湖南中医药大学学报2026，Vol.46Issue(6)：1192-1197,6.DOI:10.3969/j.issn.1674-070X.2026.06.014
从"玄府-鼻络"理论探讨儿童变应性鼻炎的辨证思路
Pattern differentiation approach to pediatric allergic rhinitis based on the"mysterious mansion-nasal collaterals"theory
摘要
Abstract
Pediatric allergic rhinitis(AR)is a chronic inflammatory disease mediated by immunoglobulin E and characterized by type I hypersensitivity,with typical symptoms including nasal itching,congestion,sneezing,and rhinorrhea.Its prevalence is continuously increasing,and it is often accompanied by various complications,with limited therapeutic efficacy from modern medicine.Based on the"mysterious mansion-nasal collaterals"theory,this paper proposes that the core pathogenesis of pediatric AR lies in the dysfunction of the mysterious mansion(a collective term for the minute pathways and gates for dispersion and flowing of qi and fluid)and obstruction of the nasal collaterals.The pathogenesis evolution exhibits distinct stage-specific characteristics:in the acute stage,the invasion by exogenous pathogenic factors leads to disordered opening and closing of the mysterious mansion,resulting in malnourishment of the nasal collaterals;in the remission stage,dysfunction of the lung,spleen,and kidney causes loss of proper function of the mysterious mansion,leading to undernourishment of the nasal collaterals;in the protracted stage,prolonged illness enters the collaterals with intermingling of phlegm and stasis,resulting in stagnation and closure of the mysterious mansion.Accordingly,the general therapeutic principle of"opening the mysterious mansion and unblocking the collaterals"is proposed,with stage-based treatment:in the acute stage,wind-dispelling herbs with pungent flavor and dispersing action are used to open the orifices,open the mysterious mansion and unblock the collaterals,and expel pathogenic factors outward;in the remission stage,the approach of strengthening the spleen,benefiting the lung,and warming the kidney is applied,so as to nou rish the collaterals and open the mysterious mansion through a combination of unblocking and ton ifying;in the protracted stage,attention is paid to resolving phlegm,unblocking the collaterals,eliminating blood stasis,and opening the mysterious mansion.Exploring pediatric AR from the perspective of the"mysterious mansion-nasal collaterals"theory reveals the dynamic evolution of the disease,aiming to provide a new pattern differentiation approach and practical guidance for the TCM treatment of pediatric AR.关键词
儿童变应性鼻炎/玄府/鼻络/辨证思路/分期论治/启玄通络Key words
pediatric allergic rhinitis/mysterious mansion/nasal collaterals/pattern differentiation approach/stage-based treatment/opening mysterious mansion and unblocking collaterals分类
医药卫生引用本文复制引用
李南羽,雷西熙,魏村,李辉,邓可斌..从"玄府-鼻络"理论探讨儿童变应性鼻炎的辨证思路[J].湖南中医药大学学报,2026,46(6):1192-1197,6.基金项目
湖北省卫生健康委员会中医药科研项目(ZY2025L250) （ZY2025L250）
2026年省自然科学基金创新发展联合基金项目(2026AFCO932). （2026AFCO932）
