从“经隧失守，气血失和”探析小儿慢性咳嗽的诊治思路

Discussion on the diagnosis and treatment of chronic cough in children from the perspective of “disorder of vessels, disharmony of qi and blood”

关键词:  小儿慢性咳嗽  经隧  气血  痰瘀

Key words:  chronic cough in children  vessels  qi-blood  phlegm and blood stasis

摘要:

慢性咳嗽归属于久咳、顽咳、内伤咳嗽范畴，临床多具有病势迁延、病情反复的发病特点，故小儿慢性咳嗽在中医整体观念下进行辨证论治是至关重要的。根据小儿慢性咳嗽发病特点，认为“经隧失守，气血失和”是小儿慢性咳嗽的发病基础，痰瘀内伏于经隧为病情发展反复的潜在病理因素。经隧失守，气血失和；枢机不利，致痰致瘀。痰瘀又易于互结，阻滞经隧，气血失和进一步加重，从而导致小儿咳嗽迁延难愈，遂成小儿慢性咳嗽。故治疗上应视小儿具体证情，调经气以和气血，兼消痰瘀以复经气，斩草除根，正本清源。文章旨在以“经隧失守，气血失和”为切入点，探讨小儿慢性咳嗽的诊疗思路，为治疗小儿慢性咳嗽提供新思路。

Abstract:

Chronic cough belongs to the category of chronic cough, stubborn cough and internal injury cough, which has the characteristics of prolonged and recurrent disease in clinic, so it is very important for children with chronic cough to be treated by syndrome differentiation under the overall concept of traditional Chinese medicine. According to the characteristics of chronic cough in children, it is considered that "disorder of vessels, disharmony of qi and blood" is the basis of chronic cough in children, and phlegm and blood stasis is the potential pathological factor of recurrent development of the disease. The disorder of vessels, the disharmony of qi and blood;pivotal key is obstructed, causing phlegm and blood stasis. Phlegm and blood stasis are easy to combine, block menstruation, and further aggravate the loss of qi and blood, resulting in a more serious cough in children, which leads to chronic cough in children. Therefore, the treatment should be based on the specific syndrome of children, regulate menstrual qi to harmonize qi and blood, and eliminate phlegm and blood stasis to restore menstrual qi. The purpose of this paper is to explore the diagnosis and treatment of chronic cough in children from the starting point of "promoting blood circulation and regulating qi and blood", so as to provide new ideas for the treatment of chronic cough in children.