干祖望基于“四季脾旺不受邪”理论调理脾胃防治变应性鼻炎  

GAN Zuwang Preventing and Treating Allergic Rhinitis by Regulating Spleen and Stomach Based on Theory of“Strong Spleen Being Pathogen Resistant”

作　　者：倪平敏[1] 马华安[1] 赵晶晶[1] 陈旭青[1] 吴拥军[2] NI Pingmin;MA Huaan;ZHAO Jingjing;CHEN Xuqing;WU Yongjun(Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing 210029,China;First Clinical School of Medicine,Nanjing University of Traditional Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学附属医院,江苏南京210029 [2]南京中医药大学第一临床医学院,江苏南京210023

出　　处：《山东中医药大学学报》2020年第3期247-251,共5页Journal of Shandong University of Traditional Chinese Medicine

基　　金：江苏省干部保健科研项目(编号:BJ18023)。

摘　　要：干祖望教授基于“四季脾旺不受邪”理念探讨顺时、因人调理脾胃之法,构建变应性鼻炎防治之则。通过查阅历代相关文献,结合临床实践,从“理论依据”“顺天时旺脾土,以制诸邪”“实脾胃充五脏,以御鼻鼽”等方面,对调理脾胃防治变应性鼻炎之法进行系统探讨。“脾胃失用”在鼻鼽发病中意义重大,“壮固脾胃”防治变应性鼻炎之法因时、因人存异。总体而言,春夏宜升壮阳气,秋冬须阳气归藏,顺“于春夏养阳,秋冬养阴之道”,此为防治变应性鼻炎之大法。肺气虚寒,或肝阴不足,抑或心火偏亢者,则应据个体矛盾之不同,荣其不足,制其过盛,以“壮”脾土和五脏之不衡,此为因人制宜之法。因此,干祖望教授顺于天时,以施升、温、降、藏之道,据于五脏,以布因人制宜之法,则人之脾土“壮旺”,诸邪可御、鼽病可杜也。Professor GAN Zuwang discusses the method of regulating spleen and stomach adapting to different seasons and individual constitutions based on the concept of"strong spleen being pathogen resistant",and constructs principles for preventing and treating allergic rhinitis.Through reviewing the relevant literature of the past dynasties and combining with clinical practice,the method of regulating spleen and stomach to prevent and treat allergic rhinitis is systematically discussed from three respects,which involve“theoretical basis”,“regulating spleen according to different seasons to control pathogen”and“replenishing spleen and stomach and tonifying five zang organs to prevent allergic rhinitis”.“Dysfunction of spleen and stomach”is of great significance in the pathogenesis of allergic rhinitis.The method of“strengthening spleen and stomach”for the prevention and treatment of allergic rhinitis is various due to different seasons and individual constitutions.In general,yang should be lifted and supplemented in spring and summer,while it needs to be stored in autumn and winter.“Yang qi should be supplemented in spring and summer while yin should be nourished in autumn and winter.”This is the general rule of prevention and treatment of allergic rhinitis.For patients with deficient cold of lung qi or insufficient liver yin or hyperactivity of heart fire should be treated with tonifying deficiency or reducing excess according to different individual constitutions,this is the method of adapting to individual constitutions.Professor GAN Zuwang treats allergic rhinitis by lifting,warming,descending and hiding methods adapting to different seasons and considering five zang organs of individual constitutions.Therefore,spleen earth is strong enough to dispel pathogens and cure allergic rhinitis.

关 键 词：变应性鼻炎 四季脾旺不受邪 脾胃 防治 治未病 因时制宜 因人制宜 

分 类 号：R249[医药卫生—中医临床基础]