关键词: 单纯性血尿, 风热侵袭, 脾虚肝热, 脾失健运, 热淫于内, 儿童

Abstract: Professor Li Xinmin′s clinical treatment for simple hematuria in children is guided by traditional Chinese medicine principles and formulas.Based on the differentiation of Wei Qi Ying Xue syndrome,Zang Fu syndrome,and San Jiao syndrome,he uses multi-dimensional syndrome differentiation as his treatment approach and seeks common points from the intersection of multiple syndrome differentiation systems.It is believed that pathogenic heat factors run through the entire process of hematuria in children,and this disease is divided into the following four types:wind heat invasion and disturbance of the kidney meridians;spleen deficiency and liver heat and blood not following meridians;spleen dysfunction and loss of overall control; heat burning inside and forced blood circulation.Corresponding treatment methods have been proposed for different types of syndromes:dispersing wind and promoting lung function,clearing upper jiao,clearing collaterals and cooling blood;soothing the liver and regulating the spleen,dispersing middle-jiao,clearing heat and cooling blood;smoothing the flow and regulating the middle,reducing the bitterness,strengthening the spleen and retaining blood;clearing heat and purging fire,harmonizing collaterals and removing blood stasis,cooling blood and stopping bleeding.Based on the unique constitution of children,the medicines with slightly bitter and slightly pungent ingredients are usually chosen to alleviate external pathogenic factors;the taste of bitterness is selected to regulate the overall qi circulation;the combination of cold,warm,dry,and moisturizing drugs are chosen to be in line with the characteristics of the organs.Based on the four elements of pathogenesis,the properties and flavors of drugs are flexibly used to cleverly coordinate the functions of the organs and regulate the qi of the organs,not sticking to the current syndrome state of the disease,but using a dynamic dialectical approach,which leads to a more advantageous treatment plan for the disease from the aspects of treatment method combination and drug compatibility.It has been clinically proven to have significant therapeutic effects,and is supported by one typical medical case.

Key words:

Simple hematuria, Wind and heat invasion, Spleen deficiency and liver heat, Spleen dysfunction, Heat burning inside, Child