中医药学报2026，Vol.54Issue(1)：54-57,4.DOI:10.19664/j.cnki.1002-2392.260010
通窍升降散治疗小儿鼻渊刍议
Discussion on Tongqiao Shengjiang Powder in the Treatment of Pediatric Sinusitis
摘要
Abstract
Pediatric sinusitis is prevalent among children,which is mainly manifested by a large amount of turbid nasal discharge.Western medicine treats this disease mostly with oral antibiotics and nasal hormones,which have the disadvantages of uncertain efficacy and drug resistance.Traditional Chinese Medicine(TCM)treats this disease through oral and external use of Chinese herbal drugs,offering a relatively safe and low-side-effect treatment option.In this study,we believe that the onset of pediatric sinusitis is related to the external pathogens to the lungs closing to the surface and inside;the heat of the gallbladder leading to the congestion of the nose and orifices;spleen and stomach disorders causing to the imbalance of qi movement.The primary pathogenesis involves internal heat stagnation and obstruction of the nasal passages.The following methods should be used in treating this disease:to resolve the pathogens both external and internal,to dispel external evils and clear the heat in the lungs at the same time;pungent and bitter medicines should be used together,to relieve the heat in the gallbladder;to elevate the clearness and lower the turbidity,regulating the spleen and the stomach Qi.Tongqiao Shengjiang Powder is derived from"Shengjiang Powder",a classic formula for treating epidemics,and is modified by the addition of Magnolia biondii Pamp.,ueraria lobata(Willd.)Ohwi,and Glycyrrhiza uralensis Fisch.This formula has excellent therapeutic effects for treating pediatric sinusitis.It has the efficacy of resolving external pathogens and clearing the heat in the lungs,elevating the clearness and lowering the turbidity,and improving nasal ventilation.Although its medicinal flavor is simple,the formula is comprehensive and covers several treatments.It can effectively treat pediatric nasosinusitis of various TCM syndrome types through addition or subtraction.In this paper,one case is attached for clinical reference.关键词
鼻渊/儿科/通窍升降散/郁热内伏/气机失调Key words
Sinusitis/Pediatrics/Tongqiao Shengjiang Powder/Internal stagnation of heat/Dysregulation of qi dynamics分类
医药卫生引用本文复制引用
黄鑫,王文彦,任彦林,高思宇..通窍升降散治疗小儿鼻渊刍议[J].中医药学报,2026,54(1):54-57,4.基金项目
陕西省重点研发计划(2024SF-YBXM-513) （2024SF-YBXM-513）
陕西省中医学术流派传承工作室建设项目(陕中医药函[2023]84号) （陕中医药函[2023]84号）
榆林市科技计划项目(YF-2022-50,2024-SF-058) （YF-2022-50,2024-SF-058）
