Staged Treatment of Pediatric IgA Vasculitis Based on the Concept of "Qi Disorder Causing Turbidity"
10.13288/j.11-2166/r.2026.16.015
- VernacularTitle:从“气病致浊”分期论治儿童IgA血管炎
- Author:
Hongji WU
1
;
Ying DING
1
;
Xuejun LI
1
;
Qiuyan WANG
1
;
Huifang LUO
1
;
Jiexin SU
1
Author Information
1. Pediatric Hospital of the First Affiliated Hospital，Henan University of Chinese Medicine，Zhengzhou，450003
- Publication Type:Journal Article
- Keywords:
IgA vasculitis;
qi movement;
turbid pathogen;
regulating qi and transforming turbidity;
children
- From:
Journal of Traditional Chinese Medicine
2026;67(16):1784-1788
- CountryChina
- Language:Chinese
-
Abstract:
The core pathogenesis of pediatric IgA vasculitis （IgAV） is considered to involve qi movement disorder， with the failure of clear-turbid separation and internal generation of turbid pathogens. Accordingly， the viewpoint of "qi disorder causing turbidity" is proposed. In clinical practice， the disease is divided into the acute， persistent， and stable stages. The acute stage is characterized by impaired dispersion of wei （卫） qi and the internal generation of heat turbidity， while the persistent stage by congestion of ying （营） qi and retention of stasis-turbidity， and the stable stage by depletion of pectoral qi with lingering latent turbidity. In clinical practice， regulating qi and transforming turbidity is taken as the basic therapeutic principle， and the self-formulated Tiaoqi Huazhuo Decoction （调气化浊汤） is used as the basic prescription for staged treatment with flexible modifications. Specifically， the acute stage is treated with the method of dispersing wei qi and clearing heat-turbidity； the persistent stage is recommended to harmonize ying qi and purging stasis-turbidity； and the stable stage should focus on securing pectoral qi and venting latent turbidity.
