小儿过敏性紫癜中医病机各家认识梳理与比较

A Review and Comparison of Different Practitioners’ Views of TCM Pathogenesis of Allergic Purpura in Children

摘要: 过敏性紫癜是儿科常见的血管变态反应性疾病。本文比较分析了现代中医医家对该病病机认识的不同观点之异同，并在此基础上梳理其脉络，以探讨对临床诊疗的指导意义。梳理发现，现代中医医家关于小儿过敏性紫癜病机的学说十分丰富，主要包括伏风致病、湿邪致病、毒邪理论、热虚瘀病机观以及营卫理论。但各家仍存有一致共识，瘀血贯穿病程全程、虚实夹杂是该病核心病机。上述认识进一步丰富了中医辨证论治理论体系，为临床个体化治疗提供了有力支撑。

Abstract: Allergic purpura is a common vascular allergic disease in pediatrics. This article compares and analyzes the similarities and differences of different views of modern Chinese medicine doctors on the pathogenesis of the disease, and on this basis, sorts out its context to explore the guiding significance for clinical diagnosis and treatment. It is found that modern Chinese medicine practitioners have rich theories on the pathogenesis of allergic purpura in children, including the theory of latent wind, dampness, toxin, heat deficiency and blood stasis, and the theory of Ying and Wei. However, there is still a consensus that blood stasis throughout the entire disease course and a combination of deficiency and excess constitute the core pathogenesis of the disease. The above understanding further enriches the theoretical system of TCM syndrome differentiation and treatment, and provides strong support for clinical individualized treatment.