摘要
变应性鼻炎是儿童常见过敏性疾病,其发病机制复杂,难以实现根治或有效且稳定的远期治疗目标。中医药防治儿童变应性鼻炎靶点广泛、作用持久且不良反应少,优势明显。提出变应性鼻炎发病多由肺脾肾三脏功能失调,外风引动伏风,两风相合而致。应采取发作期疏外风、抑伏风、宣肺利窍治其标,缓解期防外风、平伏风,调补肺脾肾治其本的中医药分期论治策略;同时应注重未病先防,包括避免先天禀赋因素的不良影响、避免后天环境因素的诱导发病、扶正御邪避其贼风,既病防变以及瘥后防复的全阶段预防。
Allergic rhinitis is a common allergic disease in children.Its pathogenesis is complex and it is difficult to achieve radical cure or effective and stable long-term treatment goals.Chinese medicine has obvious advantages in preventing and treating allergic rhinitis in children due to its wide range of targets,long-lasting effects and few adverse reactions.This paper proposes that the onset of allergic rhinitis is mostly caused by the dysfunction of the lung,spleen and kidney,the external wind triggering the latent wind,and the combination of the two winds.A staged prevention and treatment strategy of Chinese medicine should be adopted,which includes dispersing external wind,suppressing latent wind,and promoting lung-qi and clearing nasal orifice during the attack period to treat its symptoms,and preventing external wind,calming down latent wind,and regulating and tonifying the lung,spleen,and kidney during the remission period to treat its root cause;meanwhile,attention should be paid to avoiding the adverse effects of congenital endowment factors and the induction of acquired environmental factors,strengthening the body’s health to protect against the evil wind,preventing the transformation of existing diseases and the recurrence of allergic rhinitis in children at all stages.
作者
戴启刚
李涛
钱香
窦玉珠
黄凌殷
高佳文
汪受传
DAI Qigang;LI Tao;QIAN Xiang;DOU Yuzhu;HUANG Lingyin;GAO Jiawen;WANG Shouchuan(The Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Department of Paediatrics,Yixing TCM Hospital,Yixing 214299,China)
出处
《南京中医药大学学报》
CAS
CSCD
北大核心
2024年第3期223-228,共6页
Journal of Nanjing University of Traditional Chinese Medicine
基金
国家中医药管理局全国名中医传承工作室建设项目(国中医药人教发〔2018〕119号)
国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函〔2023〕85号)
江苏省研究生实践创新计划项目(SJCX23_0803)
无锡市卫生健康委科研项目(M202035)。
关键词
儿童
变应性鼻炎
中医药
分期论治
全阶段预防
防治策略
children
allergic rhinitis
Chinese medicine
staged prevention and treatment
full-stage prevention
prevention and treatment strategies
