史正刚教授从风痰瘀论治小儿腺样体肥大经验  

Professor SHI Zhenggang’s experience in treating pediatric adenoid hypertrophy from the perspective of wind,phlegm,and blood stasis

作　　者：陈静 何岳珍 李玉霞[1] 史正刚(指导) CHEN Jing;HE Yuezhen;LI Yuxia;SHI Zhenggang(Pediatrics,Affiliatid Hospital of Gansu University of Chinese Medicine,Lanzhou,Gansu,730020,China;TCM Clinical College,Gansu University of Chinese Medicine,Lanzhou,Gansu,730101,China;Department of Traditional Chinese Medicine,The First Hospital of Lanzhou University,Lanzhou,Gansu,730000,China;不详)

机构地区：[1]甘肃中医药大学附属医院儿科,甘肃兰州730020 [2]甘肃中医药大学中医临床学院,甘肃兰州730101 [3]兰州大学第一医院中医科,甘肃兰州730000 [4]不详

出　　处：《中医儿科杂志》2025年第2期15-18,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：国家重点研发计划项目(2018YFC1704105);第七批全国老中医药专家学术经验继承工作项目(国中医药人教函﹝2022﹞76号)。

摘　　要：史正刚教授分析了小儿腺样体肥大的病因病机,指出肺脾不足为其病机关键,风邪外袭为主要外因,痰瘀胶着为疾病宿根。史教授主张分期辨证,按质调治,“风”“痰”“瘀”同抓,以疏风祛邪、化痰散结、活血化瘀为治疗原则。予消结利窍方治疗,疗效显著。附案例1则,以资验证。Professor SHI Zhenggang analyzed the etiology and pathogenesis of adenoid hypertrophy in children,pointing out that deficiency of the lung and spleen is the key pathogenesis,external invasion by wind pathogens is the main external cause,and the accumulation of phlegm and blood stasis is the root of the disease.Professor SHI advocates for staged syndrome differentiation and tailored treatment,addressing“wind”“phlegm”and“blood stasis”simultaneously.The treatment principles include dispelling wind and pathogens,resolving phlegm and dissipating nodules,and promoting blood circulation to remove stasis.The use of the Xiaojie Liqiao fang(消结利窍方)has shown significant therapeutic effects.A case example is provided for verification.

关 键 词：腺样体肥大 小儿 分期论治 临床经验 史正刚 

分 类 号：R766.1[医药卫生—耳鼻咽喉科]