基于“温邪则热变最速”理论的儿童肺炎支原体肺炎病因病机探析

The Etiology and Pathogenesis of Mycoplasma Pneumoniae Pneumonia in Children were Analyzed Based on the Theory of"Wenxie Ze Rebian Zuisu"

肺炎支原体肺炎系儿童常见呼吸道疾病,发病率逐年增加,重症、难治性病例逐渐增多,中医药治疗该病有显著的优势。依据该病的发病特点、症候特征、传变规律,属于温病范畴,而肺炎支原体归属于温邪范畴。文章基于温病"温邪则热变最速"理论内涵,从温邪"化热最速、传变最速、最易伤阴、血凝络伤"四个方面探析儿童肺炎支原体肺炎起病急骤、热象显著、症状严重、进展迅速、并发症多见的临床特点,深入理解肺炎支原体肺炎"热变最速"的病机特点,为临床从温病之卫气营血论治该病提供一种思路。

Mycoplasma pneumoniae pneumonia is a common respiratory disease in children,the incidence of which is increasing year by year,and the number of severe and refractory cases is gradually increasing.Traditional Chinese Medicine treatment of this disease has significant advantages.According to the characteristics of the disease,the characteristics of the symptoms and the law of transmissibility,mycoplasma pneumoniae belongs to the category of Wenbing,and mycoplasma pneumoniae pneumonia belongs to the category of Wenxie.Based on Wenbing"Wenxie Ze Rebian Zuisu"theoretical connotation,from Wenxie"Huare Zuisu,Chuanbian Zuisu,Zuiyi Shangyin,Xuening Luoshang"four aspects discusses clinical characteristics of the disease about Qibing Jizhou,Rexiang Xianzhu,severe symptoms,progress rapidly,see more complications,in children.The deep understanding of Mycoplasma pneumoniae pneumonia"Wenxie Ze Rebian Zuisu"characteristics of the pathogenesis,provide an idea for clinical from Wenbing of Wei Qi Ying and Xue about this disease.