Treatment of Recurrent Pediatric Cough and Asthma Based on the Theory of

Yu LIU; Ying DING; Yongbin YAN; Xuran GUO; Linlin LIU

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Treatment of Recurrent Pediatric Cough and Asthma Based on the Theory of "Mutual Dependence of Ascending and Descending" from the Perspectives of Deficiency，Phlegm，and Blood Stasis

VernacularTitle:基于“升降相因”理论从虚、痰、瘀论治小儿反复咳喘
Author: Yu LIU ¹ ; Ying DING ¹ ; Yongbin YAN ¹ ; Xuran GUO ¹ ; Linlin LIU ¹
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1. Pediatric Hospital，The First Affiliated Hospital of Henan University of Chinese Medicine，Zhengzhou，450099
Publication Type:Journal Article
Keywords: recurrent pediatric cough and asthma; mutual dependence of ascending and descending; children; deficiency; phlegm; blood stasis
From: Journal of Traditional Chinese Medicine 2025;66(9):963-967
CountryChina
Language:Chinese
Abstract: Guided by the theory of "mutual dependence of ascending and descending"， recurrent pediatric cough and asthma are considered to result from the imbalance of the ascending and descending of zang-fu organ qi， which is closely associated with deficiency， phlegm， and blood stasis. In clinical practice， the disease is treated based on differentiation during the initial stage， progression stage， and stable stage. In the initial stage， the pathogenesis is attributed to lung deficiency complicated by external pathogens and liver qi rising to attack the lung； the treatment should focus on restraining the lung and calming the liver， using the self-formulated Longchai Yuchuan Fomulation （龙柴愈喘方）. During the progression stage， the disorder is due to the spleen failing to ascend clear qi and the kidney failing to grasp qi， leading to phlegm formation from deficiency； treatment should focus on tonifying spleen yang， supplementing kidney qi， and resolving phlegm and fluid retention， using a modified combination of Linggui Zhugan Decoction （苓桂术甘汤） and Jinkui Shenqi Pill （金匮肾气丸）. In the stable stage， qi deficiency leads to poor consolidation， with phlegm turbidity and blood stasis； the treatment should aim at tonifying qi， transforming phlegm， and dispelling blood stasis， using a modified version of Guizhi Fuling Pill （桂枝茯苓丸）.