚教授治疗小儿肺炎支原体肺炎经验
- Author:
Yiwei ZHANG
1
;
Yanling MO
;
Qiannan LIU
Author Information
1. 浙江中医药大学第一临床医学院 杭州 310053
- Keywords:
pediatric Mycoplasma pneumoniae pneumonia;
diffuse and open the lung;
invigorate blood circulation and dissolve blood stasis;
restore Yang to rescue from counter-flow;
reinforce healthy Qi and dispel pathogen;
clinical experience;
LI Lan
- From:
Journal of Zhejiang Chinese Medical University
2024;48(8):948-952
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To summarize the clinical experience of Professor LI Lan in treating pediatric Mycoplasma pneumoniae pneumonia(MPP).[Methods]By following Professor LI's hospitalized medical records from outpatient department,collecting,sorting out and analyzing medical cases,accessing to relevant antiquities and literature,this article describes Professor LI's understanding of the etiology and pathogenesis of the disease,and analyzed and summarized her academic mentality and clinical experience,and two typical cases were attached as proof.[Results]Professor LI figures that the pathogenic wind evil and the deficiency of the lung and spleen are the courses of pediatric MPP.Clinical staging can be divided into three phases:initial,extreme and recovery phases.In the treatment,the basic rule is to diffuse and open the lung,and at the same time,clear heat and dissolve phlegm,invigorate blood circulation and dissolve blood stasis,restore Yang to rescue from counter-flow,reinforce healthy Qi and dispel pathogen,etc.Professor LI gives the treatments according to pattern differentiation,and has obtained excellent therapeutic results.The syndrome differentiation of the first case was extreme phase(heart Yang deficiency).The treatment was restoring Yang to rescue from counter-flow,and Shenfu Longmu Jiuni Decoction was used,and also chose Astragalus membranaceus-Poria cocos to supplement Qi and fortify the spleen,reinforce healthy Qi and dispel pathogen.The syndrome differentiation of the second case was extreme phase(phlegm-heat blocking the lung).The treatment was clearing heat and dissolving phlegm,diffusing and opening the lung,and Maxing Shigan Decoction and Qianjin Weijing Decoction were used,considering static blood obstructing,Semen persicae-Salvia miltiorrhiza was selected;during the recovery phase,Atractylodes macrocephala Koidz.-Pseudostellaria heterophylla were used to bank up earth to generate metal and fortify the spleen and supplement Qi.[Conclusion]Professor LI's diagnosis and treatment of pediatric MPP,flexible use of traditional Chinese medicine solve the dilemma of pediatric MPP in the extreme phase of high fever being difficult to subside,cough and phlegm being prolonged and difficult to heal in the recovery phase,etc.,the efficacy of the treatment is remarkable,and the experience is worthy of clinical study and popularization.
