Treatment of Pediatric Eczema in Cold Regions from the Theory of Latent Dryness
10.16466/j.issn1005-5509.2025.06.012
- VernacularTitle:从伏燥论治寒地儿童湿疹
- Author:
Honghui WU
1
;
Youpeng WANG
;
Yijie WANG
Author Information
1. 黑龙江中医药大学 哈尔滨 150001
- Publication Type:Journal Article
- Keywords:
latent dryness;
cold regions;
pediatric eczema;
constitution;
latent pathogen;
etiology and pathogenesis;
recurrence;
immunity
- From:
Journal of Zhejiang Chinese Medical University
2025;49(6):742-746
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]Based on the theory of latent pathogen pathogenesis,to explore the etiology and pathological evolution of eczema in children from cold regions,providing insights for the treatment of pediatric eczema with traditional Chinese medicine(TCM).[Methods]Through a literature review of medical classics such as Huangdi Neijing,Shanghan Lun,Fuxie Xinshu and Linzheng Zhinan Yi'an,the etiology,pathogenesis and therapeutic methods of latent dryness contributing to pediatric eczema were analyzed.This analysis integrated the pathogenesis mechanisms of latent pathogens,climatic characteristics of cold regions and the constitutional traits of children in these areas.And a case was added for proof.[Results]The dry and cold regional climate and a constitution characterized by chronic Yin deficiency are critical factors in latent dryness-induced pediatric eczema.The formation of latent dryness arises either from lingering exogenous dryness pathogens or endogenous dryness transformation due to body fluid depletion,compounded by the body's failure to achieve timely recuperation.During acute exacerbation,treatment should focus on symptom management by using acrid-dispersing herbs that do not impair Yin.In the latent phase,therapy should target the root cause by strengthening the lung-defensive system,regulating constitution and harmonizing emotional states to eliminate latent dryness and maintain the robustness of healthy Qi.The attached test case was of wet sore(blood deficiency and wind dryness syndrome),which was treated by nourishing Yin and moistening dryness,to remove wind and stop itching,and achieved satisfactory curative effect.[Conclusion]Latent dryness is a significant etiological factor in pediatric eczema,influenced by climatic and constitutional elements.Treatment should prioritize symptom control during acute phases and emphasize reinforcing healthy Qi,cultivating primordial Qi,and expelling latent pathogens during remission to reduce recurrence.This approach aligns with TCM principles of addressing urgency versus chronicity and highlights the importance of region-specific and constitution-guided therapies.
