旴江名医席弘鼻鼽辨治浅探  

A study on the treatment of allergic rhinitis by XI Hong

作　　者：肖瑶 孟萍[1] 韩慧珺 艾瑛[1] 邹来勇[1] 张清源 汤冬亮 XIAO Yao

机构地区：[1]江西中医药高等专科学校,江西抚州344000 [2]江西中医药大学,江西南昌330004

出　　处：《中医临床研究》2024年第22期102-106,共5页Clinical Journal Of Chinese Medicine

基　　金：江西省教育厅科学技术课题(GJJ213307);江西省中医药中青年骨干人才(第二批)培养计划(赣中医药科教字[2020]5号);江西中医药高等专科学校校级课题(2023A11)。

摘　　要：鼻鼽,现代医学又称过敏性鼻炎,是以突发和反复出现鼻痒、打喷嚏、流涕、鼻塞为特征的一种鼻黏膜非感染性慢性炎性疾病。鼻鼽的临床病因病机复杂,病程迁延日久,可诱发为哮喘,且全球发病率高,分布范围广,严重威胁患者的生命健康,故临床上寻找“简”“便”“廉”“验”的鼻鼽防治方法已成为迫切需要。目前,临床上常用的治疗方法为西医的药物疗法、手术疗法以及免疫疗法等,治疗时间和金钱成本较高,患者接受度相对较低,中医治疗方法相对较为合适。旴江流域名医辈出,医家席弘精通医理,针灸技艺精湛,尤为擅长治疗鼻病诸症,其效迅疾如风,针法如神,是旴江针灸流派的喉科代表人物,对鼻鼽的病因病机及治疗选穴有独到见解,疗效甚好。他认为鼻鼽的主要病因病机为“风寒袭表”“肺脾气虚”“脾肾阳虚”“气虚郁热”,与肺、脾、肾三脏的气血衰弱关系最为密切。在鼻病临证选穴时,诊疗特点为“辨证论治,补泻有度”“一针见血,穴法分明”“取穴效验,配穴精当”。对旴江名医席弘及其代表作《席弘赋》《神应经》中治疗鼻鼽的论述进行梳理分析,探讨其对该病病因病机及治疗选穴的独到见解,在论治鼻鼽时强调辨证施治、整体审察,为传统中医诊治鼻鼽的临床实践提供了有利参考。Allergic rhinitis is a non-infectious chronic inflammatory disease of the nasal mucosa characterized by sudden and repeated nasal itching, sneezing, runny nose and nasal congestion. The clinical etiology and pathogenesis of allergic rhinitis are complex. If the course of the disease is prolonged, asthma can be induced. This disease has a high global incidence and wide distribution, which seriously threatens the life and health of patients. Therefore, it has become an urgent need to find simple, convenient, cheap and effective methods for the prevention and treatment of allergic rhinitis in clinic. At present, the commonly used methods in clinical practice are mostly drug therapy, surgical therapy, and immunotherapy in Western medicine. The time and money costs of treatment are high, and the acceptance of patients is low. Traditional Chinese medicine is relatively more suitable. There are many famous doctors in the Xujiang basin. XI Hong, a medical expert, is proficient in medical theory and has excellent acupuncture skills, especially in the treatment of nasal diseases. He is the representative figure of the laryngology of the Xujiang acupuncture school, and has unique views on the etiology, pathogenesis and acupoint selection of allergic rhinitis. He believes that the main etiology and pathogenesis of allergic rhinitis are “wind-cold assailing the exterior” “lung and spleen Qi deficiency” “spleen and kidney Yang deficiency” “Qi deficiency and Qi depression fever”, which is most closely related to the weakness of Qi and blood in the lung, spleen and kidney. In the treatment of allergic rhinitis, he gave attention to reinforcing and reducing, selected acupoints accurately, and achieved good curative effects. This paper analyzes the treatment of allergic rhinitis in XI Hong's representative works Xi Hong Fu(《席弘赋》) and Shen Ying Jing(《神应经》), discusses his original views on the etiology and pathogenesis of allergic rhinitis and the selection of acupoints for treatment, in order to

关 键 词：旴江医学 鼻鼽 针灸 

分 类 号：R276.1[医药卫生—中医五官科学]