周铭心从燥论治西北地区过敏性鼻炎经验  

ZHOU Mingxin's Experience in Treating Allergic Rhinitis in Northwest China from the Perspective of Dryness Syndrome

作　　者：伊凡 邓德强 周铭心(指导)[2] YI Fan;DENG Deqiang(Urumqi Hospital of Traditional Chinese Medicine,Urumqi,830011)

机构地区：[1]乌鲁木齐市中医医院,新疆维吾尔自治区乌鲁木齐市830011 [2]新疆医科大学

出　　处：《中医杂志》2025年第6期551-555,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(202276)。

摘　　要：总结周铭心教授从燥论治西北地区过敏性鼻炎的临床经验。结合西北地区的发病特点,提出“西北燥证”理论并据此认为燥邪伤肺、肺失宣降为过敏性鼻炎的核心病机,治疗应以宣肺肃降、滋阴润燥为原则。总结出经验方治疗过敏性鼻炎及其合并症,具体治法方药包括以自拟羌芷辛夷汤通窍生津润燥、自拟八味清咽饮清肺养阴润燥、自拟排闼宗阳汤宣肃润燥平喘、自拟桑麻止咳汤宣肺润燥止咳、自拟四子定喘汤润肺化痰平喘、自拟加味玉屏风汤宣肺祛风润燥、自拟香苏承气汤肃肺通腑润肠。This paper summarizes Professor ZHOU Mingxin's clinical experience in treating allergic rhinitis in northwest China from the perspective of dryness syndrome.Considering the regional characteristics of disease occurrence,he proposed the theory of"northwest dryness syndrome",which identifies dryness pathogen damaging the lungs,and lungs fail to disperse and descend as the core pathogenesis of allergic rhinitis,and the treatment principle emphasizes dispersing and descending the lung qi while nourishing yin and moistening dryness.Several empirical formulas have been developed to treat allergic rhinitis and its complications,including Qiangzhi Xinyi Decoction(羌芷辛夷汤)for relieving stuffy orifices,promoting fluid production,and moistening dryness;self-prescribed Bawei Qingyan Decoction(八味清咽饮)for clearing the lungs,nourishing yin,and moistening dryness;self-prescribed Paida Zongyang Decoction(排闼宗阳汤)for dispersing and purifying,moistening the dryness,and relieving asthma;selfprescribed Sangma Zhike Decoction(桑麻止咳汤)for dispersing the lungs,moistening dryness,and stopping cough;self-prescribed Sizi Dingchuan Decoction(四子定喘汤)for moistening the lungs,resolving phlegm,and calming asthma;self-prescribed Jiawei Yupingfeng Decoction(加味玉屏风汤)for dispersing the lungs,dispelling wind,and moistening dryness;and Xiangsu Chengqi Decoction(香苏承气汤)for purifying the lungs,unblocking the bowels,and moistening the intestines.

关 键 词：过敏性鼻炎 西北燥证 名医经验 周铭心 

分 类 号：R27[医药卫生—中医学]