儿童过敏体质与过敏性疾病的中医特色诊断与预防  

Characteristic diagnosis and prevention of traditional Chinese medicine in children with allergic constitution and allergic diseases

作　　者：徐丽[1,2] 于雪峰[1,2] 郭振武[1,2] XU Li;YU Xuefeng;GUO Zhenwu(Liaoning Provincial Academy of Traditional Chinese Medicine,Shenyang 110034,China;The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110034,China)

机构地区：[1]辽宁省中医药研究院,沈阳110034 [2]辽宁中医药大学附属第二医院,沈阳110034

出　　处：《长春中医药大学学报》2024年第12期1307-1311,共5页Journal of Changchun University of Chinese Medicine

基　　金：第一批辽宁省中医药(临床)优秀人才培训项目;第五批全国中医临床优秀人才研修项目(国中医药人教发〔2022〕1号);“兴辽英才计划”医学名家项目(YXMJ-QNMZY-18)。

摘　　要：过敏体质是多种过敏性疾病发生的共同土壤,早期识别和诊断过敏体质,有效地避免过敏体质的发生,并采用合适的调理措施,已经成为治疗儿童过敏性疾病的核心所在。中医理论认为,过敏体质形成的病因病机为脏腑功能失调,阴阳失衡,与伏邪关系紧密。中医儿科特色诊断方法有助于过敏体质的早期识别,但临床上仍需四诊合参,整体辨证。在过敏体质的形成过程中,父母禀受是儿童禀赋的决定因素,父母孕前和母亲孕期的状态起到了关键作用。提高父母备孕意识,调理好自身状态,重视胎教调护,辨证施治,加强运动锻炼,药膳结合,可以减少过敏儿的出生。Allergic constitution is the common soil for the occurrence of a variety of allergic diseases.Early identification and diagnosis of allergic constitution can effectively prevent the occurrence of allergy,and appropriate conditioning measures should be adopted,which has become the core of the treatment of allergic diseases in children.According to the theory of traditional Chinese medicine(TCM),the etiology and pathogenesis of allergic constitution formation are the dysfunction of zang fu viscera,and the imbalance of Yin and Yang,which is closely related to hidden pathogen.The pediatric characteristic diagnosis method of TCM is helpful for the early identification of allergic constitution,but the combination of four diagnostic methods,and the overall diagnosis based on syndrome differentiation in clinical practice are still needed.In the process of the formation of allergic constitution,parents'endowment is the determining factor of children's endowment,and the state of parents before pregnancy and the mother during pregnancy plays a key role.The birth of allergic children can be reduced by improving parents'awareness of pregnancy preparation,regulating their own state,paying attention to prenatal education,treating based on syndrome differentiation,strengthening exercise,and combining medicated diet.

关 键 词：过敏体质 过敏性疾病 病因病机 中医儿科特色诊断 中医预防 

分 类 号：R781.6[医药卫生—口腔医学]