从“阳明与厥阴经”论治小儿腺样体肥大  

Treating pediatric adenoidal hypertrophy from the perspective of“yangming and jueyin meridians”

作　　者：方涛 李蝶 FANG Tao;LI Die(Respiratory Department,Wenzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Wenzhou,Zhejiang,325000,China;Infectious Diseases Department,Pingyang Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Pingyang,Zhejiang,325400,China)

机构地区：[1]浙江中医药大学附属温州市中医院呼吸科,浙江温州325000 [2]浙江中医药大学附属平阳中医院感染科,浙江平阳325400

出　　处：《中医儿科杂志》2024年第6期38-41,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：温州市基础性科研项目(Y20211081)。

摘　　要：小儿腺样体肥大的病位主要在阳明经气、厥阴血分、咽喉、口鼻等,病因病机为正气不足,反复外感,或饮食积滞,导致肺脾功能失调,肝气郁结,气郁化火,胃肠肝胆之气火、郁热或湿热均可循经上犯于鼻咽喉,阻滞于腺样体,继而导致增生性病变。辨证要点为气阴两虚,痰瘀互结。治以清热化痰、祛瘀散结为主,佐以散邪固表,运用自拟化痰行瘀散结汤,临床随症加减,疗效满意。附案例2则,以资验证。The location of pediatric adenoidal hypertrophy mainly involves the qi of yangming meridian,the blood of jueyin meridian,throat,nose,and mouth.The etiology and pathogenesis are attributed to insufficient vital qi,recurrent external infections,or dietary stagnation,leading to dysfunction of the lungs and spleen,liver qi stagnation,qi stagnation transforming into fire,and the qi and fire of the stomach,intestines,liver,and gallbladder,as well as stagnant heat or damp-heat,all of which can ascend along the meridians to affect the nose,throat,and block the adenoids,subsequently causing hyperplastic lesions.The key points of syndrome differentiation are deficiency of both qi and yin,as well as mutual binding of phlegm and blood stasis.The treatment focuses on clearing heat,resolving phlegm,removing blood stasis,and dissipating nodules,supplemented by dispelling pathogens and consolidating the exterior.A self-formulated prescription,Huatan Xingyu Sanjie Tang(化痰行瘀散结汤)is used,with clinical modifications based on individual symptoms,achieving satisfactory therapeutic effects.Two case studies are presented for verification.

关 键 词：小儿 腺样体肥大 阳明经 厥阴经 辨证论治 

分 类 号：R272.6[医药卫生—中医儿科学]