从金水相生理论认识儿童闭塞性细支气管炎

Understanding Pediatric Bronchiolitis Obliterans from the Theory of Mutual Generation of Metal and Water

儿童闭塞性细支气管炎(BO)是一种慢性阻塞性肺系疾病,该病具有病因复杂,病情迁延难愈,死亡率高等特点,且目前尚无行之有效的治疗手段。近年来发现,中医对该病的治疗有一定的优势。现基于中医五行学说,认为肺金与肾水本为同源,相互滋养。故提出从金水相生角度认识儿童BO,研究其内在联系以及演变过程。治疗上则根据“治未病”思想,补肺益肾,增强正气,为中医药防治儿童BO从肺肾论治提供理论依据。

Pediatric bronchiolitis obliterans(BO) is a chronic obstructive pulmonary disease characterized by complex etiology,prolonged and difficult recovery,and high mortality.Currently,there is no effective treatment available.However,recent findings suggest that traditional Chinese medicine(TCM) has certain advantages in treating this disease.Based on the five elements theory in TCM,it is believed that the lung(metal) and kidney(water) share the same origin and mutually nourish each other.Therefore,this perspective proposes understanding pediatric BO from the angle of the generation of metal and water,investigating their internal connections and evolutionary process.In terms of treatment,following the principle of “treating disease before it arises”,the approach involves tonifying the lung and benefiting the kidney to strengthen the healthy qi of the body.This study is expected to provides a theoretical basis for TCM in preventing and treating pediatric BO from the perspective of the lung and kidney.