粗谈“上咳下泄调其中”

Superficial discussion about cough and diarrhea treated through Middle Jiao

咳嗽、泄泻为两种儿科常见病症,病机上,咳嗽为肺气上逆,泄泻为清气下陷,其有因于痰或因于湿,皆与气机失调有关。治疗上,咳嗽宜降逆气,泄泻宜升清气,需调气之升降;咳嗽宜化痰,泄泻宜祛湿,要调输津液。这两种病症的病机与治疗,存在一致性,也有矛盾性,应畅气机、理津液,合并存在时,调其中焦为斡旋权衡的适宜、首选方法。

Cough and diarrhea are two common pediatric disorders.The pathogenesis of cough is the upward reversal of the lung qi while the pathogenesis of diarrhea is the sinking of the clear qi.The pathogenesis partly results from either the phlegm or the dampness and both are related to qi-activity disorder syndrome.The treatment should be to harmonize the rising and the sinking of the qi.For cough we should lower the adverse qi while for diarrhea we should raise the clear qi.To treat cough we should resolve phlegm while to treat diarrhea we should dispel dampness.In the treatment of both disorders we should regulate the metabolism of body fluid.There is consistency as well as contradictions in the pathogenesis and treatment of these two disorders.Therefore,we should regulate the qi-activity or harmonize the body fluid.When both occur,the preferred method of treatment is to regulate the Middle Jiao.