小儿腹泻是临床常见的疾病,多发于夏秋之间,如不及时治疗或处理不当,可使病情迅速恶化,导致机体脱水和水电解质严重紊乱,而危急小儿生命。笔者四苓散加减治疗小儿腹泻92例,疗效显著。 四苓散加减组成:茯苓、猪苓、泽泻、白术、鸡金、甘草。随症加减:偏湿者合平胃散9(即胃苓散去桂枝),加藿香、干莲梗、砂仁、佩兰;偏偏热者加黄莲、风尾草;偏寒者加丁香、煨玉寇、姜炭、附子;泻多者加车前子、南渣炭、石榴皮;食滞者加麦芽、谷芽、神曲、布楂叶,胸腹痞闷者加枳壳;兼外感风寒者加苏叶、防风;腹痛甚者加木香、白芍,高热脱水伤阴者用西洋参合四苓散。 有一患者,易××,女,5岁,来诊,言前一日食不新鲜虾蟹,当夜即呕吐一次,随即泻水样大便6～7次,无里急后重,头晕口干欲饮,胸腹痞闷不适,时有腹痛,微发热,小便黄少,苔淡黄腻,脉滑略数。检查:体温37℃,神清,倦怠乏力,大便检查:白细胞少许,无粘液。证属湿热泄泻。治以利水化湿, Pediatric diarrhea is a common clinical disease, occur in the summer and autumn, if not treated or handled properly, can make the condition deteriorated rapidly, leading to severe dehydration and water and electrolyte disorders, and critical child’s life. The author Siling powder plus treatment of children with diarrhea in 92 cases, a significant effect. Siling powder plus composition: Poria, Polyporus, Alisma, Atractylodes, chicken, licorice. With the addition and subtraction of the disease: partial hydration Heping stomach powder 9 (that is, Stomach Ling dispersed Guizhi), plus Agastache dry stem, Amomum villosum, Perrin; Clove, simmer Jade, ginger charcoal, aconite; diarrhea and more children before the child, South residue charcoal, pomegranate skin; food stagnation plus malt, Guya, Divine Comedy, Hawthorn leaves, Concurrent exogenous cold and Su Ye, wind; worse abdominal pain plus wood, white peony root, high heat dehydration injury Yin with American ginseng Sini powder. There is a patient, easy × ×, female, 5 years old, to the clinic, saying the first day before eating fresh shrimp and crab, vomiting that night once, then diarrhea stool 6 to 7 times, no tenesmus, dizziness, dry mouth to drink, chest Abdominal bloating bored discomfort, sometimes abdominal pain, fever, yellow urine less yellow greasy moss, pulse slip slightly. Check: body temperature 37 ℃, Shen Qing, fatigue, stool examination: a little white blood cells, no mucus. Card is hot and humid diarrhea. Eclipses cure hydration,