Syndrome Differentiation and Treatment of Children Bronchiolitis Obliterans by Stages from the Perspective of Phlegm，Stasis，Block and Deficiency
10.13288/j.11-2166/r.2024.21.015
- VernacularTitle:从痰、瘀、闭、虚分期辨治儿童闭塞性细支气管炎
- Author:
Ya ZOU
1
;
Tingjun LI
1
;
Hongbing WANG
2
;
Xiaoping JING
1
Author Information
1. Shanghai Children's Hospital / Shanghai Children's Hospital，School of Medicine，Shanghai Jiao Tong University，Shanghai，200040
2. Shanghai Fourth Rehabilitation Hospital
- Publication Type:Journal Article
- Keywords:
bronchiolitis obliterans;
phlegm;
stasis;
block;
deficiency;
children
- From:
Journal of Traditional Chinese Medicine
2024;65(21):2264-2268
- CountryChina
- Language:Chinese
-
Abstract:
It is believed that children bronchiolitis obliterans （BO） is located at the lung and closely related to the spleen and kidney. Phlegm， stasis， block and deficiency are the main pathogenesis. This article promotes staged differentiation and treatment of BO considering the clinical manifestations and pathogenesis characteristics. The attack stage is dominated by phlegm and stasis blocking the lung， for which the method of dissolving phlegm and dispelling stasis， relieving cough and calming panting should be used； Xiaoqinglong Decoction（小青龙汤） and Sanzi Yangqin Decoction （三子养亲汤） with modifications and selfmade Modified Wuhu Decoction （五虎汤加味） are recommended for cold-phlegm blocking the lung syndrome and phlegm heat blocking the lung syndrome， respectively. In sustained stage， the upper excess and lower deficiency together with phlegm-stasis blocking the lung are the pathogenesis， for which the method of dissolving phlegm and dispelling stasis， reopening the block and supplementing deficiency is suggested， and Xiaoqinglong Decotion （小青龙汤） and Duqi pills （都气丸） with modifications can be used. In convalescent stage， the pathogenesis is lung-spleen-kidney depletion with residual pathogen. It suggested to supplement the deficiency and consolidate the root， as well as clear the residual pathogen， for which Baogen NO.1 Decoction （宝根1号方） with modifications can be used.
