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| Discussion on Wang Youpeng’s experience in treating children with cough variant asthma in pediatrics of cold regions based on “precision medicine” |
| WANG Yijie1 LIU Lujia1 WANG Youpeng2 |
1.The Second Clinical Medical College, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150006, China;
2.Department of Pediatrics, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150001, China
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Abstract Based on “precision medicine”, this paper discusses Professor Wang Youpeng’s experience in treating children with cough variant asthma. Professor Wang blames the etiology and pathogenesis of cough variant asthma in children on climate, constitution, allergen, and other factors, innovatively put forward the theory of “pediatrics in cold regions”. He believes that children in cold regions are mostly characterized by damp heat constitution, and the main pathological factors of cough variant asthma are wind, phlegm, and blood stasis. Clinical syndrome is based on the theory of “collateral disease”, which suggests that the pathogenesis of the disease is characterized by “acute lung collateral deficiency and stagnation of collateral qi” during the onset period, and “deficiency and stagnation of collateral qi, accumulation of collateral qi” during the remission period. Based on the theory of “treating based on evidence”, prevention before disease and prevention of existing diseases and changes. Accurately individualized diagnosis and treatment based on “three differentiation thought” of the premise of disease differentiation, syndrome differentiation as the core, and body differentiation as the key. With the method of “separating dispersion and mobilizing discharge” and taking Wendan Decoction as the main prescription, a series of prescriptions are created, such as Xiebai Wendan Decoction, Xuanbei Wendan Decoction, Conglong Wendan Decoction, Sanzi Wendan Decoction and Baiguo Wendan Decoction. On the basis of accurate syndrome differentiation, precise treatment has been carried out with good results.
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