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从"内虚外损"理论辨治儿童反复呼吸道感染

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总结尚莉丽教授基于"内虚外损"理论辨治儿童反复呼吸道感染(RRTIs)的经验,认为儿童处于生长发育期,脏腑娇嫩、正气不足,谓之"内虚";外邪反复侵袭,寒热兼夹,损伤气、血、精、神,谓之"外损";"内虚外损"导致患儿反复感邪,身心受累,影响生长发育."内虚外损"理论突出内、外因素对儿童RRTIs的影响,反映了病机演变规律,从而有利于指导临床分期治疗,急性感染期风热证治以辛凉清散,风寒证治以辛温开闭,虚实夹杂证活用攻、补、和、托诸法,辨证论治,随症加减;感染间歇期以扶助正气为目的,兼顾上、中、下三焦,采取益肺、健脾、补肾等治则,为儿童RRTIs的治疗提供有益的思路和方法.
Diagnosis and Treatment of Recurrent Respiratory Tract Infections in Children Based on the Theory of"Internal Deficiency and External Injury"
This article summarizes Professor Shang Lili's experience in diagnosing and treating recurrent respiratory tract infections(RRTIs)in children based on the theory of"internal deficiency and external injury".Professor Shang believes that children are in the stage of growth and development,with delicate organs and insufficient vital energy,which is called"internal deficiency";external pathogens repeatedly invade the human body,resulting in clinical manifestations of both cold and heat,ultimately damaging the body's qi,blood,essence,and spirit,known as"external injury"."Internal deficiency and external injury"leads to repeated infections of pathogens in children and causes physical and mental distress,affecting their growth and development.The theory of"internal deficien-cy and external injury"emphasizes the influence of internal and external factors on RRTIs in children,reflecting the evolution of patho-genesis and guiding clinical staging treatment.During the acute infection period,the treatment of wind heat syndrome is based on the Xin Liang and Qing San methods,while the treatment of wind cold syndrome is based on the Xin Wen and Kai Bi methods.For the mixed deficiency and excess syndrome,various methods such as attacking,supplementing,harmonizing,and supporting should be used,and treatment should be based on syndrome differentiation,with adjustments made according to the symptoms;during the inter-mittent period of infection,Professor Shang aims to assist the righteous qi,taking into account the upper,middle,and lower Jiao,and adopting treatment principles such as nourishing the lungs,spleen,and kidneys.Professor Shang's experience provides useful ideas and methods for the treatment of RRTIs in children.

childrenrecurrent respiratory tract infectionsinternal deficiency and external injurystaged treatmentexperience of fa-mous doctor

崔何晴、许文彬、尚莉丽、施卫兵、郭锦晨

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安徽中医药大学研究生院,安徽 合肥 230038

安徽中医药大学第一附属医院,安徽 合肥 230031

安徽中医药大学新安医学与中医药现代化研究所,安徽 合肥 230012

新安医学教育部重点实验室,安徽 合肥 230038

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儿童 反复呼吸道感染 内虚外损 分期论治 名医经验

尚莉丽全国名老中医药专家传承工作室建设项目国家中医药管理局科教项目国家中医药管理局高水平中医药重点学科建设项目合肥综合性国家科学中心大健康研究院揭榜挂帅项目

国中医药人教函[2022]75号2023ZYLCYJ05-05国中医药人教函[2022]226号2023CXMMTCM009

2024

南京中医药大学学报
南京中医药大学

南京中医药大学学报

CSTPCD北大核心
影响因子:1.658
ISSN:1672-0482
年,卷(期):2024.40(8)
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