基于“消补兼施”论治反复呼吸道感染非急性缓解期  

Based on the Theory of"Elimination and Treatment",Spleen Deficiency Accumulation Evidence of Recurrent Respiratory Tract Infection

作　　者：杨嘉琪 刘芳[2] 王佛有 宋爽 YANG Jiaqi;LIU Fang;WANG Fuyou;SONG Shuang(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Lioaning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Lioaning,China;Dalian Hospital of Traditional Chinese Medicine,Dalian 116000,Lioaning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032 [3]大连市中医医院,辽宁大连116000

出　　处：《实用中医内科杂志》2024年第11期122-125,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省科学技术计划项目(2022JH2/101300062)。

摘　　要：反复呼吸道感染是儿科门诊常见疾病,大部分学者认为与小儿免疫功能有关,现代医学治疗以免疫调节为主。中医治疗则根据患儿的体质、中医证候不同,辨证论治取得满意疗效。随着生活水平逐步提高,小儿饮食上常摄入过多高蛋白、高能量食物,然而小儿脾常不足,超过脾胃的运化能力而受损,脾胃受损,则土虚无以生金,导致肺之卫外功能失常,易感外邪;另外,脾胃受损,乳食积滞化热,外邪与内热相合则导致内热留恋难去,内外相召导致反复感染。因此治疗反复呼吸道感染,予以“消补兼施”调理脾胃,避免反复发病。Recurrent respiratory tract infection is a common disease in pediatric outpatient clinics,most scholars believe that it is related to the immune function of children,modern medical treatment is mainly based on immune regulation,and traditional Chinese medicine treatment is based on the child's constitution and different symptoms of traditional Chinese medicine.With the gradual improvement of living standards,children's diet often intakes too much high-protein and high-energy food,but children's spleen is often insufficient,exceeding the spleen and stomach's transportation capacity and damaged,and the spleen and stomach are damaged,then the soil is empty of gold,resulting in abnormal external function of the lungs and susceptibility to external evils;In addition,the spleen and stomach are damaged,the milk stagnates heat,and the combination of external evil and internal heat leads to internal heat nostalgia,and internal and external summoning leads to repeated infections.Therefore,in terms of treatment,the instructor believes that the treatment of recurrent respiratory tract infections should be treated and the spleen and stomach should be adjusted to avoid repeated illness.

关 键 词：反复呼吸道感染 脾虚夹积 消补兼施 脾胃 

分 类 号：R256.1[医药卫生—中医内科学]