广州中医药大学学报2026，Vol.43Issue(6)：1680-1685,6.DOI:10.13359/j.cnki.gzxbtcm.2026.06.033
黎世明从肺脾论治小儿鼻鼽的临床经验
Li Shiming's Clinical Experience in Treating Pediatric Sniveling Nose from the Perspective of Lung and Spleen
摘要
Abstract
Sniveling nose,known as allergic rhinitis in modern medicine,is one of the common pediatric disorders.Professor Li Shiming posits that children with allergic rhinitis frequently present with a pronounced spleen-deficient constitution.The core pathogenesis is predominantly characterized by insecurity of defensive qi of the lung and failure in transportation due to spleen deficiency.In response to the dual deficiency of the lung and spleen,Professor Li recommends the therapeutic principles of diffusing the lung and unblocking the orifices to address the manifestations,strengthening the spleen and replenishing qi to treat the root cause,and simultaneously regulating both the lung and spleen to consolidate long-term efficacy.There are Astragali Radix,Fici Simplicissimae Radix,Pseudostellariae Radix,Magnoliae Flos,fried Xanthii Fructus,Schisandrae Chinensis Fructus,and Atractylodis Macrocephalae Rhizoma frequently used for strengthening the spleen,replenishing qi,securing the exterior,and unblocking the orifices.In clinical practice,modifications are performed flexibly,with careful adjustment of the ratio of purging herbs to tonifying herbs according to syndrome differentiation,thereby achieving concurrent management of both manifestations and root cause and simultaneous regulation of the lung and spleen.Professor Li's experience in treating pediatric allergic rhinitis from the perspective of lung and spleen offers valuable insights for its diagnosis and management with traditional Chinese medicine.关键词
鼻鼽/变应性鼻炎/肺卫不固/脾虚失运/宣肺通窍/健脾益气/肺脾同调/黎世明分类
医药卫生引用本文复制引用
林舒婕,罗聪,阮岩,罗菲..黎世明从肺脾论治小儿鼻鼽的临床经验[J].广州中医药大学学报,2026,43(6):1680-1685,6.基金项目
国家自然科学基金项目(编号:82274590) （编号:82274590）
