Treatment of Mycoplasma Pneumoniae Pneumonia in Children from the Perspective of "Wind-Warmth and Phlegm-Heat"
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摘要: 总结首届全国名中医汪受传教授对儿童肺炎支原体肺炎的中医诊疗经验,认为儿童肺炎支原体肺炎的主要病因病机是风温袭肺,痰热郁闭,气阴两伤。初期以风温夹燥犯肺,肺郁失宣为先;进展期以热郁痰凝,痰热闭肺为主;恢复期以气耗津伤,阴虚邪恋为要。并据此将肺炎支原体肺炎按常见主症咳嗽分三期论治,初咳期辛凉宣肺润燥,痰咳期清热涤痰祛瘀,虚咳期益气养阴扶正,临床取得满意疗效。Abstract: This paper summarizes the Chinese medicine diagnosis and treatment experience of Professor Wang Shuchuan, the first session national famous Chinese medicine practitioner, on paediatric Mycoplasma pneumoniae pneumonia. It concludes that the main etiology and mechanism of paediatric Mycoplasma pneumoniae pneumonia is wind-warmth attacking the lungs, phlegm-heat stagnation, and injury of both qi and yin. During the initial phase, there is an invasion of the lung by dryness and warm winds, with lung depression and loss of dispersion being the priority; the progression phase is mainly characterized by heat stagnation and phlegm coagulation, with phlegm heat blocking the lungs; the recovery phase is characterized by qi depletion and damage to the yin, along with yin deficiency and the pathogenic qi lingering internally. Accordingly, the treatment of Mycoplasma pneumoniae pneumonia is divided into three stages according to its main symptom of cough. The initial cough phase focuses on dispersing the lung and moistening the dryness with pungent-cool; the phlegm cough stage pays attention to clear the heat and purge the phlegm; the deficiency cough stage focuses on benefiting the qi and nourishing the yin and reinforcing the healthy qi, which has achieved satisfactory clinical efficacy.
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