[Objective]Discussing the experiences on using the Modification of Guizhi Decoction plus Dahuang in the Treatise of Cold-Induced Disorders to treat paediatric diseases.[Methods]Selecting 4 paediatric cases that are all using Guizhi added Dahuang Tang to treat concurrent disease of Taiyang and Yangming Channels, concurrent disease of Taiyin and Yangming Channels, interior excess pattern of Taiyin which causing fever, eczema, constipation, abdominal pain,to discuss the train of thoughts in using the Modification of Guizhi Decoction plus Dahuang in the clinic.[Results] Using the Modification of Guizhi Decoction plus Dahuang in the Treatise of Cold-Induced Disorders with a flexible addition and subtraction can treat all kinds of paediatric diseases such as concurrent disease of Taiyang and Yangming Channels, concurrent disease of Taiyin and Yangming Channels, interior excess pattern of Taiyin.The 4 cases proved in this article all used the Modification of Guizhi Decoction plus Dahuang to treat paediatric exogenous high fever, eczema, constipation, abdominal pain, etc,on the basis of syndrome differentiation,using the Modification of Guizhi Decoction plus Dahuang ,or Xiaojianzhong Decoction plus Dahuang,with the addition and subtraction,to treat various of paediatric diseases caused by concurrent disease of Taiyang and Yangming Channels, concurrent disease of Taiyin and Yangming Channels, interior excess pattern of Taiyin ,and all obtained good effects. [Conclusion] Under the guidance of the six meridians syndrome differentiation,with the addition and subtraction of the Modification of Guizhi Decoction plus Dahuang,expand the scope of the application of classical prescription,and enhance the clinical effects.%[目的]探讨《伤寒论》方桂枝加大黄汤治疗儿科疾病经验.[方法]选取桂枝加大黄汤治疗太阳阳明合病、太阳太阴阳明合病、太阴阳明合病、太阴里实证引起发热、湿疹、便秘、腹痛的儿科验案4则,探讨临症应用本方的思路.[结果]灵活加减《伤寒论》桂枝加大黄汤方,可治疗太阳阳明合病、太阴阳明合病、太阴里实证所致多种儿科疾病.本篇所举验案四则分别以桂枝加大黄汤治疗小儿外感高热、湿疹、便秘、腹痛等,或以桂枝汤加大黄,或以小建中汤加大黄,在辨证基础上,或使用原方、或灵活随证加减,治疗太阳阳明合病、太阴阳明合病、太阴里实证所致小儿诸症,均分别取得较好的疗效.[结论]在六经辨证思路指导下,加减应用桂枝加大黄汤可扩大经方应用范围,提高临床疗效.
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