Exploration on the Approach to Syndrome Differentiation and Treatment of Pediatric Infectious Mononucleosis Based on the "Sweat Pore-<italic style="font-style: italic">Qi</italic> and Liquid-Collaterals" Theory

LIU Linlin; DING Ying; YAN Yongbin; DUAN Yinglin; LIU Yu

doi:10.13288/j.11-2166/r.2025.16.008

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Exploration on the Approach to Syndrome Differentiation and Treatment of Pediatric Infectious Mononucleosis Based on the "Sweat Pore-Qi and Liquid-Collaterals" Theory

更新时间：2025-08-13

- Exploration on the Approach to Syndrome Differentiation and Treatment of Pediatric Infectious Mononucleosis Based on the "Sweat Pore-Qi and Liquid-Collaterals" Theory
- Journal of Traditional Chinese Medicine Vol. 66, Issue 16, Pages: 1668-1671(2025)
- 作者机构：
  
  1.河南中医药大学第一附属医院儿科医院，河南省郑州市金水区人民路19号，450003
  2.河南中医药大学儿科医学院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.16.008
  CLC：
- Received：07 February 2025，
  
  Revised：2025-07-10，
  
  Published：17 August 2025
- 稿件说明：
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刘琳琳,丁樱,闫永彬等.基于“玄府-气液-络脉”理论探讨儿童传染性单核细胞增多症辨治思路[J].中医杂志,2025,66(16):1668-1671.

LIU Linlin,DING Ying,YAN Yongbin,et al.Exploration on the Approach to Syndrome Differentiation and Treatment of Pediatric Infectious Mononucleosis Based on the "Sweat Pore-Qi and Liquid-Collaterals" Theory[J].Journal of Traditional Chinese Medicine,2025,66(16):1668-1671.
刘琳琳,丁樱,闫永彬等.基于“玄府-气液-络脉”理论探讨儿童传染性单核细胞增多症辨治思路[J].中医杂志,2025,66(16):1668-1671. DOI： 10.13288/j.11-2166/r.2025.16.008.

LIU Linlin,DING Ying,YAN Yongbin,et al.Exploration on the Approach to Syndrome Differentiation and Treatment of Pediatric Infectious Mononucleosis Based on the "Sweat Pore-Qi and Liquid-Collaterals" Theory[J].Journal of Traditional Chinese Medicine,2025,66(16):1668-1671. DOI： 10.13288/j.11-2166/r.2025.16.008.

摘要

基于“玄府-气液-络脉”理论，认为儿童传染性单核细胞增多症以玄府郁闭、气液失宣、络虚毒损为核心病机，提出以通玄府、调气液、畅络脉为治疗原则。临证将该病分为初期、极期、后期进行分期辨治，疾病初期温热邪毒侵犯肺卫导致玄府郁闭，治当开通玄府、透邪外达；极期玄府郁闭渐重，气液失宣，导致热毒炽盛、湿痰瘀壅滞，治当行气化湿祛痰、清热解毒散瘀以调气液；后期余邪未清、气阴两虚、络脉失畅，治当通络散结、益气养阴以畅络脉，可为儿童传染性单核细胞增多症的临床治疗提供新思路。

Abstract

Based on the "sweat pore-

and liquid-collaterals" theory， it is considered that the core pathogenesis of pediatric infectious mononucleosis lies in the obstruction of sweat pores， the failure of

and liquid to disperse， and damage to the collaterals due to pathogenic toxins. Accordingly， the treatment principles proposed include unblocking the sweat pores， regulating

and liquid， and smoothing the collaterals. In clinical practice， treatment is differentiated according to stages： initial， acute， and late stages. In the initial stage， invasion of warm pathogenic toxins into the lung defense leads to obstruction of the sweat pores， which should be treated by unbloc

king the sweat pores and expelling pathogens outward. In the acute stage， the obstruction of the sweat pores worsens， leading to the failure of

and liquid dispersal， resulting in intense heat toxins with accumulation of dampness， phlegm， and blood stasis， which should be treated by promoting

movement， resolving dampness and phlegm， clearing heat， detoxifying， and dispersing stasis to regulate

and liquid. In the late stage， residual pathogens remain， with

and

yin

deficiency and unsmooth collaterals， which should be treated by unblocking the collaterals， dissipating nodules， tonifying

， and nourishing

yin

to smooth the collaterals. This approach may provide new insights for the clinical treatment of pediatric infectious mononucleosis.

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references

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Exploration on the Approach to Syndrome Differentiation and Treatment of Pediatric Infectious Mononucleosis Based on the "Sweat Pore-Qi and Liquid-Collaterals" Theory

DOI：10.13288/j.11-2166/r.2025.16.008

摘要

Abstract

关键词

Keywords

references