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基于“营卫理论”结合脏腑辨证三期分治小儿鼻鼽肺经风寒证
Three-phase treatment for children with allergic rhinitis with wind-cold syndrome of the lung meridian based on the "Ying-Wei theory" combined with syndrome differentiation of viscera
【摘要】 小儿鼻鼽是临床常见疾病,临证以肺经风寒证多见。孙丽平教授基于“营卫理论”,认为该病证发作期乃因风寒犯肺,肺失宣降,使营卫不和,气不行津,致鼻窍不利,治以宣畅气机为主,佐以解表通窍,常用自拟宣肺利鼻汤加减;缓解期脾虚不运,营卫虚滞,痰瘀结滞于鼻,治以补益脾胃为主,佐以消痰化瘀,利鼻通窍,常用玉屏风散加味;稳定期正气亏虚,疾病易反复发作,重视肾脏,固本培元,常用固防汤加减。
【Abstract】 Allergic rhinitis in children is a common clinical disease, and wind-cold syndrome of the lung meridian is the most common clinical evidence. Based on the theory of “Ying and Wei”, Prof. Sun Liping believes that during the attack period the onset of allergic rhinitis is due to wind-cold attacking the lungs and the lungs’ lack of dispersing and descending function, which leads to the disharmony between Ying and Wei and causes the gas to stop working, resulting in obstruction of nasal orifices; the treatment should focus on dispersing and smoothing qi, supplemented by relieving the symptoms and unblocking the nasal orifices, and the self-made Xuanfei Libi decoction with modification is often used. In the remission period during which the spleen is deficient and not functioning and Ying and Wei are stagnant, phlegm and stasis are stagnated in the nose; the treatment is to tonify the spleen and stomach, supplemented by eliminating phlegm, transforming stasis and unblocking the nose orifices, and Yupingfeng powder with flavor is often used. During the stable period, there is deficiency of favorable qi, and the disease is likely to reoccur, so kidneys should be paid attention to in order to strengthen the foundation and nourish the vital energy, and Gufang decoction with modification is often used.
【Key words】 Allergic rhinitis; Ying-Wei theory; Syndrome differentiation of viscera; Child;
- 【文献出处】 中国中西医结合儿科学 ,Chinese Pediatrics of Integrated Traditional and Western Medicine , 编辑部邮箱 ,2025年04期
- 【分类号】R276.1
- 【下载频次】36