“聚于胃，关于肺”理论对小儿咳嗽的辨证启示

“Gathering in the Stomach and Relating to the Lungs” Theory to Pediatric Cough Syndrome Differentiation Enlightenment

摘要: 小儿咳嗽是儿科诊疗中的常见病症，具有易发、易变的特点。《黄帝内经素问·咳论》提出了“聚于胃，关于肺”的观点，概括了咳嗽的病因病机。本文即基于“聚于胃，关于肺”理论，从肺胃二脏的理论内涵以及生理病理联系入手，提出了从寒热虚实并融合调畅气机的角度辨证论治小儿咳嗽，以期为其提供临床新思路，提升中医药防治小儿肺系疾病的水平。

Abstract: Pediatric cough is a common disease in pediatric diagnosis and treatment, characterized by easy occurrence and variability. The “Cough Theory” in the “Plain Questions” section of the “Huangdi Neijing” put forward the viewpoint that “it gathers in the stomach and relates to the lungs”, summarizing the etiology and pathogenesis of cough. Based on the theory of “gathering in the stomach and relating to the lung”, this article starts from the theoretical connotations and physiological and pathological connections of the lung and stomach organs, and proposes the syndrome differentiation and treatment of pediatric cough from the perspective of the integration of cold, heat, deficiency and excess to regulate the qi movement, with the aim of providing new clinical ideas and improving the level of traditional Chinese medicine in the prevention and treatment of pediatric lung diseases.