基于“清涕责肾”探讨鼻鼽中多涕症的中医治疗方法  

Discussing the treatment methods for excessive nasal discharge in allergic rhinitis based on the“clear discharge attributed to the kidney”theory

作　　者：张琳玥 罗曦蕾 彭顺林[2] Zhang Linyue;Luo Xilei;Peng Shunlin(Chengdu University of TCM,Chengdu,Sichuan,610075;Hospital of Chengdu University of TCM,Chengdu,Sichuan,610072)

机构地区：[1]成都中医药大学,四川成都610075 [2]成都中医药大学附属医院,四川成都610072

出　　处：《中医眼耳鼻喉杂志》2024年第1期7-9,29,共4页Journal of Chinese Ophthalmology and Otorhinolaryngology

基　　金：国自然基金(四川省中医药管理局),基于TGF-β1/Smads/Foxp3通路及Th17/Treg平衡探索益气温阳法治疗变应性鼻炎的机制(编号:2021MS098);成都市科技局,基于SP/NK-1R/Mrgprs通路探索针刺联合摄涕止鼽方治疗变应性鼻炎的神经免疫机制研究(编号:2022-YF05-01373-SN)。

摘　　要：鼻鼽是临床上常见病、多发病、难治病,中医药治疗变应性鼻炎具有独特优势,但针对其某些典型症状的治疗,仍存在治疗难点。干祖望先生根据鼻鼽患者大量流清鼻涕的症状提出“多涕症”概念,认为针对多涕症应从肾虚水泛、肾寒脑冷切入治疗。根据干祖望先生在多涕症中提出的“清涕责肾”理论,通过文献查阅,试图补充完善“清涕责肾”的中医理论依据,发现清涕病机多源自肾气亏虚、肾阳不足、肾寒脑冷;通过探究干祖望医案中对于鼻鼽之多涕症的治法与常用药对,可以发现干老多以温阳益气、固肾敛液求强肾阳、敛清涕之效。Allergic Rhinitis is a common,frequently occurring,and difficult-to-treat condition clinically.Traditional Chinese Medicine(TCM)offers unique advantages in treating allergic rhinitis.However,challenges remain in addressing some typical symptoms of allergic rhinitis.Gan Zuwang introduced the concept of“excessive Nasal Discharge Syndrome”based on the symptom where rhinitis patients have a profuse clear nasal discharge.He believed that treatment for excessive nasal discharge should focus on issues related to kidney deficiency and overflow,as well as coldness in the kidney affecting the brain.Based on Gan Zuwang’s“Clear Discharge Attributed to the Kidney”theory,literature was reviewed to further validate and enrich the theoretical foundation of TCM on this topic.The findings suggest that the pathological mechanism of clear nasal discharge often stems from kidney qi deficiency,insufficient kidney yang,and coldness in the kidney affecting the brain.By examining Gan Zuwang’s clinical cases and his frequent prescriptions for excessive nasal discharge in rhinitis,it is evident that he predominantly utilized treatments to warm yang and nourish qi,fortify the kidneys,and consolidate fluids,aiming to strengthen kidney yang and reduce clear nasal discharge.

关 键 词：鼻鼽 多涕症 肾虚证 干祖望 

分 类 号：R765[医药卫生—耳鼻咽喉科]