从肝主疏泄论治小儿鼻部疾患  

Treating Pediatric Nasal Diseases from the Perspective of Liver Regulating and Relieving Diarrhea

作　　者：李茜 杨航 郭亮 周蓉 李明张 LI Xi;YANG Hang;GUO Liang;ZHOU Rong;LI Mingzhang(Deyang Maternal and Child Health Hospital,Deyang 618000,China;Deyang Hospital,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Deyang 618000,China)

机构地区：[1]德阳市妇幼保健院,四川德阳618000 [2]成都中医药大学附属医院德阳医院,四川德阳618000

出　　处：《云南中医药大学学报》2024年第6期8-12,共5页Journal of Yunnan University of Chinese Medicine

基　　金：国家中医药管理局岐黄学者支持项目(国中医药人教函[2022]6号);全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号);云南省科技重点研发计划(202103AC100005);云南省教育厅科学研究基金项目(2023Y0471)。

摘　　要：“肝主疏泄”理论历史久远,是肝通过自身升发的特性,实现疏通、舒畅、条达的功能。本文聚焦“肝主疏泄”这一理论基础,通过对该理论的内涵追溯、生理病理状态探究及现代医学研究成果总结,阐述该理论与儿童鼻部疾患的关系,并分别论述在该理论指导下小儿鼻鼽、鼻渊、鼻窒、鼻衄的病因病机、治疗辨证、选方用药等,提示临床治疗小儿鼻部疾患应当重视恢复肝主疏泄之生理功能,并附验案一则供参考。The theory of"the liver is responsible for regulating and releasing Qi"has a long history,which refers to the liver's ability to promote its own ascending characteristics and achieve the functions of unblocking,relaxing,and regulating.This article focuses on the theoretical basis of"the liver is responsible for regulating and releasing Qi".Through tracing the connotation of this theory,exploring its physiological and pathological states,and summarizing the achievements of modern medical research,the relationship between this theory and pediatric nasal diseases is elaborated.The etiology,pathogenesis,treatment differentiation,and medication selection of pediatric allergic rhinitis,sinusitis,nasal congestion,and nosebleeds under the guidance of this theory are discussed.It is suggested that clinical treatment of pediatric nasal diseases should be paid attention to restoring the physiological function of the liver in regulating and releasing Qi.Finally,an experimental case is attached for reference.

关 键 词：肝主疏泄 儿童 鼻鼽 鼻渊 鼻窒 鼻衄 

分 类 号：R272.6[医药卫生—中医儿科学]