浙江中医药大学学报2025，Vol.49Issue(8)：1004-1011,8.DOI:10.16466/j.issn1005-5509.2025.08.007
从"同气相求"理论探讨儿童肺炎支原体肺炎后慢性咳嗽湿热证治疗
Discussion on the Treatment of Chronic Cough with Damp-Heat Syndrome after Mycoplasma Pneumoniae Pneumonia in Chil-dren from the Theory of"Sensation and Response"
摘要
Abstract
[Objective]To discuss the treatment of chronic cough with damp-heat syndrome after mycoplasma pneumoniae pneumonia(MPP)in children from the theory of"sensation and response".[Methods]The philosophical basis and theoretical connotation of Chinese medicine were clarified by tracing back the theory of"sensation and response".Based on the theory of"sensation and response",the etiology and pathogenesis of chronic cough and damp-heat syndrome after MPP in children were analyzed from the four levels of Qi of nature,Qi of human body,Qi of medicine and food,and Qi of disease and evil,and the prescriptions and medicines were used,with a test case for proof.[Results]Based on the theory of"sensation and response",the pathogenesis of post-MPP chronic cough with dampness-heat syndrome in children can be attributed to the convergence of internal and external"dampness."This determination integrates multiple factors,including celestial heat,terrestrial dampness,summer climatic conditions and the annual host-guest Qi,the child's constitutional predisposition,pre-treatment status,and epidemic pathogenic influences.The therapeutic strategies should adhere to the principle of"sensation and response",emphasizing the differentiation of dampness-heat severity and its manifestations,followed by targeted elimination of dampness-heat from the tri-Jiao.For instance,in the case characterized by dampness-heat diffusing in the tri-Jiao with predominant dampness,the treatment approach involved dredging the tri-Jiao,resolving dampness and clearing heat through tailored modifications of Huopu Xialing Decoction and tri-Jiao Xuanbi Decoction.Clinical observations demonstrated favorable outcomes with this regimen.[Conclusion]The principle of"sensation and response"fundamentally guides the entire therapeutic process,from etiological analysis to treatment formulation in managing post-MPP chronic cough with dampness-heat syndrome.The primary disease mechanism involves the synergistic interaction between endogenous and exogenous dampness.The treatment should consistently adhere to the"sensation and response"approach,employing timely and situation-appropriate strategies to eliminate dampness-heat pathogens.Prescription selection must be based on careful differentiation of the relative predominance between dampness and heat manifestations.关键词
儿童肺炎支原体肺炎/慢性咳嗽/湿热咳嗽/同气相求/上焦宣痹汤/藿朴夏苓汤/医案/中医药疗法Key words
children mycoplasma pneumoniae pneumonia/chronic cough/damp-heat cough/sensation and response/Shangjiao Xuanbi Decoction/Huopu Xialing Decoction/medical records/traditional Chinese medicine therapy分类
医药卫生引用本文复制引用
董子琪,潘璐,黄静,甘国凌,陈昱汝,吕佳璇..从"同气相求"理论探讨儿童肺炎支原体肺炎后慢性咳嗽湿热证治疗[J].浙江中医药大学学报,2025,49(8):1004-1011,8.基金项目
国家公立医院改革与高质量发展示范项目(北京市海淀区)(11010822T000001740154) （北京市海淀区）
中国中医科学院西苑医院名老中医经验传承研究专项(XYZX0101-28)National Public Hospital Reform and High-Quality Development Demonstration Project(Haidian District,Beijing)(11010822T000001740154) （XYZX0101-28）
China Academy of Chinese Medical Sciences Xiyuan Hospital Distinguished Veteran Chinese Medicine Experience Transmission Research Project(XYZX0101-28) （XYZX0101-28）
