[1]王斌,瞿溢谦.鼻炎证治规律探析[J].中医儿科杂志,2019,15(02):34-37.[doi:10.16840/j.issn1673-4297.2019.02.11]
 WANG Bin,QU Yiqian.Rule of syndrome differentiation and treatment of rhinitis[J].Journal of Pediatrics of Traditional Chinese Medicine,2019,15(02):34-37.[doi:10.16840/j.issn1673-4297.2019.02.11]
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鼻炎证治规律探析
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《中医儿科杂志》[ISSN:/CN:62-1176/R]

卷:
15
期数:
2019年02期
页码:
34-37
栏目:
临床研究与报道
出版日期:
2019-09-25

文章信息/Info

Title:
Rule of syndrome differentiation and treatment of rhinitis
作者:
王斌1 瞿溢谦2
1. 杭州市中医院儿科, 浙江 杭州 310006;
2. 浙江中医药大学基础医学院, 浙江 杭州 310053
Author(s):
WANG Bin1 QU Yiqian2
1. Department of Pediatrics, Hangzhou Municipal Hospital of TCM, Hangzhou, Zhejiang, 310006, China;
2. Basic Medicine College, Zhejiang University of TCM, Hangzhou, Zhejiang, 310053, China
关键词:
鼻炎病证规律诊治经验
Keywords:
rhinitisrule of syndrome differentiation and treatmentexperience in diagnosis and treatment
分类号:
R276.1
DOI:
10.16840/j.issn1673-4297.2019.02.11
摘要:
通过梳理古代医学文献并结合临床治疗经验,对鼻炎的证治规律进行探讨分析,总结中医治疗鼻炎的特点。鼻炎多因风致病,且以风寒、风热为主,风寒致病常兼湿阻,治以祛风散寒,兼以祛湿;风热致病常因风热攻冲,热郁不泄,治以疏风清热;鼻炎关乎肝胆,若肝经气机不畅,胆火不降,易移热于脑,治以疏肝清热为主;肺寒脾虚可因致宗气不能出于鼻而令鼻鼽发病,治以温肺健脾为主;鼻槁多瘀热兼虚,治以滋阴清热为主。附案例5则,以资验证。
Abstract:
By combing through the ancient medical literature,combined with the experience in clinical treatment for rhinitis,this paper analyzes the rule of syndrome differentiation and treatment of rhinitis and summarizes the characteristics of TCM treatment for rhinitis.Rhinitis is mostly caused by wind,and mainly by wind-cold and wind-heat.The disease induced by wind-cold is often combined damp obstruction,thus the treatment lies in expelling wind and dissipating cold combined with expelling dampness;the disease induced by wind-heat is often due to the attack and ascension of wind-heat,resulting in the failure of diarrhea due to heat stagnation,thus the treatment lies in dispelling wind and clearing away heat;the disease of rhinitis involving liver and gallbladder,if qi activity inhibited in liver meridian with failure of gallbladder-fire to descend,heat is easily transferred to the brain,thus the treatment focuses on soothing liver to clear away heat;the disease of pulmonary cold and asthenia of spleen giving rise to the inability of thoracic qi to air out of the nose,resulting in the onset of allergic rhinitis,thus the treatment focuses on warming lung and invigorating spleen;and the disease of atrophic rhinitis mainly with stagnant heat combined deficiency,thus the treatment focuses on nourishing yin to clear away heat.Five cases are attached for verification.

参考文献/References:

[1] 叶天士.临证指南医案[M].北京:人民卫生出版社,2006:203.
[2] 陈士铎.陈士铎医学全书[M].太原:山西科学技术出版社,2012:391.
[3] 沈金鳌.杂病源流犀烛[M].北京:人民卫生出版社,2006:748.
[4] 陈璞,陈玠撰.医法青篇[M].北京:中国中医药出版社,2015:267.

相似文献/References:

[1]曹广海,云鹰,肖华.络病理论在儿科应用拾萃[J].中医儿科杂志,2009,(02):36.
 Cao Guanghai,Yun Ying,Xiao Hua.Applications of Collateral Disease Theory in Pediatrics[J].Journal of Pediatrics of Traditional Chinese Medicine,2009,(02):36.

备注/Memo

备注/Memo:
作者简介:王斌(1979-),女,主治医师,医学学士,主要从事儿科临床工作。
更新日期/Last Update: 1900-01-01