Discussion on the differentiation and treatment of mesenteric lymphadenitis in children based on the theory of"earth pivot four organs and whole qi circulating"
Mesenteric lymphadenitis(ML)is a common digestive system disease in pediatrics.It is a common cause of acute abdominal pain in children,which is characterised by recurrent attacks.If not treated properly with protracted duration,children's growth and development will be affected.Western medicine focuses on relieving pain and resisting inflammation,traditional Chinese medicine(TCM)has unique advantages in the treatment of ML.HUANG Yuanyu's"earth pivot four organs and whole qi circulating"is a theory about the circulation of qi in the body,which emphasizes in particular the importance of the middle-jiao.The spleen and stomach in middle-jiao is the core of the ascending and descending of qi in this theoretical system.The qi of spleen and stomach rises on the left to form the heart and liver,and falls on the right to form the lungs and kidneys.This process,just like a ring,is in an infinite loop.The brain-gut axis is a collective term for the complex information exchange network between the digestive system and the nervous system,which has some similarities with the theory of"earth pivot four organs and whole qi circulating".The etiology and pathogenesis of ML are consistent with the viewpiont of yang deficiency and yin excessiveness,and dampness obstructs the middle-jiao,causing the middle-jiao losing its vitality,resulting in stagnation of qi circulating in this theory.At the same time,the occurrence and development of ML is also regulated by the brain-gut axis.Therefore,the main pattern of this disease is spleen deficiency and dampness obstruction.Liver-spleen qi stagnation and spleen-kidney yang deficiency are common causes,too.Based on the theory of"earth pivot four organs and whole qi circulating",significant clinical effects can be achieved in the treatment of ML by warming yang and regulating middle-jiao,drying dampness and activating qi,dissipating phlegm and resolving masses,combined with the theory of the brain-gut axis.
earth pivot four organs and whole qi circulatingHUANG Yuanyumesenteric lymphadenitiswarming middle jiao,drying dampness,and activating qi
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