DING Zichao, REN Xianqing, SU Hang, et al. [J]. Journal of Traditional Chinese Medicine, 2023, 64(10): 1004-1007.DOI: 10.13288/j.11-2166/r.2023.10.007.
Chronic cough is a common symptom in pediatrics. Based on the treatment law of time-segmented syndrome differentiation in
The Grand Compendium of Pediatrics
·
Treatment of Cough
(《幼幼集成·咳嗽证治》) and the theory of midnight-noon and ebb-flow doctrine, children's chronic cough is divided into five periods, which are the predawn, early morning, noon, afternoon and dusk. It is suggested to treat the lungs and spleen mainly while taking care of other organs. If the condition is aggravated at the predawn, it is mainly caused by food accumulation and lung deficiency,for which
Baohe Pill
(保和丸)plus
Yupingfeng Powder
(玉屏风散) is suggested to dissipate accumulation and boost
qi
. If aggravated in the early morning, the condition is mainly caused by phlegm fire rising, and
Qingning Powder
(清宁散)
with
Qingjin Huatan Decoction
(清金化痰汤) can be used to direct
qi
downward and dissolve phlegm. For condition aggravated at noon, stomach fire and exuberant heat is the main pathogenesis, and
Jupi Decoction
(橘皮汤) with
Qingwei Powder
(清胃散) is suggested to clear fire and direct counterflow downward. If there is aggravation in the afternoon, the main pathogenesis is
yin
-water depletion, and
Qingzao Jiufei Decoction
(清燥救肺汤) can be used to nourish
yin
and promote fluid production. In terms of aggravation at the dusk, fire floating in the lung is the main cause, which can be treated with the method of reinforcing
yin
and dissipating heat with
Maiwei Dihuang Pill
(麦味地黄丸)with
Huanglian Ejiao Decoction
(黄连阿胶汤). All the above provide a new idea for clinical treatment of chronic cough in children.