Syndrome Differentiation, Treatment, and Research Prospect of Qi-Regulating and Wind-Dispelling Therapy for Pediatric Allergic Respiratory Diseases

The incidence of pediatric allergic respiratory diseases has shown a steadily increasing trend, emerging as a critical public health concern affecting children's health. Traditional Chinese medicine (TCM) demonstrates potential advantages in modulating immune homeostasis, improving constitutional predisposition, and reducing disease recurrence. This study proposes the qi-regulating and wind-dispelling therapy, guided by the principle of "prioritizing qi regulation and focusing on wind elimination", for clinical management and research of pediatric allergic respiratory diseases. Children with atopic constitution exhibit latent wind pathogens internally and chronic lung insufficiency. When exposed to "exogenous pathogenic factors", their lung diffusion and descent functions become impaired, leading to allergic respiratory diseases such as allergic rhinitis, cough-variant asthma, and bronchial asthma. Pathological mechanisms underlying these conditions in atopic children are explored through three dimensions: susceptibility genes, immune regulation, and epigenetics. Clinical practices and research methodologies are summarized, including: wind-dispelling and orifice-opening therapy for pediatric allergic rhinitis, wind-dispelling and phlegm-resolving therapy for bronchial asthma, and wind-dispelling and cough-suppressing therapy for cough-variant asthma.