基于“肾应冬”理论探讨儿童过敏性紫癜发病与防治  

Pathogenesis and prevention of Henoch-Sch?nlein purpura in children based on the theory of“kidney responding to winter”

作　　者：刘华[1] 任献青 苏杭[2,3] 许爽 丁樱[2,3] LIU Hua;REN Xianqing;SU Hang;XU Shuang;DING Ying(Henan University of Chinese Medicine,Zhengzhou 450046,China;The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China;Medical College of Pediatrics,Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学,郑州450046 [2]河南中医药大学第一附属医院 [3]河南中医药大学儿科医学院

出　　处：《北京中医药大学学报》2022年第6期637-640,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金联合基金项目(No.U2004107);河南省特色骨干学科中医学学科建设项目(No.STG-ZYXKY-2020021);河南省中医药科学研究专项课题(重点课题)(No.2019JDZX2005);河南省首批拔尖人才专项基金(No.2019ZYBJ01);河南省卫生健康委国家中医临床研究基地科研专项(No.2021JDZY013)。

摘　　要：儿童过敏性紫癜发病特点符合“肾应冬”理论内涵,冬季阴气盛阳气微,人应天,阳气潜藏于肾,卫表阳气不足,易受邪侵,发为紫癜。“肾应冬”理论可从天人相应、伏邪遇感触发、络脉受损、玄府怫郁致病等角度阐明。有效减少儿童过敏性紫癜发病的方法为顺应肾之封藏之性,避免他邪干肾;发病后防止病邪传变的方法为解伤阳之外邪,清干肾之内邪,恢复肾潜阳封藏之性;病情缓解后防止复发的方法为养肾固卫,兼顾他脏。依据不同时期病机特点,分为未病期、卫虚邪犯期、邪盛入里期、正虚邪恋期进行防治。The pathogenesis characteristics of Henoch-Sch9 nlein purpura(HSP)in children align with the theoretical connotation of“kidney responding to winter.”In winter,yin qi is excessive,while yang qi is deficient.Humans respond to nature.When yang qi is hidden in the kidney,there is insufficient yang qi of the defensive exterior.Thus,it is easy for the kidney to be attacked by the pathogenic qi of the human body,which leads to the occurrence of HSP.The theory can be expounded from many angles,such as the correspondence between nature and man,a latent pathogen being triggered by the attack of pathogenic qi,the damage of collaterals,and the depression of Xuanfu.An effective way to reduce the incidence of HSP is to comply with the kidney being the dominator of storing essence and avoid other pathogenic qi attacking the kidney.After the onset of the disease,the way to prevent the transmission of pathogens is to eliminate the external pathogens that damage yang qi,remove internal pathogens that damage the kidney,and restore the function of the kidney as the dominator of storing essence.The way to prevent recurrence after remission is to nourish the kidney and consolidate defensive qi by taking into account other viscera.Prevention and treatment can be carried out according to the characteristics of pathogenesis in different periods,such as the disease-free period,deficiency of defensive qi and pathogenic qi attacking period,excessive pathogenic qi in the interior period,and positive deficiency of vital qi and pathogenic qi lingering in the period.

关 键 词：儿童过敏性紫癜 肾应冬 天人相应 防治 

分 类 号：R272[医药卫生—中医儿科学]