ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2026, Vol. 18 ›› Issue (2): 137-140.doi: 10.20274/j.cnki.issn.1674-3865.2026.02.009

• 中医应用研究 • 上一篇    下一篇

王雪峰教授基于“诸内形诸外”理论探讨儿童肺炎喘嗽经验

汤士辉1, 王雪峰2(), 张柯欣1   

  1. 110847 沈阳,辽宁中医药大学2023级儿科学专业研究生(汤士辉)
    110032 沈阳,辽宁中医药大学附属医院儿科(王雪峰)
    110847 沈阳,辽宁中医药大学(张柯欣)
  • 收稿日期:2026-01-12 修回日期:2026-01-30 出版日期:2026-04-25 上线日期:2026-04-25
  • 通讯作者: 王雪峰 E-mail:lnzywxf@163.com
  • 作者简介:汤士辉(2000-),男,辽宁中医药大学2023级硕士研究生在读。研究方向:中医药防治小儿肺系疾病
  • 基金资助:
    国家自然科学基金面上项目(82274580)

Professor Wang Xuefeng's exploration in the clinical experience in pediatric pneumonia with dyspnea and cough based on the theory of "What is within manifests without"

Shihui TANG1, Xuefeng WANG2(), Kexin ZHANG1   

  1. 1.Liaoning University of Traditional Chinese Medicine, Shenyang 110847, China
    2.Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China
  • Received:2026-01-12 Revised:2026-01-30 Published:2026-04-25 Online:2026-04-25
  • Contact: Xuefeng WANG E-mail:lnzywxf@163.com
  • Supported by:
    National Natural Science Foundation of China(General Program)(82274580)

摘要:

“诸内形诸外”是中医学认识疾病、探求病机的核心思维,其精髓在于“有诸内者,必形诸外”,即人体内在脏腑气血功能活动及病理变化,必然会通过某种征象显现于体表。这一理论构建了中医“司外揣内”诊断学的基础。在儿科领域,儿童具有“稚阴稚阳”与“肺常不足”的生理特性,其病理状态会通过面色、舌苔、脉象等多重外在征象显现。对于肺炎喘嗽而言,其病机演变亦具有传变迅速、寒热虚实易转化的特点。王雪峰教授立足于“诸内形诸外”理论,通过外在表象与内在病机的关联性入手,洞察内在脏腑之虚实、邪气之盛衰、病势之进退,系统探讨该理论在儿童肺炎喘嗽辨证、治疗方药选择及预后判断中的应用经验,为儿科临床诊疗提供更为清晰的理论参考与实践思路。

关键词: 肺炎喘嗽, 象思维, 诸内形诸外, 儿童

Abstract:

"What is within manifests without" is the core concept in traditional Chinese medicine (TCM) for understanding diseases and exploring pathogenesis. Its essence lies in the principle -- "what is inside must manifest itself outside," meaning that the functional activities and pathological changes of the body's internal organs, qi and blood will inevitably manifest themselves through certain external signs. This theory forms the foundation of TCM's diagnostic approach of "judging the external to infer the internal". In pediatrics, children exhibit physiological characteristics of "immature yin and yang" and "frequent lung deficiency", with their pathological states being manifested through multiple external signs such as complexion, tongue coating, and pulse. In terms of pneumonia with dyspnea and cough, the disease progression is characterized by rapid transmission and transformation between cold and heat, deficiency and excess. Professor Wang Xuefeng, based on the theory of "What is within manifests without", investigates the correlation between external manifestations and internal pathogenesis to discern the deficiency or excess of internal organs, the exuberance or decline of pathogenic qi, and the progression or regression of the disease. He systematically explores the application of this theory in the differentiation of pediatric pneumonia with dyspnea and cough, the selection of therapeutic prescriptions, and the assessment of prognosis, providing clearer theoretical references and practical insights for clinical diagnosis and treatment in pediatrics.

Key words: Pneumonia with dyspnea and cough, Image thinking, What is within manifests without, Child

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