从脏腑论治儿童腺样体肥大  

Treatment of Adenoid Hypertrophy in Childrenfrom the Perspective of Viscera

作　　者：王明晶 肖臻[1] 姜之炎[1] WANG Mingjing;XIAO Zhen;JIANG Zhiyan(Longhua Hospital Affiliated to Shanghai University of Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《陕西中医药大学学报》2023年第6期18-23,共6页Journal of Shaanxi University of Chinese Medicine

基　　金：上海市“十三五”临床重点专科中医儿科项目(shslczdzk04102);上海市卫生和计划生育委员会之“上海市中医专科(专病)联盟建设项目”[ZY(2018-2020)-FWTX-4019]。

摘　　要：近年来儿童腺样体肥大(adenoid hypertrophy, AH)的发病率逐渐升高,西医治疗本病缺乏特效药物,以手术切除为主,中医以脏腑功能为核心,通过辨证论治,疗效显著。儿童AH为本虚标实之证,肺、脾、肾三脏亏虚为本,痰瘀互结为标,病机可以概括为肺失宣肃则通调失常、脾失运化则痰湿内生、肾元亏虚则气化无权、肝气郁结则刑金克木、肠腑不通则肺气壅塞五个方面,因此从脏腑论治,多将本病分为肺经蕴热证、脾虚痰湿证、肺脾气虚证、肺肾阴虚证四型,治以辛凉宣肺、健脾助运、补益肺脾、滋补肺肾,兼以化痰散结。In recent years,the incidence rate of adenoidal hypertrophy(AH)in children has gradually increased.Western medicine is lack of specific drugs to treat the disease,and surgical resection is the main method.Traditional Chinese medicine focuses on the function of the Zang Fu organs.Through syndrome differentiation and treatment,the curative effect is remarkable.Children's AH is a syndrome of deficiency and excess,with deficiency in the lungs,spleen,and kidneys as the basis,and phlegm and blood stasis as the causes.The pathogenesis can be summarized as follows:lung deficiency leads to abnormal regulation,spleen deficiency leads to endogenous phlegm and dampness,kidney deficiency leads to no power in Qi,liver Qi stagnation leads to punishment and obstruction of Qi,and intestinal obstruction leads to lung Qi obstruction.Therefore,based on the treatment of viscera,this disease is often divided into four types:lung meridian heat accumulation syndrome,spleen deficiency and phlegm dampness syndrome,lung spleen Qi deficiency syndrome,and lung kidney Yin deficiency syndrome.The treatment involves nourishing the lungs,tonifying the spleen,nourishing the lungs and kidneys,and resolving phlegm and dispersing nodules.

关 键 词：腺样体肥大 中医治疗 痰核 脏腑病机 本虚标实 脏腑论治 

分 类 号：R272[医药卫生—中医儿科学]