李燕宁教授从湿热辨治儿童支原体肺炎

Treating mycoplasma pneumonia in children from the aspect of damp-heat by Professor LI Yanning

近年来,儿童支原体肺炎发病率增高,主要感染部位为呼吸道,夏秋季多发,主要表现为发热、咳嗽,常伴大便黏腻、舌苔黄腻或白腻,病情缠绵难愈,以上均与湿热致病相符,且临床选用清利湿热药物治疗疗效可靠,因此考虑儿童支原体肺炎多为湿热致病。文章通过分析支原体肺炎与湿热邪气的相关性,从感邪途径、湿热辨证、痰湿关系论述,认为在儿童支原体肺炎的治疗过程中要重视湿热因素,注意化湿药物的应用,为中医治疗该病拓宽思路。

In recent years,the incidence of mycoplasma pneumonia in children has increased.The main site of infection is the respiratory tract.It occurs frequently in summer and autumn,mainly manifested as fever,cough,often accompanied by sticky stools,yellow greasy or white coating on tongue.The illness is lingering and hard to heal.The above characteristics are consistent with damp-heat pathogene,and the clinical efficacy of clearing damp-heat medicines is reliable.Therefore,it is considered that mycoplasma pneumonia in children is mostly caused by damp-heat pathogene.In this article,the correlation between mycoplasma pneumonia and damp-heat pathogenicity was analyzed from the aspects of pathogenic pathway,damp-heat syndrome,and the relationship between phlegm and dampness.It is believed that the damp-heat factors should be emphasized in treating mycoplasma pneumonia in children,and dampreducing medicines should be applied in clinic in order to broaden the thinking treatment of the disease.