{"id":9265,"date":"2024-06-06T01:52:29","date_gmt":"2024-06-06T01:52:29","guid":{"rendered":"https:\/\/tcmdrma.com\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e5%b0%8f%e5%84%bf%e6%b5%81%e6%84%9f%e5%8f%8d%e5%a4%8d%e5%8f%91%e7%83%ad%e4%b8%a4%e6%97%a5\/"},"modified":"2025-05-09T10:27:38","modified_gmt":"2025-05-09T00:27:38","slug":"%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e5%b0%8f%e5%84%bf%e6%b5%81%e6%84%9f%e5%8f%8d%e5%a4%8d%e5%8f%91%e7%83%ad%e4%b8%a4%e6%97%a5","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e5%b0%8f%e5%84%bf%e6%b5%81%e6%84%9f%e5%8f%8d%e5%a4%8d%e5%8f%91%e7%83%ad%e4%b8%a4%e6%97%a5\/","title":{"rendered":"\u3010\u533b\u6848\u3011\u7ecf\u65b9\u6cbb\u7597\u5c0f\u513f\u6d41\u611f\u53cd\u590d\u53d1\u70ed\u4e24\u65e5"},"content":{"rendered":"

患者为余幼子，年三岁，因幼儿园大面积流感爆发，导致近期不断被传染而出现发烧。上周初发烧后服用一天药物烧退，本周末略微有点咳嗽，但未特别照顾，一切如常生活。到周一早晨，开始持续高热，伴咳嗽，无食欲。因年幼而拒绝摸脉，约略感觉右寸洪数，左脉弦，故选方为麻杏石甘汤、小柴胡汤。然至傍晚，高热仍不退，虑及一日无大便，改用加味升降散。第二日晨起排出黏臭大便而烧退，精神恢复正常，恍若病愈。因而仅继服轻剂保和丸。不料，至夜间高热又起，他在半睡半醒间未再抗拒摸脉，左右脉皆见脉浮紧而沉按洪数躁动，身无汗，虽高热不想除衣，方悟此为大青龙汤证。连夜服药。第二日，烧已退，送去幼儿园。回家后，一切如常，未再发热，摸脉则虽有余热而大势已去，笃定不会再烧了。故而睡前用辛凉轻剂善后。<\/p>\n

回想此案，颇有感慨，纵是小儿高热，亦变化万千，不敢轻忽。病机来看，既有外寒，也有里热，还有腑实，只要判断不完整，烧退就会反复。小儿感冒反复的另一个重要因素是“食复”，也就是说感冒好了以后没有注意养护，而立马胡吃海塞，小儿一旦积食了，很容易再有点风吹草动就引起感冒的复发。这也是从这个病例学到的真实的教训。<\/p>\n

 <\/p>\n

注意：中医根据个体差异所采取的治疗手段和治疗效果亦有差异，医案分享不构成治疗建议。<\/p>\n

\n

医案编号：083<\/p>\n","protected":false},"excerpt":{"rendered":"

患者为余幼子，年三岁 […]<\/p>\n","protected":false},"author":1,"featured_media":9183,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76],"tags":[],"class_list":["post-9265","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-76"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever.jpg",830,463,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-150x150.jpg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-300x167.jpg",300,167,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-768x428.jpg",768,428,true],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever.jpg",830,463,false],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever.jpg",830,463,false],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever.jpg",830,463,false],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-669x373.jpg",488,272,true],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-320x179.jpg",320,179,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-700x390.jpg",700,390,true],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-66x37.jpg",66,37,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-200x112.jpg",200,112,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-400x223.jpg",400,223,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-600x335.jpg",600,335,true],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-800x446.jpg",800,446,true],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever.jpg",830,463,false],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever.jpg",717,400,false],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-540x301.jpg",488,272,true],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-460x257.jpg",460,257,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-300x167.jpg",300,167,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-177x99.jpg",177,99,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-500x279.jpg",500,279,true],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-700x390.jpg",700,390,true],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/infant-fever-100x100.jpg",100,100,true]},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"患者为余幼子，…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=9265"}],"version-history":[{"count":1,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9265\/revisions"}],"predecessor-version":[{"id":13858,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9265\/revisions\/13858"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/9183"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=9265"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=9265"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=9265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}