调气消风法指导儿童呼吸道过敏性疾病的辨证论治与研究展望OA
Syndrome Differentiation,Treatment,and Research Prospect of Qi-Regulating and Wind-Dispelling Therapy for Pediatric Allergic Respiratory Diseases
儿童呼吸道过敏性疾病的发病率呈逐年上升趋势,已成为影响儿童健康的重要公共卫生问题,中医药在调节免疫稳态、改善体质、减少复发方面具有潜在优势.本文提出"调气为纲,消风为要"的调气消风法,用于指导儿童呼吸道过敏性疾病的临床辨证论治.特禀质儿童伏风内潜,肺常不足,冒受虚邪贼风,而致肺失宣肃,则发生变应性鼻炎、咳嗽变异性哮喘、支气管哮喘等呼吸道过敏性疾病.同时,从易感基因、免疫调节、表观遗传等三个方面,认识特禀质儿童发生呼吸道过敏性疾病的病理机制.总结消风宣窍法治疗儿童变应性鼻炎、消风涤痰法治疗支气管哮喘、消风止咳法治疗咳嗽变异性哮喘的临床实践与研究思路.
The incidence of pediatric allergic respiratory diseases has shown a steadily increasing trend,emerging as a critical pub-lic health concern affecting children's health.Traditional Chinese medicine(TCM)demonstrates potential advantages in modulating immune homeostasis,improving constitutional predisposition,and reducing disease recurrence.This study proposes the qi-regulating and wind-dispelling therapy,guided by the principle of"prioritizing qi regulation and focusing on wind elimination",for clinical man-agement and research of pediatric allergic respiratory diseases.Children with atopic constitution exhibit latent wind pathogens inter-nally and chronic lung insufficiency.When exposed to"exogenous pathogenic factors",their lung diffusion and descent functions be-come impaired,leading to allergic respiratory diseases such as allergic rhinitis,cough-variant asthma,and bronchial asthma.Pathologi-cal mechanisms underlying these conditions in atopic children are explored through three dimensions:susceptibility genes,immune regulation,and epigenetics.Clinical practices and research methodologies are summarized,including:wind-dispelling and orifice-opening therapy for pediatric allergic rhinitis,wind-dispelling and phlegm-resolving therapy for bronchial asthma,and wind-dispelling and cough-suppressing therapy for cough-variant asthma.
汪受传;卢志远;柴二曦;林丽丽
南京中医药大学第一临床医学院,江苏 南京 210023南京中医药大学附属医院,江苏 南京 210029南京中医药大学中医儿科学研究所/儿童健康与中医药省高校重点实验室,江苏 南京 210023江苏省中医流派研究院,江苏 南京 210023
医药卫生
儿童呼吸道过敏性疾病调气消风法伏风理论特禀质易感基因免疫调节表观遗传
pediatric allergic respiratory diseasesqi-regulating and wind-dispelling therapylatent wind theoryatopic constitu-tionsusceptibility geneimmunomodulationepigenetics
《南京中医药大学学报》 2026 (1)
1-8,8
国家中医药管理局全国名中医传承工作室建设项目(国中医药人教发[2018]119号)国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函[2023]85号)江苏省中医流派研究院重点课题(LPZD2025012)
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