试论“风者,百病之长也”与儿科疾病的相关性

Discussion on the relationship between “wind being primary pathogen” and pediatric diseases

风为百病之长,百病之始也,致病广泛,历代医家对"风"的认识有所不同,但始终不离外风与内风之说。随着现今外界环境的变化,风邪伤人较前更甚,临床上对风邪的认识亦逐渐深入。"风"邪可有狭义与广义之分,狭义之"风"单指六淫中的风邪,广义之"风"除了六淫中的风邪外,还包括了其他具有轻扬开泄、善动不居等特点的一切"外风"以及因体内阳气亢逆变动而产生的"内风"。文章从广义之"风"入手,结合小儿生理病理特点,阐述"风邪致病"在儿科疾病发病中的重要性,以期为儿科临床辨证提供参考。

Pathogenic wind is the leading and beginning evil of all diseases.Cognition to“pathogenic wind”by physicians in all dynasties was different,but couldn't be separated from exogenous wind and endogenous wind.With surroundings changing greatly today,pathogenic wind may promote more injuries,and the clinical understanding of the wind evil is also gradually deepened.“Pathogenic wind”can be classified into two types:one in narrow sense and another in broad sense.The former only refers to wind evil in six exogenous pathogenic factors,and the latter includes not only the former,but also exogenous wind which is light,open,outgoing,mobile,changeable,and endogenous wind,which is caused by the reactivity of yangqi in body.This dissertation,with a view to the pathogenic characteristics of wind evil in broad sense,combining children’s traits of physiology and pathology,describes the significance of“the pathogenicity of wind”in pediatric diseases,in order to provide reference in pediatric clinical differentiation.