Application of Spleen-Fortifying and Stomach-Regulating Techniques in a Pediatric Case of Macrolide-Induced Gastrointestinal Reactions During Mycoplasma Pneumoniae Pneumonia Treatment

ZHENG Liping; GU Xiaoling; YUAN Yuan; YAN Rongyan

doi:10.12209/CAIM202508040002

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Application of Spleen-Fortifying and Stomach-Regulating Techniques in a Pediatric Case of Macrolide-Induced Gastrointestinal Reactions During Mycoplasma Pneumoniae Pneumonia Treatment

更新时间：2025-11-27

- Application of Spleen-Fortifying and Stomach-Regulating Techniques in a Pediatric Case of Macrolide-Induced Gastrointestinal Reactions During Mycoplasma Pneumoniae Pneumonia Treatment
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  天津中医药大学第一附属医院国家中医针灸临床医学研究中心儿科二病区，天津， 300381
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202508040002
  CLC：
- Received：04 August 2025，
  
  Revised：2025-09-08，
  
  Accepted：22 September 2025，
  
  Published Online：27 November 2025，
- 稿件说明：
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ZHENG Liping, GU Xiaoling, YUAN Yuan, et al. Application of Spleen-Fortifying and Stomach-Regulating Techniques in a Pediatric Case of Macrolide-Induced Gastrointestinal Reactions During Mycoplasma Pneumoniae Pneumonia Treatment[DB/OL].Clinical Archives of Integrative Medicine, 2025.
DOI：

ZHENG Liping, GU Xiaoling, YUAN Yuan, et al. Application of Spleen-Fortifying and Stomach-Regulating Techniques in a Pediatric Case of Macrolide-Induced Gastrointestinal Reactions During Mycoplasma Pneumoniae Pneumonia Treatment[DB/OL].Clinical Archives of Integrative Medicine, 2025. DOI： 10.12209/CAIM202508040002.

摘要

本文报道1例6岁男性肺炎支原体肺炎患儿的诊疗案例，该患儿在静脉输注阿奇霉素后出现严重胃肠道反应。通过应用中医健脾和中技术进行干预，有效缓解药物相关性胃肠道症状，使患儿耐受性显著改善，最终顺利完成抗感染治疗并康复出院。本案例为儿童肺炎支原体感染治疗中药物不良反应的中医干预提供了实践参考。

Abstract

This article reports a case of a 6-year-old male child with Mycoplasma pneumoniae pneumonia. The child experienced severe gastrointestinal reactions after intravenous infusion of azithromycin. Through the application of traditional Chinese medicine techniques for strengthening the spleen and harmonizing the middle， the drug-related gastrointestinal symptoms were effectively alleviated， significantly improving the child's tolerance. Eventually， the child successfully completed the anti-infection treatment and was discharged from the hospital. This case provides practical reference for the intervention of traditional Chinese medicine in drug adverse reactions during the treatment of Mycoplasma pneumoniae infection in children.

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