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基于"络虚邪瘀"辨治儿童腺样体肥大OACSTPCD

Differentiation and treatment of adenoid hypertrophy in children through the lens of collateral deficiency and pathogen stagnation

中文摘要英文摘要

腺样体肥大是小儿耳鼻喉科常见疾病.中医学认为腺样体肥大多由内外合邪而致病,病机特点总属本虚标实,与"络虚邪瘀"理论密切相关.络脉瘀滞影响气血津液运行,日久导致络脉空虚不荣,"络虚邪瘀"可体现络脉病变过程.腺样体肥大病因病机表现为:肺脾不足、络脉不荣为本,内外合因、痰瘀阻络为标.临床运用通补与通滞(化痰散瘀通络、辛散芳香通络)治疗腺样体肥大.

Adenoid hypertrophy is a common pediatric otolaryngological condition. According to Traditional Chinese Medicine,adenoid hypertrophy is often caused by the combination of internal and external pathogenic factors,characterized by deficiency at the root and manifestations at the standard. This pathogenesis is closely related to the theory of "collateral deficiency and pathogen stagnation". Collateral stasis affects the circulation of qi,blood,and body fluids,eventually leading to the depletion and decline of collaterals. The theory shows the pathological progression of collateral vessel changes. The etiology and pathogenesis of adenoid hypertrophy include deficiency of lung and spleen,decline of collaterals,which are the root causes,combined internal and external causes,and obstruction of collaterals by phlegm and stasis as the branch. Clinical treatment involves nourishing and dredging techniques (such as resolving phlegm,dispersing stasis,and dredging collaterals with aromatic herbs).

刘苗苗;张蔷;袁振华;王俊宏

北京中医药大学东直门医院 北京 100700

中医学

腺样体肥大络虚邪瘀络病病因病机

adenoid hypertrophycollaterals deficiency and pathogen stagnationcollateral diseaseetiology and pathogenesis

《现代中医临床》 2024 (005)

54-57 / 4

北京中医药大学一流学科建设项目(No.90010961020078)

10.3969/j.issn.2095-6606.2024.05.012

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