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基于"甘守津还"理论辨治儿童慢性咳嗽OA

Treatment based on syndrome differentiation of chronic cough in children based on the theory of gan shou jin huan

中文摘要英文摘要

儿童慢性咳嗽在中医属"久咳""顽咳"范畴,病机可归为肺脾阴虚、津液亏损、肺失濡润,且与脾胃失调密切相关.基于此,治疗上可选用"甘守津还"之法,即通过甘味药物以补益中焦脾胃、守护津液.本文将"甘守津还"理论与儿童"脏腑娇嫩""纯阳之体"易致津液代谢失常的特点相结合,系统阐述其在儿童慢性咳嗽治疗中的应用价值.文章从理论内涵、病机契合性及具体治法三方面展开论述,提出甘寒生津、甘温益气、酸甘敛阴三种治法,为临床提供了一套系统、温和的中医调治策略与理论依据.

Chronic cough in children falls under the categories of"chronic cough"and"intractable cough"in traditional Chinese medicine.The pathogenesis can be classified as lung and spleen yin deficiency,fluid depletion,lung loss of moistening,and close correlation with spleen and stomach dysfunction.Based on this,the method of"gan shou jin huan"can be adopted for treatment,which involves using sweet-flavored herbs to tonify middle jiao(the spleen and stomach)and protect the body fluids.In this paper,the theory of"gan shou jin huan"is combined with the characteristics of children's"delicate viscera"and"pure yang"which are easy to cause abnormal body fluid metabolism,and its application value in the treatment of children's chronic cough is systematically expounded.This paper discusses from three aspects of theoretical connotation,pathological mechanism compatibility,and specific treatment methods.And it proposes three treatment methods,namely generating fluid with sweet-cold herbs,replenishing qi with sweet-warm herbs,and astringing yin with sour-sweet herbs,providing a systematic and mild TCM treatment strategy and theoretical basis for clinical practice.

肖如瑾;谢彬;赵月

辽宁中医药大学第一临床学院,沈阳 110847辽宁中医药大学附属医院儿科,沈阳 110032辽宁中医药大学附属医院儿科,沈阳 110032

医药卫生

儿童慢性咳嗽甘守津还津液代谢甘味药

chronic cough in childrengan shou jin huanbody fluid metabolismsweet-flavored herbs

《长春中医药大学学报》 2026 (9)

1025-1029,5

第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号)辽宁省科学技术计划项目(2025-MSLH-508)

10.13463/j.cnki.cczyy.2026.09.004

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