南京中医药大学学报2026，Vol.42Issue(1)：46-52,7.DOI:10.14148/j.issn.1672-0482.2026.0046
从"四季脾旺不受邪"探讨儿童反复呼吸道感染间歇期的证治思路
To Explore the Differentiation and Treatment Strategies for the Intermittent Period of Recurrent Respira-tory Tract Infections in Children Based on the Theory of"Thriving Spleen in Four Seasons,Preventing Pathogenic Invasion"
摘要
Abstract
Based on the theory of"thriving spleen in four seasons,preventing pathogenic invasion",Professor Zhao Xia proposes that the core pathogenesis of pediatric recurrent respiratory tract infections(RRTIs)in the intermission stage lies in spleen dysfunction in transportation,unconsolidated lung defense.Specifically,this manifests as spleen deficiency and impaired transportation,leading to stagnation of qi;disharmony of nutritive and defensive qi,resulting in weakened external defense;spleen deficiency generating phlegm,and accumulation of heat and stasis;and dysfunction of zang-fu organs,leading to other complications.The key points of prevention and treatment are promoting spleen transportation to prevent infection and tonifying the lungs to consolidate defensive qi.Specific treat-ment methods include promoting spleen transportation for infection prevention and consolidating exterior to arrest sweating;treating lung and spleen simultaneously to harmonize nutrient qi and defensive qi;clearing heat and transporting spleen to resolve accumulation and dispel phlegm;regulating the zang-fu organs and performing syndrome-based modification of prescriptions.This theory provides important theoretical basis and clinical guidance for the prevention and treatment of RRTIs.关键词
四季脾旺不受邪/儿童/反复呼吸道感染/间歇期/运脾防感/补肺固卫/名医经验分类
医药卫生引用本文复制引用
蔡迎,赵霞..从"四季脾旺不受邪"探讨儿童反复呼吸道感染间歇期的证治思路[J].南京中医药大学学报,2026,42(1):46-52,7.基金项目
江苏高校优势学科建设工程资助项目(PAPD) （PAPD）
江苏省中医药领军人才培养项目(SLJ0320) （SLJ0320）
