基于“肺合大肠”理论探讨从肠论治变应性鼻炎  

Investigation on treatment of allergic rhinitis from intestine based on the theory of"lung being connected with large intestine"

作　　者：连黎 郭倩茹 潘红玲[2] 黄伟[2] 邓可斌[3] LIAN Li;GUO Qianru;PAN Hongling;HUANG Wei;DENG Kebin(College of Acupuncture and Traumatology,Hubei University of Chinese Medicine,Hubei,Wuhan 430065,China;Acupuncture and Moxibustion Department,Hubei Provincial Hospital of TCM,Hubei,Wuhan 430061,China;E.N.T.Department,Hubei Provincial Hospital of TCM,Hubei,Wuhan 430061,China)

机构地区：[1]湖北中医药大学针灸骨伤学院,湖北武汉430065 [2]湖北省中医院针灸科,湖北武汉430061 [3]湖北省中医院耳鼻喉科,湖北武汉430061

出　　处：《中国医药科学》2025年第1期100-103,共4页China Medicine And Pharmacy

基　　金：湖北省卫生健康委员会科研项目(ZY2021Z001);湖北省武汉市中青年医学骨干人才培养工程项目(武卫生计生通[2018]116号)。

摘　　要：近年来随着对“肺-肠”轴的不断深入研究,人们逐渐发现肠与变应性鼻炎之间存在密切关系。但是中医相关研究较少,具体机制尚未阐述清楚。本文以变应性鼻炎鼻窍不利的主要发病机制为着力点,基于“肺合大肠”及“肺开窍于鼻”理论,通过研究相关中医古籍文献,阐明肠不和则鼻不利的具体机制:大肠传导失司,全身气机失调,气逆上犯于鼻;阳明多气多血,郁而化热,郁热上犯鼻窍;大肠、小肠的生理功能失调,使得水谷精微传导失调,鼻窍失于清阳濡养。本文为治疗变应性鼻炎提供了一定思路,丰富了变应性鼻炎的理论研究,对相关研究有一定的参考价值。In recent years,with the continuous in-depth study of the"lung-intestine"axis,people gradually found that there is a close relationship between the intestine and allergic rhinitis.However,there are few studies on traditional Chinese medicine(TCM),and the specific mechanism has not been clarified.The main pathogenesis of allergic rhinitis,namely,the unfavorable nasal orifices is focused on this paper.Based on the theory of"lung being connected with large intestine"and the theory of"lung opening to the nose",the specific mechanism of the unfavorable nasal orifices due to intestinal disharmony is expounded by studying the relevant ancient Chinese medicine documents:the conduction of large intestine is out of order,the whole body’s qi is out of balance,and the qi goes against the nose.Yangming is full of qi and blood,depressed and turns into heat,and the stagnation of heat causes nasal orifices.The physiological dysfunction of large intestine and small intestine makes food and drink’s subtle conduction disorder,and the nasal orifices are out of nourishing Yang.This paper provides some ideas for the treatment of allergic rhinitis,enriches the theoretical research of allergic rhinitis,and has certain reference value for correlational research.

关 键 词：肺合大肠 变应性鼻炎 肠道菌群 病机 

分 类 号：R276.1[医药卫生—中医五官科学]