应用“五脏同调”法论治儿童反复呼吸道感染

On the Treatment of Recurrent Respiratory Tract Infection in Children with the Method of"Regulating Five Zang-visceras Simultaneously"

儿童反复呼吸道感染内因于正气不固,外源于外邪侵袭,二者交互影响,导致患儿屡感外邪,邪毒久恋,稍愈复作,形成往复不已之势。本病辨证论治重在联系五脏,不可仅治一脏。辨病需从"五脏一体观"出发,综合考察五脏功能,遣方用药之时需兼顾五脏,最终治疗目标是使五脏调和、相互为用,共同构成严密的机体防御屏障,一则御邪于外,二则感邪易清。治疗时,运用"五脏同调"法。发病初期,外邪犯肺,尚未累及其他脏腑,治以发散表邪、宣肺理气为主;疾病缓解期以固本为主,首先确定患儿以何种脏腑功能失调为主,然后依据脉证分析与之相关脏腑功能的异常情况,在治疗主证的同时,可采用养心阴、温肾阳、疏肝气、补脾肺等综合治疗方法,从整体调节患儿的脏腑功能,最终达到五脏调和、机体阴阳平衡的健康状态。

The internal cause of recurrent respiratory tract infection in children is the deficiency of vital qi,and the internal cause of it is the invasionof the external pathogens.The interaction of the two causes the children′s repeated infection with external pathogens,and the pathogenic toxins stay for a long time,which is easy recovered and recurred.The treatment based on syndrome differentiationof this disease focuses on the connection of five zang-visceras.Don′t treat only one zang-viscera.In order to distinguish diseases,we should start from the view of"holism of five zang-visceras",comprehensively investigate the functions of the five zang-visceras,and give consideration to the five zang-visceras when choosing prescriptions.The ultimate goal of treatment is to make the five zang-visceras harmoniously and use each other to form a tight body defense barrier,one is to resist external pathogens in vitro,and the other is to eliminate the pathogens easily even if we infect pathogens.During the treatment,the method of"regulating five zang-visceras simultaneously"should be used.In the early stage of the disease,external pathogens invade the lung,but not involve other viscera.The main treatment is to disperse superficies pathogens,ventilate lung qi and regulate qi.In the remission period of the disease,it is mainly to consolidate the body resistance.First,it is necessary to determine what kind of zang-fu viscera dysfunction is the main cause of the disease.Then,it is necessary to analyze the abnormal situation of zang-fu visceral function according to the pulse syndrome.At the same time of treating the main syndromes,we can adopt the comprehensive treatment methods such as nourishing heart yin,warming kidney yang,soothing liver qi,nourishing spleen and lung to regulate the function of the children′s zang-fu viscera as a whole,and finally achieve the healthy state of five zang-visceras harmony and balance of yin and yang of the body.