清肺健脾法治疗变应性鼻炎的理论梳理及应用体会  

Theoretical combing and application experience of clearing lung and invigorating spleen method in the treatment of allergic rhinitis

作　　者：屈静[1] 支楠[1] 廉海红[1] 曹姗 QU Jing;ZHI Nan;LIAN Haihong;CAO Shan(Department of Traditional Chinese Medicine,Beijing Tongren Hospital Affiliated to Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院传统医学科,北京100730

出　　处：《中国医药导报》2022年第22期128-131,共4页China Medical Herald

基　　金：首都卫生发展科研专项项目(首发2022-2-20510);支楠全国名老中医药专家传承工作室。

摘　　要：清肺健脾法是基于传承、实践,创新提出的治疗肺热脾湿证候鼻鼽的方法,本文梳理了肺热脾湿证候鼻鼽的发生,即湿热伏气是内在基础,肺热炽盛、脾虚湿聚,湿热胶结、上犯清窍是重要病机,指出其主要责之于肺,与脾相关,致病因素责之于热,兼湿邪胶结。故提出清肺健脾治法,具体药物分两个角度解析,一是主次用药,有君、臣、佐、使之别;二是性味上,分为性寒清肺热、淡渗健脾利湿、辛温疏风开窍三类。本方药经过多年实践和临床研究,证实安全有效,并且总结了肺热脾湿证候的辨证要点,便于在临床推广使用。整理了在诊治患者时,遇不同具体情况时在理论指导下常用的调整药物方法。最后,举病案示例。The method of clearing lung and invigorating spleen is an innovative method for the treatment of allergic rhinitis with lung heat and spleen dampness syndrome based on inheritance and practice.This paper combs the occurrence of allergic rhinitis with lung heat and spleen dampness syndrome,that is,the insidious pathogen of dampness heat is the internal basis,exuberance of lung heat,spleen deficiency and dampness aggregation,dampness heat cementation,and invading nasal orifices are important pathogenesis.It is pointed out that it is mainly due to the lung,related to the spleen,and the pathogenic factors are heat and dampness cementation.Therefore,the method of clearing lung and invigorating spleen is proposed.The specific herbs are analyzed from two angles,one is the primary and secondary drugs,which are different from monarch,minister,assistant and envoy;secondly,in terms of nature and flavour,it is divided into three categories:cold herbs clearing lung heat,tasteless flavor herbs invigorating spleen for promoting diuresis and spicy warm herbs dispelling wind for opening orifices.After years of practice and clinical research,this prescription has been proved to be safe and effective.This time,the key points of syndrome differentiation of lung heat and spleen dampness syndrome are summarized,which is convenient for clinical popularization.In the diagnosis and treatment of patients,the commonly used adjusted herbs are sorted out under the guidance of theory in different specific situations.Finally,an example of medical records is shown.

关 键 词：清肺健脾法 变应性鼻炎 肺热脾湿 

分 类 号：R256.1[医药卫生—中医内科学]