中国中西医结合儿科学2025，Vol.17Issue(5)：373-377,5.DOI:10.20274/j.cnki.issn.1674-3865.2025.05.002
基于"五郁"理论治疗儿童鼻鼽验案
Case of treating pediatric nasal cavity based on the theory of"Five Depressions"
摘要
Abstract
Based on the Five Depression Theory from Huangdi Neijing,this study establishes a dynamic diagnosis and treatment system of"Five Depressions Transmission and Deficiency-Excess Transformation"systematically elucidating the intrinsic connections between wood depression,fire depression,earth depression,metal depression,water depression and the pathogenesis of pediatric nasal obstruction.The Five Depression result from"disordered five-phase movements causing dysfunction in qi circulation"requiring clinicians to"observe the harm of six climatic factors and follow the trends of five elements"while applying the five methods—"releasing,dispersing,draining,purging,and suppressing"—to regulate qi movement.Specifically:Jueyin wind-wood syndrome should be treated with dispersing and freeing the orifices;Shaoyang ministerial fire syndrome requires venting heat pathogens;Taiyin damp-earth syndrome necessitates removing obstructions;Yangming dry-metal syndrome calls for moistening and nourishing collaterals;Taiyang cold-water syndrome demands warming and resolving cold retention.Special attention should be paid to the changes in the pathogenesis of the"Five Depressions Transmission and Deficiency-Excess Transformation".Treatment should focus on"resolving depression and regulating the pivot,and guiding according to the situation".This research provides novel therapeutic approaches for the clinical prevention and treatment of pediatric nasal obstruction.关键词
鼻鼽/五郁理论/"五郁传变,虚实转化"动态辨治体系/临床应用/儿童Key words
Allergic rhinitis/The Five Depression Theory/The dynamic diagnostic and treatment system of"transmission and transformation among five depressions with deficiency-excess conversion"/Clinical application/Child分类
医药卫生引用本文复制引用
粟艳艳,杨见辉,冯忠发,魏家璇..基于"五郁"理论治疗儿童鼻鼽验案[J].中国中西医结合儿科学,2025,17(5):373-377,5.基金项目
贵州省科技厅基础研究计划面上项目(黔科合基础-zk[2025]面上166) （黔科合基础-zk[2025]面上166）
贵州中医药、民族医药科学技术研究专项(QZYY-2020-024) （QZYY-2020-024）
贵州省卫生健康委员会科学技术基金项目(黔卫健函[2023]1-416) Guizhou Traditional Chinese Medicine and Ethnic Medicine Science and Technology Research Special Project(No.QZYY-2020-024) （黔卫健函[2023]1-416）
