北京中医药大学学报2026，Vol.49Issue(7)：889-894,6.DOI:10.3969/j.issn.1006-2157.2026.07.001
基于"体质土壤"学说探讨儿童支气管哮喘共病肥胖的辨治策略
Exploring the syndrome differentiation and treatment strategy of bronchial asthma comorbid obesity in children based on the"constitution soil"theory
摘要
Abstract
Bronchial asthma and obesity are common chronic diseases in children.In the past,the two diseases were regarded as independent diseases,resulting in poor treatment effects and repeated attacks.The"constitution soil"theory proposed by Academician WANG Qi points out that the constitution is the"soil"foundation of disease occurrence,and individual constitution differences determine disease susceptibility.Based on this theory,this paper systematically discusses the constitutional basis and syndrome differentiation and treatment strategy of children with bronchial asthma comorbid obesity.This comorbidity is primarily closely related to qi-deficiency,phlegm-dampness,and blood-stasis constitutions.Qi-deficiency constitution is characterized by"barren soil"with nutrient deficiency and insufficient vitality;phlegm-dampness constitution is characterized by"turbid soil"with poor qi movement and phlegm dampness stagnation;and blood-stasis constitution is characterized by"compacted soil"with stagnation of qi and blood stasis and intermingled phlegm and stasis.Clinically,based on the principle of"co-prevention and co-treatment,"according to different"soil"states,the"constitution soil"is improved by strengthening the earth to generate metal,eliminating phlegm and dampness,and eliminating paste and removing blood stasis.In terms of prevention,through diet,exercise,emotional adjustment,and external treatment,the body is adjusted and nourished by constitution differentiation,and the gate of intervention is moved forward,thus blocking the vicious circle of bronchial asthma and obesity.关键词
体质土壤/支气管哮喘/肥胖/共病/儿童/同防共治Key words
constitution soil/bronchial asthma/obesity/comorbidity/children/co-prevention and co-treatment分类
医药卫生引用本文复制引用
赵亚格,闫永彬,丁樱,刘文博,张雪琦,徐闪闪..基于"体质土壤"学说探讨儿童支气管哮喘共病肥胖的辨治策略[J].北京中医药大学学报,2026,49(7):889-894,6.基金项目
国家重点研发计划项目(No.2024YFC3506000,No.2024YFC3506002) （No.2024YFC3506000,No.2024YFC3506002）
2025 年新发突发与重大传染病防控国家科技重大专项资助项目(No.2025ZD01902904) （No.2025ZD01902904）
国家自然科学基金面上项目(No.82174438) （No.82174438）
河南省自然科学基金重点科学基金项目(No.252300421274) （No.252300421274）
河南省科学技术厅科技攻关项目(No.252102310482) （No.252102310482）
河南省中医药科学研究专项重点课题(No.20-21ZY1002) National Key R&D Program of China(Nos.2024YFC3506000 and 2024YFC3506002) （No.20-21ZY1002）
