中医临床研究2025，Vol.17Issue(25)：93-97,5.DOI:10.3969/j.issn.1674-7860.2025.25.013
基于"随其所得"理论论治小儿过敏性鼻炎-哮喘综合征
The diagnosis and treatment of pediatric allergic rhinitis-asthma syndrome based on the theory of"dislodging tangible pathogenic factors"
摘要
Abstract
In recent years,with the continuous aggravation of air pollution and other factors,the prevalence of pediatric allergic rhinitis-asthma syndrome has been constantly rising.The disease not only seriously affects the quality of life of children patients,but also brings enormous mental and economic pressure to their parents.Allergic rhinitis-asthma syndrome is a common chronic respiratory disease in childhood,belonging to the categories of"nasal obstruction"and"wheezing disease"in traditional Chinese medicine.The key pathogenesis of this disease is that external pathogenic factors trigger latent wind and retained phlegm.The wind and phlegm attacks the nasal orifices upward,and phlegm and Qi(气)coalesce in the airways,among which"latent wind and retained phlegm"is the root cause.Based on the theory of"dislodging tangible pathogenic factors",the study holds that pediatric allergic rhinitis-asthma syndrome can be treated from two aspects:"treating tangible pathogenic factors"and"treating associated Fu(腑)that are invaded by pathogenic Qi".In terms of treating tangible pathogenic factors,in the acute attack stage,it is necessary to treat the symptoms,focusing on simultaneous treatment of wind and phlegm,with eliminating tangible phlegm as the priority.In this way,the intangible wind will lose its attachment,and cold and heat symptoms will be relieved accordingly.In the stable stage,it is necessary to treat the root cause,focusing on regulating the spleen.When the spleen functions normally,there will be no source for phlegm production,and the disease course will stop once the congenital root cause is eliminated.In terms of treating associated Fu-organs that are invaded by pathogenic Qi,according to the exterior-interior relationship of Zang-fu(脏腑)organs,by treating Fu-organs of the stomach and intestines,Qi circulation of the lungs and spleen is promoted,the accumulated heat in the large intestine is cleared,and the waste in the stomach and intestines is eliminated to clear lung heat,and restore the normal ascending function of the spleen and descending function of the stomach,thereby normalizing Qi circulation in middle energizer,and recovering the dispersing and descending functions of the lung.Meanwhile,emphasis is laid on the treatment of the stable stage,highlighting the importance of regulating the spleen to strengthen healthy Qi,and adding digestion-promoting and Qi-regulating Chinese medicinal materials into the spleen-strengthening prescriptions to restore the vital activity of the spleen and stomach,avoid stagnation caused by excessive tonification,and also nourish lung Qi.One clinical medical case is attached to confirm that the prevention and treatment of pediatric allergic rhinitis-asthma syndrome under the guidance of the theory of"dislodging tangible pathogenic factors"is indeed effective in relieving symptoms and ameliorating prognosis,which provides more reference for the prevention and treatment of this disease and enriches the intervention strategy in traditional Chinese medicine.关键词
过敏性鼻炎-哮喘综合征/随其所得/伏邪Key words
Allergic rhinitis-asthma syndrome/Dislodging tangible pathogenic factors/Latent pathogenic factor分类
医药卫生引用本文复制引用
王子航,刘芳,白晓红..基于"随其所得"理论论治小儿过敏性鼻炎-哮喘综合征[J].中医临床研究,2025,17(25):93-97,5.基金项目
辽宁省科学技术社会发展攻关计划(2013226012). （2013226012）
