北京中医药大学学报2025，Vol.48Issue(3)：312-317,6.DOI:10.3969/j.issn.1006-2157.2025.03.003
基于《黄帝内经》"胆、肺移热"思想辨治儿童鼻渊
Diagnosis and treatment of pediatric sinusitis based on"the transmission of heat from gallbladder and lung"idea in Huangdi Neijing
摘要
Abstract
Sinusitis is a prevalent nasal disease in children,characterized by chronic and difficult-to-treat symptoms.Its onset is related to nasal stagnation,gallbladder and lung dysfunctions.This article explores the root cause based on Huangdi Neijing by considering the physiological and pathological characteristics of children.The core pathogenesis of pediatric sinusitis is the transmission of heat from the gallbladder and lung to the brain and nose,disrupting normal nasal function.Wind and heat pathogens often persist,accumulate,and transform into turbid qi,which are common triggers of the disease.Evil qi retention and yin depletion are internal factors that cause the prolonged and unhealed condition of the disease.This article emphasizes individualized treatment approaches based on disease duration and the severity of pathogenic factors.If external pathogens remain uncleared,treatment should focus on dispelling wind,clearing heat,dispersing with pungent medicinals,and dredging nasal orifices.If internal fire is exuberant,clearing lung qi,inhibiting hyperactive liver yang,and clearing exuberant fire should be used to relieve stagnation.In chronic cases with residual pathogens and liver-kidney yin deficiency,nourishing yin,clearing fire,and moistening the nasal orifices are essential.When exuberant heat has subsided,but the symptom of a persistent runny nose continues,leading to the loss of healthy qi and damage to the lung and spleen,treatments that tonify the spleen,benefit the lung,and reinforce healthy qi should be adopted to relieve stagnation.These treatments aim to restore the balance of the body's vital qi by addressing both the lingering symptoms and the underlying weakness of the lung and spleen.The diagnosis and treatment of pediatric sinusitis based on the theory of"the transmission of heat from gallbladder and lung"can help reduce the recurrence of sinusitis and alleviate symptoms,with the aim of broadening the approach of traditional Chinese medicine in treating this condition.关键词
鼻渊/黄帝内经/胆、肺移热/扶正祛邪/通鼻开窍Key words
sinusitis/Huangdi Neijing/the transmission of heat from gallbladder and lung/strengthening vital qi to eliminate pathogenic factor/relieve nasal stagnation分类
医药卫生引用本文复制引用
潘文青,袁振华,王浩林,邢琼琼,丁子超,段伊蔓,任献青..基于《黄帝内经》"胆、肺移热"思想辨治儿童鼻渊[J].北京中医药大学学报,2025,48(3):312-317,6.基金项目
国家自然科学基金项目(No.82205186) （No.82205186）
河南省中原英才计划(豫组通[2021]44号) （豫组通[2021]44号）
河南省中医学"双一流"创建科学研究专项(No.HSRP-DFCTCM-2023-8-39) National Natural Science Foundation of China(No.82205186) （No.HSRP-DFCTCM-2023-8-39）
