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 ›› 2025, Vol. 17 ›› Issue (6): 517-520.doi: 10.20274/j.cnki.issn.1674-3865.2025.06.010

• 中医应用研究 • 上一篇    下一篇

基于“痰热搏结,内伏于肺”病机辨治小儿喘息性支气管炎经验摘隅

施堉粱1, 彭玉2(), 刘启艳3, 洪晓雯4   

  1. 350300 福建 福州,福清市妇幼保健院儿科(施堉粱)
    550003 贵阳,贵州中医药大学第二附属医院儿科(彭玉)
    550003 贵阳,贵阳市妇幼保健院儿科(刘启艳)
    350100 福建 福州,闽侯县人民医院儿科(洪晓雯)
  • 收稿日期:2025-07-08 修回日期:2025-09-16 出版日期:2025-12-25 上线日期:2025-12-31
  • 通讯作者: 彭玉 E-mail:pengyu1022@126.com
  • 作者简介:施堉粱(1991-),男,医学硕士,主治医师。研究方向:中西医结合儿科肺系疾病研究
  • 基金资助:
    彭玉全国名老中医药专家传承工作室项目(国中医药人教函〔2022〕75号)

Experience in the diagnosis and treatment of asthmatic bronchitis in children based on the pathogenesis of "phlegm-heat coagulation and internal accumulation in the lungs"

Yuliang SHI1, Yu PENG2(), Qiyan LIU3, Xiaowen HONG4   

  1. 1.Fuqing Maternal and Child Health Hospital,Fuzhou 350300,China
    2.The Second Affiliated Hospital of Guizhou University of Chinese Medicine,Guiyang 550003,China
    3.Guiyang Maternal and Child Health Hospital,Guiyang 550003,China
    4.Minhou County People's Hospital,Fuzhou 350100,China
  • Received:2025-07-08 Revised:2025-09-16 Published:2025-12-25 Online:2025-12-31
  • Contact: Yu PENG E-mail:pengyu1022@126.com
  • Supported by:
    The Peng Yu National Famous Traditional Chinese Medicine Expert Inheritance Studio Project

摘要:

小儿喘息性支气管炎为儿科常见疾病,好发于冬春季节,其起病特征以发热、咳嗽、喘息为主要症状。其证候与体征特点与祖国医学的“咳嗽”“喘息”“气促”病证相似,故多归属“咳嗽病”“哮喘病”“风温肺热”等疾病范畴之内。临床上该病又多以痰热闭肺证多见,因此导师彭玉教授认为其病机主要为“痰热搏结,内伏于肺”,并以“寒温并用治其标,肺脾同治为其本”为主要治疗原则。笔者在临床工作中,以导师学术思想为指引,运用中医药治疗小儿喘息性支气管炎,取得较为理想的效果。本文主要介绍笔者运用导师学术思想,治疗小儿喘息性支气管炎病程心得体会,以期能减少或避免对患儿使用激素或抗生素。

关键词: 喘息性支气管炎, 中医药治疗, 儿童

Abstract:

Pediatric asthmatic bronchitis is a common disease in pediatrics, which often occurs in winters and springs. Its onset features are characterized mainly by "fever, cough and wheezing". Its symptoms and signs are similar to the symptoms of "cough", "wheezing" and "shortness of breath" in traditional Chinese medicine, so it is mostly classified into the categories of "cough disease", "asthma disease" and "wind-warmness lung heat". Clinically, the "phlegm-heat blocking the lung" syndrome is more common. Therefore, Professor Peng Yu, my mentor, believes that the main pathogenesis is "phlegm-heat coagulation and internal accumulation in the lungs", and the main treatment principle is "using both cold and warm therapies to treat the symptoms and treating the lungs and spleen simultaneously to address the root cause". In my clinical work, guided by my mentor's academic thought, I have used traditional Chinese medicine to treat pediatric asthmatic bronchitis and achieved relatively satisfactory results. This article mainly introduces my experience and insights in treating pediatric asthmatic bronchitis based on my mentor's academic thought, with the aim of reducing or avoiding the use of hormones or antibiotics in children with the disease.

Key words: Asthmatic bronchitis, TCM therapy, Child

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