北京中医药大学学报2025，Vol.48Issue(6)：827-832,6.DOI:10.3969/j.issn.1006-2157.2025.06.013
基于"脾胃虚实传变"理论论治变应性鼻炎
Treatment of allergic rhinitis based on the theory of"spleen and stomach deficiency and excess transformation"
摘要
Abstract
The theory of"spleen and stomach deficiency and excess transformation"originates from Huangdi Neijing,which is based on the five elements theory.It systematically elucidates the physiological interconnections and pathological transmission relationships among spleen,stomach,and the five zang and six fu viscera.This theory was continuously developed and refined by later physicians.It was first systematically summarized and deepened by LI Dongyuan in his work Piwei Lun,which elaborates on the pathological transmission relationships of other zang-fu viscera after spleen and stomach deficiency.From the perspective of LI Dongyuan's theory of"spleen and stomach deficiency and excess transformation",this paper discusses the pathological relationships between spleen-earth,lung-metal,and kidney-water,and proposes that spleen-earth deficiency is the pathological basis for the onset of allergic rhinitis.Based on the pathological evolution following spleen-earth deficiency,the traditional Chinese medicine syndromes of allergic rhinitis were categorized into three types:earth deficiency with metal weakness,earth dryness with metal desiccation,and water cold with metal excess and earth decline.The treatment of allergic rhinitis should prioritize the spleen-earth,employing acrid and dispersing herbs with light properties to elevate the spleen,sweet-warm and sour-astringent herbs to tonify the spleen,and diuretic and dampness-resolving herbs to activate the spleen,thereby restoring spleen-earth function.Simultaneously,treatment should regulate lung-metal and kidney-water according to different pathological evolutions,incorporating cold-cool or acrid-warm herbs as appropriate,combining cold and warm properties,and treating both the manifestation and root cause of the disease.关键词
脾胃虚实传变/变应性鼻炎/脾胃论/李东垣Key words
spleen and stomach deficiency and excess transformation/allergic rhinitis/Piwei Lun/LI Dongyuan分类
医药卫生引用本文复制引用
赵月纯,郭红,陈典,夏万颖,黄靖雅,张路..基于"脾胃虚实传变"理论论治变应性鼻炎[J].北京中医药大学学报,2025,48(6):827-832,6.基金项目
国家重点研发计划重点专项(No.2023YFC3502702)National Key R&D Program of China(No.2023YFC3502702) （No.2023YFC3502702）
