中医杂志

儿童IgA血管炎作为常见的系统性血管炎之一，其发病与风邪和浊瘀交互为病密切相关。以血浊理论为基础，提出风激血浊、络脉损伤为IgA血管炎的核心病机。在治疗方面，遵循止血-活血-养血的序贯治则，同时依据病程动态运用祛风、搜风、御风类风药，并将祛浊治法贯穿各期，即急性期清热澄浊、止血固络，迁延期散瘀涤浊、活血通络，恢复期养血荣络、扶正化浊。该治法体系将祛邪与扶正相贯通以清化血浊，实现固络-通络-养络的络脉整体修复，可为本病的中医治疗提供思路。

As one of the common systemic vasculitides in children, IgA vasculitis is closely associated with the interaction of "Wind pathogen" and "turbid stasis" in its pathogenesis. Based on the blood turbidity theory, this paper proposes "wind agitating blood turbidity and collateral damage" as the core pathogenesis. Regarding treatment, the sequential therapeutic principle of "stanch bleeding, activating blood circulation, and nourishing blood" is adopted, and combined with the dynamic application of wind-dispelling medicinals to "expel, search, and guard against wind", turbidity-removing method is applied throughout all stages. In the acute stage,it is recommended to clear heat and purify turbidity, stanch bleeding and secure the collaterals. In the prolonged stage, the method of dissipating stasis and clearing up turbidity should be used, as well as activating blood circulation and unblocking the collaterals. In the recovery stage, it is advised to nourish blood to flourish the collaterals, reinforce healthy qi and resolve turbidity. This therapeutic system integrates the elimination of pathogens and the reinforcement of healthy qi to clear and resolve blood turbidity, ultimately achieving holistic collateral repair through securing, unblocking, and nourishing the collaterals, which provides new insights into the treatment of this disease in traditional Chinese medicine.