基于"辨病-辨体-辨证"探讨儿童过敏性紫癜中医辨治OA
Exploration on the traditional Chinese medicine differentiation and treatment of allergic purpura in children based on'disease differentiation-constitution differentiation-syndrome differentiation'
过敏性紫癜是儿童时期常见的血管炎性疾病.基于"辨病-辨体-辨证"诊疗模式,文章将病、体、证结合运用在儿童过敏性紫癜中,辨疾病规律、明体质特征、定证治方药.总结儿童过敏性紫癜的核心病机为基楯不固、禀赋不耐、外邪袭体、缠绵难愈,治疗时综合病、体、证3个方面情况分期论治,发病期以"证"为主,同时在辨病辨体基础上祛风稳体、清热调体、祛湿健体、益气补体、滋阴养体;稳定期以"体"为要,同时在辨证辨病基础上调体防护,谨防复发.
Allergic purpura is a common vasculitis disease in childhood.Based on the'disease differentiation-constitution differentiation-syndrome differentiation'diagnostic and therapeutic model,this article integrates disease,constitution,and syndrome in the management of allergic purpura in children,aiming to identify the patterns of disease evolution,clarify the characteristics of constitution,and determine syndrome-based treatment and prescriptions.It is concluded that the core pathogenesis of allergic purpura in children includes insecurity of the fundamental shield,inherent intolerance,invasion by external pathogens,and lingering difficulty in recovery.Treatment should be staged based on the comprehensive consideration of disease,constitution,and syndrome.In the acute stage,priority is given to'syndrome differentiation',while on the basis of disease differentiation and constitution differentiation,adopting methods such as dispelling wind to stabilize the constitution,clearing heat to regulate the constitution,eliminating dampness to strengthen the constitution,supplementing qi to tonify the constitution,and nourishing yin to nurture the constitution.In the remission stage,priority is given to'constitution regulation',while on the basis of syndrome differentiation and disease identification,carrying out constitutional care and protection to prevent recurrence.
岳慧芳;任献青;胥晓琦;袁振华;蔡明阳;姜盈盈;许爽;周荣易
河南中医药大学第一附属医院儿科医院,郑州 450000河南中医药大学第一附属医院儿科医院,郑州 450000||河南中医药大学儿科医学院,郑州 450046河南中医药大学儿科医学院,郑州 450046北京中医药大学第一临床医学院,北京 100700河南中医药大学儿科医学院,郑州 450046河南中医药大学儿科医学院,郑州 450046河南中医药大学儿科医学院,郑州 450046河南中医药大学儿科医学院,郑州 450046
辨病辨体辨证儿童过敏性紫癜三辨诊疗模式中医药
Disease differentiationConstitution differentiationSyndrome differentiationAllergic purpura in childrenThree-identification diagnostic and therapeutic modelTraditional Chinese medicine
《中华中医药杂志》 2026 (4)
1071-1075,5
国家自然科学基金联合基金项目(No.82374519),河南省省级科技研发科技计划联合基金(No.222301420022)
评论