宣、温、健三阶段治疗变应性鼻炎探析  

Exploration of the Three Stage Treatment of Allergic Rhinitis:Xuan,Wen,and Jian

作　　者：郑秀霞 曹罗元 黄雯晖 赖子建 ZHENG Xiuxia;CAO Luoyuan;HUANG Wenhui;LAI Zijian(Ningde Municipal Hospital of Ningde Normal University,Fujian Ningde 352100)

机构地区：[1]宁德师范学院附属宁德市医院,福建宁德352100

出　　处：《中医药临床杂志》2024年第12期2332-2335,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：福建省自然科学基金面上项目(2020J011340)。

摘　　要：变应性鼻炎不仅严重影响患者的生活质量,也是诱发哮喘的一个独立危险因素,西药治疗存在可能出现全身副作用、局部不良反应等安全性问题,而免疫治疗更受到疗程长、疗效个体差异大等问题的掣肘。针对这样的情况,试图围绕变应性鼻炎的中医药治疗这一课题展开探讨,在对变应性鼻炎传统病因病机认识的基础上,我们将变应性鼻炎治疗大致分为早、中、后三期,早期(发作期)以宣为主,辅以清利;中期(亚急性期)温中、宣肺并重,根据临证情况适当倾斜宣、温的天平;后期(缓解期)健脾、养阴并重,辅以宣肺、温中、祛瘀,兼固表、补肾随证加减,从治病求本层面探讨了变应性鼻炎的中药治疗原则,从而更加有效地改善患者的临床症状,达到临床治愈的目的。得出结论:变应性鼻炎的中药治疗分为“宣-温-健”三阶段治疗,其中关键的是早中期治疗。Allergic rhinitis not only seriously affects the quality of life of patients,but also is an independent risk factor for inducing asthma.Western medicine treatment may have safety issues such as systemic side effects and local adverse reactions,while immunotherapy is further constrained by long treatment courses and large individual differences in efficacy.In response to this situation,we attempt to explore the topic of traditional Chinese medicine treatment for allergic rhinitis.Based on our understanding of the traditional etiology and pathogenesis of allergic rhinitis,we roughly divide the treatment of allergic rhinitis into three stages:early,middle,and late.In the early stage(attack stage),promotion is the main approach,supplemented by Qingli;In the mid-term(subacute phase),both warming the middle and ventilating the lung should be emphasized,and the balance of warming and ventilating should be appropriately tilted according to the clinical situation;In the later stage(remission period),both strengthening the spleen and nourishing the yin are emphasized,supplemented by promoting lung function,warming the middle,and removing blood stasis.The treatment principles of traditional Chinese medicine for allergic rhinitis are explored from the perspective of treating the disease and achieving clinical cure.Conclusion:The traditional Chinese medicine treatment for allergic rhinitis can be divided into three stages:"Xuan Wen Jian"treatment,with the key being early and mid stage treatment.

关 键 词：鼻炎 宣肺疏风 健脾温中 祛瘀养阴 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]