闫慧敏运用肺络病理论分期辨治儿童重症肺炎支原体肺炎经验  

YAN Huimin's experience in staged and differentiated treatment of severe mycoplasmal pneumoniae pneumonia in children using theory of pulmonary collateral disease

作　　者：侯月[1] 郝静[1] 何强[1] 陈芳[1] 李亚男[1] 刘畅[1] 闫慧敏[1] HOU Yue;HAO Jing;HE Qiang;CHEN Fang;LI Yanan;LIU Chang;YAN Huimin(Department of Traditional Chinese Medicine,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China)

机构地区：[1]国家儿童医学中心首都医科大学附属北京儿童医院中医科,北京100045

出　　处：《北京中医药》2024年第11期1293-1296,共4页Beijing Journal of Traditional Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承工作项目(国中医药人教函〔2022〕76号);北京市医管中心培育计划项目(PZ2021026);首都卫生发展科研专项(2024-2-2096)。

摘　　要：儿童重症肺炎支原体肺炎是一种严重的呼吸道疾病,病情复杂、进展迅速,对儿童的健康和生命安全构成严重威胁。闫慧敏教授认为,本病可从肺络病的角度分期论治,治疗原则以“化痰通络”为主,早期应用祛风通络法,极期以解毒通络法为主,恢复期应用益气养阴通络法,以祛邪通络、调补气血,从而减少肺内后遗症的发生,可达到满意疗效。Severe mycoplasmal pneumoniae pneumonia in children is a serious respiratory disease with complex conditions and rapid progression,posing a serious threat to children’s health and life safety.Professor YAN Huimin believes that this disease can be treated according to stages from the perspective of pulmonary collateral disease.The overall treatment principle is mainly to“dissipate phlegm and dredge collaterals”.In the early treatment phase,the method of dispelling wind-evil and dredging collaterals was mainly adopted,while in the critical phase,the method of toxin removing and collaterals dredging was employed.Additionally,in the recovery phase,the method of benefiting qi,nourishing yin,and dredging collaterals was utilized to dispel evil and dredge the collaterals,thereby regulating and nourishing qi and blood.As a result,the occurrence of pulmonary sequelae can be reduced to yield satisfactory therapeutic efficacy.

关 键 词：重症肺炎支原体肺炎 儿童 肺炎喘嗽 肺络病理论 分期治疗 

分 类 号：R272[医药卫生—中医儿科学] R249[医药卫生—中医学]