基于“流津润燥”论治小儿肺炎支原体肺炎

Treatment of pediatric mycoplasma pneumoniae pneumonia based on the theory of “flowing fluid to moisten dryness”

小儿脏腑娇嫩,形气未充,且肺为娇脏,最易受邪,肺喜湿而恶燥,易受燥邪而致病。小儿肺炎支原体肺炎发病过程中,干咳是其主要的临床表现,亦符合燥邪伤肺的发病特点。小儿肺炎支原体肺炎以燥邪为因,根据其病位深浅、伤津程度不同可分为津液不荣与津液不畅两种病理状态。基于此,本团队提出以“流津润燥”为理论基础,应用润法以维持津液的流通灌溉,使脉道通利,津液得以输布,五脏得以灌溉滋养。本团队认为,燥邪伤及肺津、津液不畅是小儿肺炎支原体肺炎发生的根本因素,同时,外燥侵袭、内燥灼津、久蕴为毒是疾病发生发展的关键。治疗时应结合小儿的生理、病理特征,在“流津润燥”理论指导下,应用润法以润肺养津兼以祛邪,并配合补法、清法、下法等,多法合用,肺津充盈,邪去则正安。

Children’s visceral organs are fragile, and their morphology and physiological functions are not yet full. As a delicate organ, the lung is most vulnerable to evil. The lung suits dampness but is unaccustomed to dryness and is therefore susceptible to disease caused by dryness evil. In the pathogenesis of mycoplasma pneumoniae pneumonia(MPP) in children, dry cough is the main clinical symptom, which is consistent with the pathogenesis of lung injury caused by dryness evil. MPP in children is caused by dryness evil, and can be divided into two pathological states, namely, deficiency and obstruction of fluid, according to the depth of the disease and the degree of injury to fluid. Based on this, the theory of “flowing fluid to moisten dryness” is proposed. In this theory, moistening is applied to maintain the flow of fluid, so that the meridians can be opened, fluid can be transported, and the organs can be irrigated and nourished. Our team believe that dryness evil injuring the lung fluid and the obstruction of fluid are fundamental factors in the development of MPP in children. External dryness evil attacking the body, internal dryness evil burning the fluid, and evil becoming poisonous over time are key to the de-velopment of MMP. Treatment should consider the physiological and pathological characteristics of the children and be performed under the guidance of the theory of “flowing fluid to moisten dryness, ” including applying the moistening method to moisten the lung, nourish the fluid, and dispel the evil. This should be performed in combination with the tonic method, clearing method, and lowering method. By combining multiple method, the lung fluid will be full, the evil will be removed, and the body will become healthy.