"少阳为枢"与"三焦气化":论小儿久咳的核心病机与转枢治法OA

Persistent cough in children is a complex condition often not limited to the lungs alone.Based on the theory of"Shaoyang as the pivot"and the doctrine of"Sanjiao Qi transformation"from the"Inner Canon",combined with the physiological characteristics of children,namely"the liver is often in excess and the spleen is often deficient",this article systematically constructs an explanatory framework for the core pathogenesis of persistent cough in children.The analysis suggests that the malfunction of Shaoyang pivot is the key trigger for the dysfunction of Sanjiao qi transformation,leading to qi stagnation and water metabolism disorders,ultimately forming a core pathogenesis chain of"pivot malfunction-qi transformation dysfunction-phlegm retention-lung qi ascending".The disease location involves multiple systems such as the liver,gallbladder,Sanjiao,spleen,and lungs,and the nature of the disease is often characterized as"deficiency in the root and excess in the branch,mixed cold and heat".Based on this,a"pivot-regulating treatment method"centered on"dredging Shaoyang and smoothing Sanjiao"is proposed.The key lies in restoring the normal distribution pathways of qi and water,while protecting the middle energizer to solidify the axis of rotation.This article provides a new perspective and systematic treatment plan for the diagnosis and treatment of persistent cough in children that goes beyond the lung-centered approach.