郭亦男教授从“伏痰”理论治疗儿童腺样体肥大临证经验  

Professor Guo Yinan's Experience in Treating Adenoid Hypertrophy in Children from the Theory of Hidden Phlegm

作　　者：朴冬 郭亦男[2] Piao Dong;Guo Yinan(College of Traditional Chinese Medicine,Changchun University of Chinese Medicine,Changchun 130000,China;The Hospital Affiliated to Changchun University of Chinese Medicine,Changchun 130000,China)

机构地区：[1]长春中医药大学中医学院,吉林长春130000 [2]长春中医药大学附属医院,吉林长春130000

出　　处：《亚太传统医药》2025年第2期72-75,共4页Asia-Pacific Traditional Medicine

基　　金：吉林省科技发展计划项目(20240305064YY,20220204085YY)。

摘　　要：腺样体肥大为儿童常见的慢性多发性疾病,且具有复发性,给患儿生长发育带来不同程度的影响。目前现代医学治疗儿童腺样体肥大以手术为主,但术后易复发且易引起其他不良反应,中医药治疗腺样体肥大安全性高且治疗效果明显。郭亦男教授治疗腺样体肥大临床经验丰富,认为腺样体肥大的发病与“伏痰”紧密相关,提出“伏痰致瘀”为此病的关键病机,通过调节肺、脾、肾三脏以消“伏痰”,并随证加减。以“化痰祛瘀,通窍散结”为治则治法,自拟浮楞莪夏汤经验方对症治疗,临床疗效显著。附病案二则,以资验证。Adenoid hypertrophy is a common chronic multiple disease in children,and it is recurrent,which has many different degrees of impact on the growth and life of children.At present,in the treatment of western medicine,adenoidal hypertrophy in children is mainly treated by surgery,but it is easy to relapse or cause other adverse reactions after operation.Traditional Chinese medicine treatment is relatively safe and has obvious therapeutic effect.Professor Guo Yinan has rich clinical experience in the treatment of children with adenoidal hypertrophy,and believes that the incidence of adenoidal hypertrophy is closely related to“hidden phlegm”.He puts forward that“hidden phlegm causing blood stasis”is the key pathogenesis of this disease,and eliminates“hidden phlegm”by regulating the three organs of lung,spleen and kidney,and adds and subtracts with the syndrome.With“resolving phlegm and removing blood stasis,dredging orifices and resolving masses”as the treatment principle,the self-made experience prescription of Fuleng Exia Decoction has a significant clinical effect.Two medical records are attached for verification.

关 键 词：腺样体肥大 伏痰 浮楞莪夏汤 临证经验 

分 类 号：R272[医药卫生—中医儿科学]