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

中国中西医结合儿科学 ›› 2025, Vol. 17 ›› Issue (1): 75-78.doi: 10.20274/j.cnki.issn.1674-3865.2025.01.016

• 中医应用研究 • 上一篇    下一篇

从“肺主皮毛”理论及“取象比类”方法论治小儿肺系疾病

魏家璇，杨见辉，冯忠发，李蓉，赵舜，刘巧雅   

  1. 550000 贵阳，贵州中医药大学2022级中医儿科学专业研究生（魏家璇，冯忠发，李蓉，赵舜，刘巧雅）；贵州中医药大学第二附属医院儿科（杨见辉）
  • 收稿日期:2024-07-04 修回日期:2024-08-06 出版日期:2025-02-25 上线日期:2025-02-25
  • 通讯作者: 杨见辉，E-mail：543668514@qq.com
  • 基金资助:
    贵州中医药、民族医药科学技术研究专项(QZYY-2020-024)；贵州省卫生健康委员会科学技术基金项目(黔卫健函〔2023〕号1-416)

Treatment for pediatric pulmonary diseases based on the theory of "lungs governing skin and hair" and the method of "analogy and classification" 

WEI Jiaxuan1，YANG Jianhui2，FENG Zhongfa1，LI Rong1，ZHAO Shun1，LIU Qiaoya1   

  1. 1Guizhou University of Traditional Chinese Medicine，Guiyang 550000，China；2The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine，Guiyang 550000，China
  • Received:2024-07-04 Revised:2024-08-06 Published:2025-02-25 Online:2025-02-25
  • Contact: YANG Jianhui，E-mail：543668514@qq.com
  • Supported by:
    Guizhou Traditional Chinese Medicine,Ethnic Medicine Science and Technology Research Special Project(No.QZYY-2020-024)

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摘要： 本文基于中医“肺主皮毛”理论及“取象比类”思维方法，探讨其在小儿肺系疾病治疗中的应用价值。肺主皮毛及取象比类均为中医传统理论方法，指导临床辨证治疗。本文通过论述肺与皮毛的相关性，继而通过取象比类法，探讨以皮治皮的可行性及有效性。本文从小儿“肺常不足”及腠理疏松的生理特点出发，论证皮类药材（如白鲜皮、厚朴、蝉蜕等）可改善小儿易受外邪侵袭的病理特点。本文通过验案举隅，以4岁患儿为例，采用含皮类药材的方剂治疗风痰上扰型咳嗽，疗效显著，证实了该方法的临床可行性。本文结合传统中医理论与现代科学论证，可为小儿肺系疾病的诊疗提供新思路，凸显中医药在儿科领域的独特优势。

关键词: 肺系疾病, 肺主皮毛, 取象比类, 以皮治皮, 儿童

Abstract: This paper explores the application value of Traditional Chinese Medicine (TCM) theory of "lungs governing skin and hair" and the thinking method of "analogy and classification" in the treatment of pediatric pulmonary diseases.Both "lungs governing skin and hair" and "analogy and classification" are traditional TCM theoretical approaches guiding clinical differential diagnosis and treatment.By discussing the correlation between the lungs and the skin and hair,and then employing the method of analogy and classification,this paper explores the feasibility and efficacy of treating pulmonary diseases by the "skin"-cortex (the character of skin and cortex is the same in Chinese).Starting from the physiological characteristics of children,such as "lung deficiency" and loose cutaneous layers,the paper argues that "cortex-related" herbal medicines (e.g.,Baixian Pi,Hou Po,and Chan Tui) can improve the pathological features of being easily invaded by external pathogens in children.Through case studies,this paper demonstrates a formula containing cortex-related herbs in the treatment of cough (wind-phlegm obstructing the lung) in a 4-year-old child,which is very effective.The results confirm the clinical feasibility of this approach.By integrating traditional TCM theories with modern scientific validation,this paper provides new insights into the diagnosis and treatment of pediatric pulmonary diseases,highlighting the unique advantages of TCM in the field of pediatrics.

Key words: Pulmonary diseases, Lung governing skin and hair, Analogy and classification, Treating pulmonary disease by cortex, Child