Clinical Experience of JI Xun-Chao for the Syndrome Differentiation and Treatment of Cough Variant Asthma in Children Based on the Corresponding Predominant Two-Hour Periods of Meridians and Zang-Fu Viscera
10.13359/j.cnki.gzxbtcm.2024.11.033
- VernacularTitle:吉训超从脏腑经脉主时辨治小儿咳嗽变异性哮喘经验
- Author:
Jie ZHENG
1
;
Ji-Ling LIU
;
Jing ZHANG
;
Xun-Chao JI
Author Information
1. 广州中医药大学,广东 广州 510405
- Keywords:
cough variant asthma;
children;
corresponding predominant two-hour periods of meridians and zang-fu viscera;
jiming cough;
pingdan cough;
clinical experience;
JI Xun-Chao
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(11):3045-3049
- CountryChina
- Language:Chinese
-
Abstract:
This article introduces the clinical experience of Professor JI Xun-Chao for the syndrome differentiation and treatment of cough variant asthma(CVA)in children based on the corresponding predominant two-hour periods of meridians and zang-fu viscera.The corresponding predominant two-hour periods of meridians and zang-fu viscera are derived from the Ziwu Liuzhu theory(midnight-midday ebb and flow,the movement of qi and blood in the meridians following heavenly-stems and earthly-branches cycle),which reflects the relationship of the two-hour periods with qi and blood circulation in the meridians.Professor JI Xun-Chao believes that the attack of CVA in children is related with the two-hour periods,and has close relationship with the zang-fu viscera of lung,liver and spleen.Based on the clinical manifestation characteristics,children CVA can be divided into two types,namely"jiming cough"(cough attack or aggravation at 23∶00-3∶00)and"pingdan cough"(cough attack or aggravation at 3∶00-11∶00),and jiming cough can develop into pingdan cough with the transformation of the pathogenesis.For the treatment of jiming cough,therapies of soothing liver to check upward adverse flow of qi and warming lung to resolve phlegm were usually adopted,and Wenfei Jiangni Decoction was prescribed.For the treatment of pingdan cough,therapies of invigorating spleen and replenishing qi together with the clearance of residual pathogens were adopted,and Tufuling Decoction was prescribed.This article summarized the temporal-differentiation experience of Professor JI Xun-Chao in treating children CVA based on the corresponding predominant two-hour periods of meridians and zang-fu viscera and the therapeutic principle of treating symptom and root cause simultaneously,which will provide reference for clinical treatment of children CVA.