Exploration on the Approach to Treating Pediatric Pneumonia by Relieving Qi Stagnation,Unblocking Blockage,and Resolving Stasis
10.13359/j.cnki.gzxbtcm.2025.06.033
- VernacularTitle:开郁启闭化瘀治疗小儿肺炎的思路探讨
- Author:
Wei WANG
1
;
Dongsheng QIU
;
Jiajun LIU
;
Guoping YE
Author Information
1. 福建中医药大学,福建 福州 350004;福建中医药大学附属厦门中医院,福建 厦门 361000
- Keywords:
pediatric pneumonia;
qi stagnation and blood stasis obstructing the lungs;
ventilating the lungs and dispelling pathogens;
activating blood circulation and resolving stasis;
relieving qi stagnation and unblocking blockage;
Yinqiao San;
Xuefu Zhuyu Decoctio
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(6):1521-1526
- CountryChina
- Language:Chinese
-
Abstract:
The mutual transformation and intertweaving of qi stagnation and blood stasis exist through the development and progression of pediatric pneumonia.Based on the pathogenic mechanism of qi stagnation and blood stasis obstructing the lungs and by analyzing the progression of pneumonia,this paper proposed that the traditional Chinese medicine(TCM)pathogenesis of pediatric pneumonia can be divided into three stages:early,middle,and late.In the early stage,external pathogens invade and then lead to lung qi stagnation and blockage.In the middle stage,qi stagnation and blood stasis block the lungs and then cause blood vessel stagnation.In the late stage,qi stagnation and blood stasis linger,and then result into the residual pathogens lurking in the lungs.Accordingly,the principles of treating pediatric pneumonia are proposed,i.e.,ventilating the lungs and dispelling pathogens,activating blood circulation and resolving stasis,relieving qi stagnation and unblocking blockage.The strategies for treating pediatric pneumonia in three stages are also introduced:for the early stage of pneumonia characterized by lung qi stagnation and blockage,the formula Yinqiao San combined with Wuhu Erchen Decoction are used for clearing lung-heat,resolving phlegm,and relieving wheezing;for the middle stage of pneumonia characterized by the intertweaving of qi stagnation and blood stasis,the formula Xuefu Zhuyu Decoction combined with Xuanfei Baidu Prescription are used for activating blood circulation and resolving stasis,ventilating the lungs and removing toxins,relieving qi stagnation and unblocking blockage;for the late stage of pneumonia characterized by qi stagnation and blood stasis lingering in the lungs,Qinghao Biejia Decoction and Qingfei Touxie Prescription are used by modification for clearing heat and nourishing yin,resolving blood stasis and relieving qi stagnation,nourishing yin and subduing yang.The approach to treating pediatric pneumonia from the pathogenic mechanism of qi stagnation and blood stasis obstructing the lung show significant efficacy on improving clinical symptoms in children with pediatric pneumonia and preventing the progression of pneumonia,and will provide reference to the clinical prevention and treatment of pediatric pneumonia.
