基于络病学说探讨儿童感染后闭塞性细支气管炎的发病与防治  

Exploration of the pathogenesis and prevention and treatment of post infectious bronchiolitis obliterans in children based on collaterals disease theory

作　　者：卢志远 汪受传[1] Lu Zhiyuan;Wang Shouchuan(Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Province,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属医院,南京210029

出　　处：《疑难病杂志》2024年第9期1127-1130,1135,共5页Chinese Journal of Difficult and Complicated Cases

基　　金：国家中医药管理局全国名中医传承工作室建设项目(国中医药人教发[2018]119号)。

摘　　要：络病理论是研究内伤杂病及外感重症中的络病病机状态及辨证治疗的学术理论。儿童感染后闭塞性细支气管炎的发病机制符合中医络病学的理论内涵。小儿体虚,肺络疏薄,营卫失和为发病之本;外邪入里,肺气郁闭,痰瘀阻络为致病之机;余邪未尽,气阴耗伤,肺络受损为再病之根。通过总结临床经验,结合中医学治未病的学术思想,从络病学说探讨儿童感染后闭塞性细支气管炎的分期防治。Collaterals disease theory is an academic theory that studies the state of pathogenesis in miscellaneous diseases due to internal injury and severe exogenous diseases and the treatment based on syndrome differentiation.The pathogenesis of post infectious bronchiolitis obliterans in children conforms to the theoretical connotation of collaterals disease theory.Children's physical weakness,thinning of the lung collaterals and disharmony of nutrient qi and defensive qi are the root of the disease;exogenous pathogenic factors that enters the interior,the depressed lung qi and phlegm and blood stasis blocking collaterals are the disease-causing mechanism;the unresolved pathogenic factors,the undamaged qi and yin and the injury to the lung’s collaterals are the root of the reoccurrence.Combined with the academic idea of preventive treatment of disease,the staging prevention and treatment of post infectious bronchiolitis obliterans is discussed in terms of Collaterals disease theory.

关 键 词：儿童感染后闭塞性细支气管炎 络病学说 治未病 发病机制 分期防治 

分 类 号：R272[医药卫生—中医儿科学]