基于“气络-血络”理论辨析儿童变应性鼻炎证治  

Pattern differentiation and treatment of allergic rhinitis in children based on "qi collaterals-blood collaterals" theory

作　　者：周艺玥 邓可斌[1,2] ZHOU Yiyue;DENG Kebin(Hubei University of Chinese Medicine,Wuhan,Hubei 430065,China;Hubei Provincial Hospital of TCM,Wuhan,Hubei 430061,China)

机构地区：[1]湖北中医药大学,湖北武汉430065 [2]湖北中医药大学附属湖北省中医院,湖北武汉430061

出　　处：《湖南中医药大学学报》2024年第5期863-867,共5页Journal of Hunan University of Chinese Medicine

基　　金：湖北省卫生健康委员会科研项目(ZY2021Z001)。

摘　　要：变应性鼻炎是一种小儿常见的多发病,久病可能会增加哮喘等相关疾病的风险,甚至影响患儿心理健康、加重家庭负担。“气络-血络”理论是基于络病学说发展而来的一门应用理论。从络损角度认识小儿鼻鼽病机,肺脾肾三脏气络虚损为儿童变应性鼻炎发生发展的基础,气血失调是其发生发展的核心病机,风、寒、痰、瘀为重要病理因素,久病入血,发展为血络损伤。疾病病机虚实夹杂,以“实则通络,虚则补络”为治疗原则,为儿童变应性鼻炎的中医治疗提供了新的理论基础与实践指导。Allergic rhinitis(AR)is a common disease that frequently occurs in children,and prolonged illness may increase the risk of asthma and other related diseases,even affecting the mental health of children and increasing the burden on families.The"qi collaterals-blood collaterals"theory is an applied theory developed based on the collateral disease theory.Understanding the pathogenesis of AR in children from the perspective of damage to collaterals,the damage and consumption to qi collaterals of the lung,spleen,and kidney is the basis for the occurrence and development of AR in children,the imbalance of qi and blood is the core pathogenesis,and wind,cold,phlegm,and blood stasis are the important pathological factors.Moreover,long-term illness can deeply affect the blood,further progressing to damage blood collaterals.Since the pathogenesis of AR is a combination of deficiency and excess,this article aims to provide a new theoretical basis and practical guidance for TCM treatment of AR in children based on the treatment principles of"treating excess with unblocking collaterals and treating deficiency with tonifying collaterals".

关 键 词：儿童变应性鼻炎 气络 血络 络病理论 发病机制 治则 

分 类 号：R272[医药卫生—中医儿科学]