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从"天有阴阳"到"冬伏春温"探讨小儿春温病机与防治OA

From"cosmic Yin-Yang"to"winter latency and spring warmth":Pathogenesis and stage-specific prevention of pediatric Chunwen

中文摘要英文摘要

小儿流感是冬春季节严重威胁儿童健康的急性呼吸道传染病,在中医理论中属于"小儿春温"范畴,其传染性强、起病急、传变迅速、易发重症的特点给临床防治带来挑战.本文基于《黄帝内经》"天有阴阳"和"冬不藏精,春必病温"理论,紧密结合小儿"稚阴稚阳、三不足两有余"的体质特征,初步探讨小儿春温的中医病因病机及分期防治方法,同时创新性运用"天有阴阳-冬伏春温"理论贯穿小儿春温防治全过程,概括提出小儿春温"冬伏-春发-传变-瘥后"的病机过程.研究强调冬季寒邪潜伏、春季阳气升发时伏邪随阳外泄的演变规律,且针对不同阶段分别采用对应治法,以期为小儿流感的相关研究与临床诊疗提供新的视角与循证指导.

Pediatric influenza is an acute respiratory infectious disease that severely threatens children's health in winter-spring seasons.This condition,classified as pediatric Chunwen in traditional Chinese medicine(TCM),presents significant clinical challenges due to its high transmissibility,abrupt onset,rapid progression,and tendency to cause severe complications.The present study explores the etiology,pathogenesis,and stage-specific management of pediatric Chunwen based on the Huangdi Neijing theory of"cosmic Yin-Yang"and"failure to conserve essence in winter leads to warm disease in spring",integrating the pediatric constitutional paradigm of"tender Yin-Yang constitution with three deficiencies and two excesses(san xu er shi)".This study applies the theoretical paradigm of"cosmic Yin-Yang—winter latency and spring warmth"across the full spectrum of prevention and treatment.It proposes a sequential pathogenic model summarized as"winter latency → spring onset → progression → recovery",emphasizing the evolutionary trajectory of latent cold pathogens in winter and their manifestation with ascending Yang energy in spring.Corresponding therapeutic strategies are established for each stage.This study aims to provide novel theoretical perspectives and evidence-based guidance for clinical management and future research on pediatric influenza.

曹人予;姚宏赛;陈映西;郑秀丽

成都中医药大学临床医学院,四川 成都 610075成都中医药大学临床医学院,四川 成都 610075成都中医药大学临床医学院,四川 成都 610075成都中医药大学基础医学院,四川 成都 610075

医药卫生

天有阴阳冬伏春温小儿春温稚阴稚阳分期防治

Cosmic Yin-YangWinter latency and spring warmthPediatric ChunwenTender Yin-Yang constitutionStage-specific prevention and treatment

《四川中医》 2026 (8)

50-57,8

四川省高校人文社会科学重点研究基地/四川中医药文化协同发展研究中心课题(2024XT089).

10.26946/j.cnki.1000-3649.sczy.2512110002

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