ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2024, Vol. 16 ›› Issue (2): 170-174.

• 中医应用研究 • 上一篇    下一篇

基于三焦辨证探讨儿童EB病毒与肺炎支原体感染病机演变异同

  

  • 出版日期:2024-04-25 上线日期:2024-04-26

Similarities and differences in the pathogenesis of epstein-barr virus and Mycoplasma pneumoniae infection in children based on Sanjiao syndrome differentiation

  • Published:2024-04-25 Online:2024-04-26

摘要: 三焦辨证体系为温病学家吴瑭在继承先辈思想基础上论治温病所创,“自上而下”是其传变规律,其对阐释EB病毒和肺炎支原体感染的发生、发展及治疗具有重要意义。EB病毒和肺炎支原体为儿科常见呼吸道病原体,本文基于三焦辨证、“鼻气通于肺”、“口气通于胃”理论,结合二者感染后临床表现,论证其病机演变之异同。二者均属湿热类温病范畴,具有弥漫三焦之特点,但EB病毒感染临床表现以中下二焦为主、上焦为次,肺炎支原体感染以上中二焦为主、下焦为次。二者可存在合并感染并通过免疫机制攻击全身免疫系统,导致机体“阴阳”失衡。从传变规律看二者存在肺炎支原体感染主要向上中二焦传变,EB病毒感染主要向中下二焦传变的差异。临床论治二者感染均可选择清热祛湿的治疗方法,遣方用药以三焦畅通、气化如常为目标。本文从动态传变角度探讨EB病毒、肺炎支原体感染临床表现的异同,并立足于三焦辨证理论和研究现状分析二者感染后辨证论治方案,以期为中医药辨治EB病毒、肺炎支原体感染提供参考。

关键词: EB病毒, 肺炎支原体, 三焦辨证, 湿热邪气

Abstract: Sanjiao syndrome differentiation system was created by Wu Tang,a warm disease expert,on the basis of inheriting the thoughts of his ancestors."Top-down" is the law of its transmission,which is of great significance to explain the occurrence,development and treatment of epstein-barr virus(EBV) and Mycoplasma pneumoniae(MP) infections.EBV and MP are common respiratory pathogens in children.Based on the theory of Sanjiao syndrome differentiation,and the theory of "nasal air passing through the lung" and "breath passing through the stomach",this paper discusses the similarities and differences in the pathogenesis of these two infections based on their clinical manifestations.Both of them belong to the category of damp-heat warm-like diseases,with the characteristics of diffuse Sanjiao,but the clinical manifestations of EBV infection are mainly in the middle and lower two foci,and the upper one is secondary,while MP infection is mainly in the upper and middle two foci,and the lower one is secondary.The two diseases can be co-infection and attack the systemic immune system through immune mechanism,leading to the imbalance of Yin and Yang in the body.According to the transmission law,MP infection mainly spreads to the upper and middle foci,while EBV infection mainly spreads to the middle and lower foci.The clinical treatment for both infections can be relieving heat and dampness.The goal of prescription and medication is to smooth the Sanjiao and gasify as usual.This article discusses the similarities and differences in clinical manifestations of EBV and MP infection from the perspective of dynamic transmission,and analyzes the syndrome differentiation and treatment plan based on the Sanjiao syndrome differentiation theory and research status,in order to provide reference for the differentiation and treatment of EBV and MP infection with traditional Chinese medicine.

Key words:

Epstein-barr virus, Mycoplasma pneumoniae, Sanjiao syndrome differentiation, Dampness-heat evil