Abstract:

Based on the Five Depression Theory from Huangdi Neijing， this study establishes a dynamic diagnosis and treatment system of "Five Depressions Transmission and Deficiency-Excess Transformation" systematically elucidating the intrinsic connections between wood depression， fire depression， earth depression， metal depression， water depression and the pathogenesis of pediatric nasal obstruction. The Five Depression result from "disordered five-phase movements causing dysfunction in qi circulation" requiring clinicians to "observe the harm of six climatic factors and follow the trends of five elements" while applying the five methods—"releasing， dispersing， draining， purging， and suppressing"—to regulate qi movement. Specifically: Jueyin wind-wood syndrome should be treated with dispersing and freeing the orifices; Shaoyang ministerial fire syndrome requires venting heat pathogens; Taiyin damp-earth syndrome necessitates removing obstructions; Yangming dry-metal syndrome calls for moistening and nourishing collaterals; Taiyang cold-water syndrome demands warming and resolving cold retention. Special attention should be paid to the changes in the pathogenesis of the "Five Depressions Transmission and Deficiency-Excess Transformation". Treatment should focus on "resolving depression and regulating the pivot， and guiding according to the situation". This research provides novel therapeutic approaches for the clinical prevention and treatment of pediatric nasal obstruction.

Key words: Allergic rhinitis, The Five Depression Theory, The dynamic diagnostic and treatment system of "transmission and transformation among five depressions with deficiency-excess conversion", Clinical application, Child