邱根祥教授基于雷氏“伏邪理论”治疗小儿反复呼吸道感染经验  

Professor QIU Genxiang's experience in treating pediatric recurrent respiratory tract infections based on Lei's“latent pathogen theory”

作　　者：王博佳 朱蔓 鲍习奎 邱根祥 WANG Bojia;ZHU Man;BAO Xikui;QIU Genxiang(Pediatrics Department,Quzhou Hospital of Traditional Chinese Medicine,Quzhou,Zhejiang,324002,China)

机构地区：[1]衢州市中医医院儿科,浙江衢州324002

出　　处：《中医儿科杂志》2025年第2期22-25,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：浙江省名老中医专家传承工作室建设项目(GZS2020047);2022年衢州市科技攻关项目第二批中医药专项(2022K113)。

摘　　要：邱根祥教授基于雷氏“伏邪理论”认为,小儿反复呼吸道感染的基本病机为先天禀赋不足,后天脾胃失养,先后天互资失常,外邪内侵,内邪自生,邪留脏腑,伺机而发,导致患儿反复发病,迁延难愈。治疗分为感染期和感染间歇期,感染期以邪盛为主,应断明伏邪偏性,治以搜邪解表,因势利导;感染间歇期以正虚为主,根据患儿虚损的偏性不同,予雷氏营卫双调法、补气升阳法,旨在调和营卫、补肾升阳,达到改善患儿体质、减少发作次数的目的。同时强调,本病的治疗过程应完整连续,治标以攘外,治本以安内,内外兼修,在生活上要作息规律,防止外感以增强体质。附医案1则,以资验证。Based on Lei's“latent pathogen theory”,professor QIU Genxiang believes that the fundamental pathogenesis of pediatric recurrent respiratory tract infections(RRTI)lies in congenital deficiencies,acquired spleen and stomach dysfunction,and the disruption of the mutual nourishment between congenital and acquired factors.External pathogens invade the body,internal pathogens arise,and these pathogens linger in the organs,triggering recurrent episodes and making the condition difficult to cure.The treatment is divided into the infection phase and the inter-infection phase.During the infection phase,the focus is on the predominance of pathogens.The treatment involves identifying the nature of the latent pathogens and expelling them through targeted methods,guiding the treatment according to the condition.During the inter-infection phase,the focus shifts to deficiency of healthy qi.Depending on the specific deficiencies of the child,Lei's methods of regulating both the defensive and nutritive qi or supplementing qi and raising yang are applied.The aim is to harmonize the defensive and nutritive qi,tonify the kidneys,and elevate yang,thereby improving the child's constitution and reducing the frequency of episodes.Professor QIU emphasizes that the treatment process should be continuous and comprehensive.Treating the symptoms helps to expel external pathogens,while treating the root strengthens the body internally.Both internal and external aspects should be addressed.Additionally,maintaining a regular lifestyle and preventing external infections are crucial for enhancing physical fitness.A case study is included to illustrate the effectiveness of this approach.

关 键 词：雷氏医学 伏邪理论 小儿反复呼吸道感染 临床经验 邱根祥 

分 类 号：R256.1[医药卫生—中医内科学]