基于“五脏相关”理论辨治儿童变应性鼻炎  

Syndrome Differentiation and Treatment of Allergic Rhinitis in Children Based on the Theory of"Five Viscera Correlation"

作　　者：徐天泓 朱子钰 赵霞[1,2] 李敏 XU Tianhong;ZHU Ziyu;ZHAO Xia;LI Min(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Jiangsu Key Laboratory of Children’s Health and Chinese Medicine,Nanjing University of Chinese Medicine,Nanjing 210023,China;Department of Pediatrics,Nanjing Integrated Traditional Chinese and Western Medicine Hospital,Nanjing 210014,China)

机构地区：[1]南京中医药大学附属医院,江苏南京210029 [2]南京中医药大学儿童健康与中医药省高校重点实验室,江苏南京210023 [3]南京市中西医结合医院儿科,江苏南京210014

出　　处：《南京中医药大学学报》2024年第11期1155-1160,共6页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：江苏省中医药领军人才培养项目(SLJ0320);江苏省中医院高峰学术人才项目(Y2021rc21);江苏高校优势学科建设工程资助项目(PAPD)。

摘　　要：“五脏相关”理论对中医长期临床实践进行总结,以系统关联视角多维阐释人体各生理病理现象,指导疾病之诊断与防治。基于“五脏相关”理论结合小儿五脏不足、有余之生理特点辨治儿童变应性鼻炎,明晰其病位不离鼻窍,病机不离五脏;论治时调理脏腑,以脏调窍,在辨因审机的基础上,注重调肺、运脾、益肾、清心、疏肝,恢脏腑之安和,复鼻窍之通利。The theory of“five viscera correlation”summarizes the long-term clinical practice of traditional Chinese medicine,explains the physiological and pathological phenomena of the human body from a multi-dimensional perspective of system correlation,and guides the diagnosis and prevention of diseases.Syndrome differentiation and treatment of allergic rhinitis in children should be based on the theory of“five viscera correlation”combined with the physiological characteristics of deficiency and excess of the five viscera of children;make it clear that the location of the disease is inseparable from the nasal orifice and the pathogenesis is inseparable from the five viscera;in terms of syndrome differentiation and treatment,the viscera should be regulated and the orifice should be regulated via the viscera;on the basis of identifying the cause and examining the pathogenesis,attention should be paid to regulating the lungs and spleen,tonifying the kidneys,clearing the heart,and soothing the liver,so as to restore the harmony of the viscera and the unobstructed nasal orifice.

关 键 词：五脏相关 整体观念 窍 儿童 变应性鼻炎 鼻鼽 鼻诊 《黄帝内经》 

分 类 号：R272.6[医药卫生—中医儿科学]