中医杂志

总结汪受传教授分型辨治儿童上气道咳嗽综合征（UACS）的临证经验。认为儿童UACS的病位在鼻、咽，病变脏腑主要在肺，主张将UACS分为鼻鼽型、鼻渊型、慢乳蛾型，再结合中医证型辨治。鼻鼽型UACS常见风邪束肺、肺气虚寒证和伏风久羁、热壅肺窍证，分别选用自拟消风宣窍汤、辛夷清肺饮加减；鼻渊型UACS常见风热内郁、痰热蕴肺证和肺脾湿热、胆热上移证，分别选用加味苍耳子散、龙胆泻肝汤合黄芩滑石汤加减；慢乳蛾型UACS常见痰热瘀阻肺窍证，选用自拟泻肺消腺汤。

This paper summarized Professor WANG Shouchuan's clinical experience in pattern identification and treatment of children's upper airway cough syndrome(UACS). It is believed that the disease location of children's UACS lies in the nose and pharynx, with the lung as the main involved organ. It is advocated to classify UACS into three types including allergic rhinitis type, sinusitis type, and chronic tonsillitis type, and syndrome differentiation is combined for treatment. The common syndromes of allergic rhinitis-type UACS include wind pathogen fettering the lung with lung qi deficiency-cold syndrome and lingering latent wind with heat obstructing the lung orifice syndrome, for which self-formulated Xiaofeng Xuanqiao Decoction （消风宣窍汤） and Xinyi Qingfei Beverage （辛夷清肺饮） are recommended respectively. The sinusitis-type UACS is commonly categorized into the syndrome of wind-heat internal constraint with phlegm-heat accumulating in the lung and the syndrome of damp-heat in the lung and spleen with gallbladder heat rising upwards, for which Modified Cang'erzi Powder （加味苍耳子散）, and Longdan Xiegan Decoction （龙胆泻肝汤） combined with Huangqin Huashi Decoction （黄芩滑石汤） with modifications can be used respectively. The chronic tonsillitis-type UACS is mainly manifested as the syndrome of damp-heat accumulating in the lung and blocking the orifice, and the self-formulated Xiefei Xiaoxian Decoction （泻肺消腺汤） is commonly used.