从咽喉论治儿童肠系膜淋巴结肿大经验

doi:10.20274/j.cnki.issn.1674-3865.2026.01.010

Abstract

Abstract:

This paper briefly explores Professor Xiao Heyin's experience in treating mesenteric lymphadenitis from the perspective of throat, covering the aspects such as zang-fu organs and meridians, anatomy and immunity, neural regulation, etiology and pathogenesis, as well as therapeutic principles, methods, formulas, and drugs. The throat and mesenteric lymph nodes are closely related in terms of zang-fu organs and meridians, and also have a close relationship in terms of anatomy and immunity as well as neural regulation. The pathogenesis of this disease is characterized mainly by deficiency in root and excess in pathogenic factors, and the treatment focuses on eliminating pathogenic factors and tonifying deficiency.

Key words: Mesenteric lymphadenitis, Throat, Child

CLC Number:

R272

Shengjuan QIN, Heyin XIAO, Kai GUO, Ziyan ZHANG. Experience in treating mesenteric lymphadenitis in children from the perspective of throat[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 50-53.

References 30

[1]	李小兰,陈宗礼,吴泽湘,等. 中医药治疗小儿肠系膜淋巴结炎相关性腹痛的研究进展[J]. 世界科学技术-中医药现代化,2020,22(1):134-139.
[2]	Otto M, Nagalli S. Mesenteric adenitis[M]. Treasure Island(FL): StatPearls Publishing， 2025.
[3]	Zhou L, Shan J, Zu DM, et al. Value of conventional ultrasound and shear-wave elastography in the assessment of mesenteric lymphadenitis in a paediatric population[J]. Exp Ther Med， 2024，27(6):259.
[4]	Yukcu B, Yildirmak ZY, Ozel A, et al. Clinical evaluation and outcomes of mesenteric lymphadenopathy in children: a cross-sectional analysis[J]. Sisli Etfal Hastan Tip Bul， 2025，59(1):127-133.
[5]	Garcia R, Martinez L, Fernandez M. Etiological analysis of mesenteric lymphadenitis in children: a multicenter study[J]. Eur J Pediatr, 2022, 181(7): 2459-2466.
[6]	Taylor C, Wilson G, Thompson R. Differentiating mesenteric adenitis from acute appendicitis in pediatric emergency departments[J].Acad Emerg Med,2023,30(5):689-697.
[7]	Anderson S, Davis K, Miller T.Conservative management of mesenteric lymphadenitis in children:a 5-year follow-up study[J].J Pediatr Surg,2021,56(12):2431-2435.
[8]	Hwang JY, Kim SH, Choi YJ. Ultrasound findings and clinical outcomes of mesenteric lymphadenitis in children under 5 years old[J].Pediatr Radiol,2023,53(8):1124-1131.
[9]	Rodriguez M, Gonzalez F, Perez J. Viral etiologies of mesenteric lymphadenitis in pediatric population: a systematic review and meta-analysis[J]. J Med Virol, 2022, 94(9): 3987-3995.
[10]	胡忠杉,孙洮玉,马桢.从“土枢四象，一气周流”探析儿童肠系膜淋巴结炎的辨治[J].北京中医药大学学报,2024,47(5):679-685.
[11]	龚享锋,闭安业,周慧梅,等.小儿EB病毒感染性咽炎与肠系膜淋巴结炎的相关性[J].实用医学杂志,2014,30(6):903-905.
[12]	李倩,孙远岭.小儿肠系膜淋巴结炎的中医病因病机与证治[J].广州中医药大学学报,2010,27(3):297-299.
[13]	董继业,董幼祺. 小儿急性肠系膜淋巴结炎的中药治疗[J]. 中华中医药杂志,2007,22(11):816.
[14]	杜玉晗. 慢性鼻-鼻窦炎与肠系膜淋巴结肿大的相关性及干预研究[D]. 哈尔滨:黑龙江中医药大学, 2023.
[15]	龚进,王暴魁.基于“阴火”理论探讨肠系膜淋巴结炎的治则及验案分析[J].四川中医,2025,43(2):77-81.
[16]	谭树军,韩峰.基于“肝与大肠相通”从肝论治小儿非特异性肠系膜淋巴结炎[J].中医杂志,2023,64(5):467-471.
[17]	Kim JH, Park SY, Lee MK. Recent trends in Chinese clinical research on oral herbal medicine treatment for pediatric mesenteric lymphadenitis: A systematic review[J]. J Korean Orient Med, 2024, 45(4): 189-203.
[18]	Wang L, Chen J, Liu H, et al. Meta-analysis of effectiveness of Chinese materia medica as adjuvant therapy of antibacterial for pediatric mesenteric lymphadenitis[J]. Revista Panamericana de Salud Pública, 2024, 48(3): e20240089.
[19]	陆俊，倪龚柳.理气化痰汤辨证加减联合益生菌治疗小儿急性肠系膜淋巴结炎的疗效分析[J]. 四川中医，2024,42(4):146-150.
[20]	赵一粒，李莎.柴胡桂枝汤加减治疗小儿肠系膜淋巴结炎脾胃湿热证的临床效果[J]. 临床医学研究与实践，2021,6(31):141-143.
[21]	陈静，刘敏，张艳.中医辨证护理联合饮食干预对小儿肠系膜淋巴结炎康复的影响[J]. 中国中西医结合儿科学，2024,16(3):276-279.
[22]	许世清，谢彬，王雪峰.王雪峰教授基于“治中焦如衡”探讨儿童功能性腹痛的经验[J]. 中国中西医结合儿科学，2025,17(3):260-263.
[23]	莫容如,吴家煜,郭誉丹,等.罗氏三香包联合西药治疗小儿肠系膜淋巴结炎的随机对照研究[J].山东中医杂志,2024,43(12):1407-1413.
[24]	李士星,姜爽爽.超声检查小儿肠系膜淋巴结肿大的临床意义[J].中国实用儿科杂志,2014,29(5):357-360.
[25]	颜佳佳,阮为勇.基于古今医案云平台分析中药治疗小儿肠系膜淋巴结炎用药规律[J].光明中医,2021,36(19):3250-3254.
[26]	李沛琼,孙丽平.脾胃虚寒型小儿肠系膜淋巴结炎经验探析[J].中国中西医结合儿科学,2024,16(1):85-88.
[27]	郭堃,吴九思,赵红霞,等.中医外治法治疗小儿肠系膜淋巴结炎研究进展[J].中国中西医结合儿科学,2021,13(3):196-200.
[28]	许佳烨,程申,杨育访,等.基于数据挖掘探讨王晓鸣教授诊治小儿再发性腹痛规律研究[J].中国中西医结合儿科学,2024,16(5):449-454.
[29]	张瑜,肖阳,周梦晓,等.从“食积内热”诊治小儿疾病经验采撷[J].中国中西医结合儿科学,2025,17(1):59-63.
[30]	陈致雯，石艳红，李盼.舒腹汤加减联合抗生素治疗小儿肠系膜淋巴结炎疗效及对患儿血清炎症因子的影响[J].陕西中医,2025,46(9):1214-1217.

Experience in treating mesenteric lymphadenitis in children from the perspective of throat

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 30

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	Zhonghe ZENG, Longming LEI, Jun ZHAO, Qiongxiao WANG, Lin FU, Mengyun WU, Danlu SU, Guanghui CHEN. A network Meta-analysis of the clinical efficacy of guideline-recommended external treatment of traditional Chinese medicine for anorexia in children [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 23-30.
[2]	Fang CHENG, Hong XIANG. Treatment for pediatric upper airway cough syndrome based on the "Xuanfu and Qi-Fluid Theory" [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 31-34.
[3]	Ying LIU, Yuhang SUI, Di ZHANG. Exploration on the treatment for tic disorder in children based on the gut-liver-brain axis theory [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 35-39.
[4]	Siang HAN, Xinye ZHANG, Yichen LIN, Chang CAI, Zhenqi WU. On the treatment for pediatric cough variant asthma from the theory of "liver ascending and lung descending" [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 40-44.
[5]	Jingnan XUE, Qing YANG, Yan ZHANG, Liujin JIA. Professor Jia Liujin's experience in treating atopic dermatitis in children based on the theory of "spleen bitterness and dampness" [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 45-49.
[6]	Lipeng SHAO, Yan HU. Exploring the treatment for childhood tic disorders by the Huxiang Medical School based on data mining [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 54-59.
[7]	Muyuan WAN, Pengfei YI, Qingyi XU, Jinsong YAN, Tian ZHANG, Liqin LIU, Mengqi CHEN, Qingqing LI. Systematic analysis of pediatric Chinese patent medicines and simple preparations included in the 2025 edition of the Chinese Pharmacopoeia [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 60-66.
[8]	Wanying CHANG, Youqi DONG. Case examples of Dong Youqi's application of Erchen decoction and its derivatives prescriptions in treating infantile phlegm-damp syndrome [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 67-70.
[9]	Sen KONG, Liang ZHANG, Nan LIAO, Guang TU. Application research on risk factor analysis of severe Mycoplasma pneumoniae pneumonia in children based on random forest model [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 71-76.
[10]	Yawen SONG, Bo CHEN. Research on the association between vitamin D and acute inflammation complicated by anemia in children [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 77-81.
[11]	Ruiqi CAI, Oumei HAO, Xuefeng WANG, Kexin ZHANG. Clinical observation of Xiaoji Lipi powder and anorexia plaster combined with conventional treatment for children with anorexia(spleen dysfunction syndrome) [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2025, 17(6): 461-465.
[12]	Qing WANG, Yaqin CHEN, Danfei YIN, Suli WANG, Xiaoming WANG. Exploration of prescription patterns in Professor Wang Xiaoming's treatment for pediatric food accumulation and stagnation based on data mining [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2025, 17(6): 466-471.
[13]	Qimin TANG, Yishi TU. Observation on the curative effect of Jianpi Yiqi ointment in treating anorexia(spleen and stomach qi-deficiency syndrome) in children [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2025, 17(6): 472-476.
[14]	Xuefeng WANG, Qi WANG, Minghua BAI, Ji WANG, Hua XU, Lining WANG, Baoqing ZHANG, Zhenze CUI, Zhenqi WU, Xue ZHAO, Xiuying ZHANG, Xinyue KONG, Hao HE, Xinwei LIU. Study on the assessment of "the TCM Constitution Scale for Children Aged 1⁺ to 7 Years" [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2025, 17(6): 477-487.
[15]	Yijue JING, Zhengyu YAO, Lü GAO. Research advances in the treatment of pediatric epilepsy with Pingxian granules [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2025, 17(6): 488-492.