ZHOU Yao,QIN Wen,LI Yongjun,et al.Discussion on Differentiation and Treatment of Food Allergy in Children from the Perspective of Ying-wei (营卫) Theory[J].Journal of Traditional Chinese Medicine,2023,64(01):32-36.
ZHOU Yao,QIN Wen,LI Yongjun,et al.Discussion on Differentiation and Treatment of Food Allergy in Children from the Perspective of Ying-wei (营卫) Theory[J].Journal of Traditional Chinese Medicine,2023,64(01):32-36.DOI: 10.13288/j.11-2166/r.2023.01.007.
Discussion on Differentiation and Treatment of Food Allergy in Children from the Perspective of Ying-wei (营卫) Theory
Considering the role of intestinal mucosal barrier disruption in the occurrence of food allergy (FA) in children, and according to the
ying
-
wei
(营卫) theory, it is proposed that intestinal mucosa belongs to the category of “intestinal collaterals” in traditional Chinese medicine (TCM), and intestinal collaterals are the main location of FA in children. Abnormal
wei
(卫)
qi
is the prerequisite for the occurrence of the disease, and
ying
-
wei
disharmony is the main pathomechanism. It is suggested to put focus on harmonizing
ying
-
wei
, soothing and draining
sanjiao
(三焦) during the whole treatment, and modified
Wendan Decoction
(温胆汤) is commonly used. At the early stage of the di-sease, wind herbs can be used to diffuse and unblock striae and interstices, cut off and reverse the pathological process of
ying
-
wei
disharmony, restore the normal state of
ying
-
wei
circulation. The daily diet should be balanced between the five flavors, with less high-sugar food, but high intake of fresh bitter vegetables and sweet bland cereals to promote the transformation of the spleen.
KEET CA , BERIN MC . The year in food allergy [J]. J Allergy Clin Immunol , 2022 , 149 ( 3 ): 867 - 873 .
AKDIS CA . Does the epithelial barrier hypothesis explain the increase in allergy, autoimmunity and other chronic conditions? [J]. Nat Rev Immunol , 2021 , 21 ( 11 ): 739 - 751 .
PARRISH A , BOUDAUD M , KUEHN A , et al . Intestinal mucus barrier: a missing piece of the puzzle in food allergy [J]. Trends Mol Med , 2021 , 28 ( 1 ): 36 - 50 .
NIEWIEM M , GRZYBOWSKA-CHLEBOWCZYK U . Intestinal barrier permeability in allergic diseases [J]. Nutrients , 2022 , 14 ( 9 ): 1893 . doi: 10.3390/nu14091893 http://dx.doi.org/10.3390/nu14091893
AGUILERA-LIZARRAGA J , FLORENS MV , VIOLA MF , et al . Local immune response to food antigens drives meal-induced abdominal pain [J]. Nature , 2021 , 590 ( 7844 ): 151 - 156 .
FASANO A . Zonulin and its regulation of intestinal barrier function: the biological door to inflammation, autoimmunity,and cancer [J]. Physiol Rev , 2011 , 91 ( 1 ): 151 - 175 .
GENSOLLEN T , IYER SS , KASPER DL , et al . How co-lonization by microbiota in early life shapes the immune system [J]. Science , 2016 , 352 ( 6285 ): 539 - 544 .
DESAI MS , SEEKATZ AM , KOROPATKIN NM , et al . A dietary fiber-deprived gut microbiota degrades the colonic mucus barrier and enhances pathogen susceptibility [J]. Cell , 2016 , 167 ( 5 ): 1339 - 1353 .
JOHANSSON ME , HANSSON GC . Immunological aspects of intestinal mucus and mucins [J]. Nat Rev Immunol , 2016 , 16 ( 10 ): 639 - 649 .
Clinical Experience of Professor CUI Yinglin in Treating Pediatric Mitochondrial Encephalomyopathy Based on the Original Qi Theory
Imaging Measurement of the Safe Distances of Acupuncture at Fengfu (GV 16) in Children Aged 4 to 8 Based on CT Three-Dimensional Reconstruction
Exploring the Pathogenesis and Treatment of Adenoidal Hypertrophy in Children Based on the "Kenang (窠囊)" Theory
Differentiation and Treatment of Attention Deficit Hyperactivity Disorder from the Perspective of Deficiency,Stasis and Stagnation
Acupuncture and Moxibustion in Combination with Pediatric Tuina in the Treatment of Pediatric Obesity Based on the Theory of "Yang Governs and Yin Follows"
Related Author
DING Yingge
CHEN Shilong
WANG Shurui
WANG Lihui
CHEN Qian
崔应麟
LI Kun
WANG Tianyi
Related Institution
The Second Clinical Medical College,Henan University of Chinese Medicine
Henan Provincial Hospital of Traditional Chinese Medicine/The Second Affiliated Hospital of Henan University of Chinese Medicine
School of Basic Medicine,Inner Mongolia Medical University
School of Chinese Medicine,Beijing University of Chinese Medicine
First Clinical Medical School,Inner Mongolia Medical University