活用温病理论分期论治儿童社区获得性肺炎浅谈

Discussion on the Application of the Theory of Epidemic Febrile Disease in the Staging Treatment of Community-acquired Pneumonia in Children

儿童社区获得性肺炎的发病率逐年增高,是严重危害儿童健康的呼吸道疾病之一。本病属中医学的"风温肺热病"范畴,笔者结合多年的临床经验,依据温病理论,应用卫气营血辨证,将本病分为"热在肺卫""痰热壅肺""营热内盛""正虚邪恋"四型论治,创新了本病的辨证体系,体现了中医药在治疗儿童社区获得性肺炎中的优势。

The incidence of community-acquired pneumonia（ CAP） in children is increasing year by year. It is one of the respiratory diseases that seriously harm the health of children. It is belongs to traditional Chinese medicine of ＂ wind-warm pyretic pulmonary disease＂. Combined with many years of clinical experience, on the basis of warm disease theory, the authors applied syndrome differentiation of weifen, qifen, yingfen, and xuefen, this disease was divided into the four type of governance innovation,such as ＂ heat invading lung syndrome＂, ＂ phlegm-heat obstructing the lung＂, ＂ excessive heat in the ying system＂ and ＂syndrome of lingering pathogen due to deficient vital qi＂. The system of syndrome differentiation was innovated, and the advantage of the traditional Chinese medicine in treating the CAP in children was reflected.