Analysis of the treatment method of chronic cough in children from the perspective of "xuanfu loss of function"

YUAN Zhenhua; ZHANG Qiang; LIU Miaomiao; WANG Junhong

doi:10.3969/j.issn.1006-2157.2023.07.018

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Analysis of the treatment method of chronic cough in children from the perspective of "xuanfu loss of function"

Clinical Studies | 更新时间：2023-08-07

- Analysis of the treatment method of chronic cough in children from the perspective of "xuanfu loss of function"
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 7, Pages: 999-1003(2023)
- 作者机构：
  
  北京中医药大学东直门医院　北京　100700
- 作者简介：
  
  Prof. WANG Junhong, Chief physician, Doctoral Supervisor. Dongzhimen Hospital, Beijing University of Chinese Medicine, No.5, Haiyicang street, Dongcheng District, Beijing 100700. E-mail: drjhwang@bucm.edu.cn
- 基金信息：
  
  Academic Experience Inheritance Work Project of National Administration of Traditional Chinese Medicine(国中医药人教函〔2022〕129号)
- DOI：10.3969/j.issn.1006-2157.2023.07.018
  CLC： R272
- Received：25 November 2022，
  
  Online First：09 May 2023，
  
  Published：30 July 2023
- 稿件说明：
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YUAN Zhenhua, ZHANG Qiang, LIU Miaomiao, et al. Analysis of the treatment method of chronic cough in children from the perspective of "xuanfu loss of function"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(7): 999-1003.
DOI：

YUAN Zhenhua, ZHANG Qiang, LIU Miaomiao, et al. Analysis of the treatment method of chronic cough in children from the perspective of "xuanfu loss of function"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(7): 999-1003. DOI： 10.3969/j.issn.1006-2157.2023.07.018.

摘要

慢性咳嗽是儿科常见疾病之一，其发生、发展、转归与玄府理论密切相关。本病的核心病机为正气不足，玄府失司。其中，脏腑娇嫩、玄府失养为发病的基础；痰阻食积、玄府郁滞为致病的因素；风邪触发、玄府失司为发病的诱因。儿童肺、脾、肾不足，易致玄府失养，进而影响玄府输布津液之功，玄府因虚而滞，则邪气有可乘之机；加之后天脾胃失养，运化失常，易聚湿生痰，或食滞中焦而阻滞玄府通道，影响气机畅通，为发病埋下隐患；若遇风邪触发，内外邪气相互交感，玄府功能失司，导致肺失宣肃而诱发咳嗽，且病情缠绵。治疗上，本文强调因势利导、通玄达郁的原则，分别予祛风散邪、化痰除积、扶正补虚以开玄，同时，注重特色开玄药物的应用，尤其理气开玄药、搜剔开玄药和活血开玄药，以恢复肺玄府失司之职，则疾病自愈。

Abstract

Chronic cough is one of the common diseases in pediatrics

and its occurrence

development and regression are closely related to the theory of xuanfu. Our team believes that the core pathogenesis of this disease is the deficiency of vital qi and the invasion of evil qi

resulting in a loss of control of the xuanfu.Among them

the deficiency of zang-fu organs and the loss of nourishment of the xuanfu are the basis of the disease; the accumulation of phlegm and food and the stagnation of the xuanfu are the root cause of the disease; the wind evil triggers the xuanfu to be the cause of the disease.In children

the lung

spleen and kidney are often deficient

making it easy for the xuanfu to lose its nourishment

which in turn affects the function of the xuanfu in transporting fluids

and when the xuanfu is stagnant due to deficiency

evil qi has an opportunity to take advantage of it; In addition

if the spleen and stomach are not nourished

and the transportation and transformation are not normal

it is easy to accumulate dampness and produce phlegm

or if food stagnates in the middle jiao and stagnates in the xuanfu channel

it will affect the smooth flow of qi and lay the hidden danger for the development of disease; If the cough is triggered by wind pathogen

the internal and external evil qi will interact with each other and the xuanfu will malfunction

resulting in the failure of lung qi to diffuse and purify and coughing

and the condition will linger.In treatment

our team adopted the principle of promoting the situation and removing the stagnation in the xuanfu by dispelling wind evil

resolving phlegm and removing stagnation

and reinforcing vital qi and supplementing deficiency to open up the xuanfu. At the same time

we pay attention to the application of the characteristic medicine to unblock the xuanfu

especially the medicine to regulate qi to unblock the xuanfu

the medicine to dredge the meridians to unblock the xuanfu and the medicine to invigorate the blood to unblock the xuanfu

so as to restore the function of the xuanfu of the lung

then the disease can be cured.

关键词

Keywords

references

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