Treatment of Recurrent Pediatric Cough and Asthma Based on the Theory of "Mutual Dependence of Ascending and Descending" from the Perspectives of Deficiency,Phlegm,and Blood Stasis
|更新时间:2025-04-30
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Treatment of Recurrent Pediatric Cough and Asthma Based on the Theory of "Mutual Dependence of Ascending and Descending" from the Perspectives of Deficiency,Phlegm,and Blood Stasis
Journal of Traditional Chinese MedicineVol. 66, Issue 9, Pages: 963-967(2025)
LIU Yu,DING Ying,YAN Yongbin,et al.Treatment of Recurrent Pediatric Cough and Asthma Based on the Theory of "Mutual Dependence of Ascending and Descending" from the Perspectives of Deficiency,Phlegm,and Blood Stasis[J].Journal of Traditional Chinese Medicine,2025,66(09):963-967.
LIU Yu,DING Ying,YAN Yongbin,et al.Treatment of Recurrent Pediatric Cough and Asthma Based on the Theory of "Mutual Dependence of Ascending and Descending" from the Perspectives of Deficiency,Phlegm,and Blood Stasis[J].Journal of Traditional Chinese Medicine,2025,66(09):963-967.DOI: 10.13288/j.11-2166/r.2025.09.015.
Treatment of Recurrent Pediatric Cough and Asthma Based on the Theory of "Mutual Dependence of Ascending and Descending" from the Perspectives of Deficiency,Phlegm,and Blood Stasis
Guided by the theory of "mutual dependence of ascending and descending", recurrent pediatric cough and asthma are considered to result from the imbalance of the ascending and descending of
zang
-
fu
organ
qi
, which is closely associated with deficiency, phlegm, and blood stasis. In clinical practice, the disease is treated based on differentiation during the initial stage, progression stage, and stable stage. In the initial stage, the pathogenesis is attributed to lung deficiency complicated by external pathogens and liver
qi
rising to attack the lung; the treatment should focus on restraining the lung and calming the liver, using the self-formulated
Longchai Yuchuan Fomulation
(龙柴愈喘方). During the pr
ogression stage, the disorder is due to the spleen failing to ascend clear
qi
and the kidney failing to grasp
qi
, leading to phlegm formation from deficiency; treatment should focus on tonifying spleen
yang
, supplementing kidney
qi
, and resolving phlegm and fluid retention, using a modified combination of
Linggui Zhugan Decoction
(苓桂术甘汤) and
Jinkui Shenqi Pill
(金匮肾气丸). In the stable stage,
qi
deficiency leads to poor consolidation, with phlegm turbidity and blood stasis; the treatment should aim at tonifying
qi
, transforming phlegm, and dispelling blood stasis, using a modified version of