ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2025, Vol. 17 ›› Issue (4): 359-362.doi: 10.20274/j.cnki.issn.2025.04.016

• 中医应用研究 • 上一篇    下一篇

基于“营卫理论”结合脏腑辨证三期分治小儿鼻鼽肺经风寒证

刘伟卓1, 孙丽平2()   

  1. 130117 长春,长春中医药大学2023级中医儿科学专业研究生(刘伟卓)
    130021 长春,长春中医药大学附属医院儿童诊疗中心(孙丽平)
  • 收稿日期:2025-04-25 修回日期:2025-06-06 出版日期:2025-08-25 上线日期:2025-08-25
  • 通讯作者: 孙丽平 E-mail:slpwzt7063@163.com
  • 作者简介:刘伟卓(1998-),女,长春中医药大学2023级硕士研究生在读。研究方向:中医药防治小儿肺系及心肝系疾病
  • 基金资助:
    吉林省科技发展计划项目(20200603008SF)

Three-phase treatment for children with allergic rhinitis with wind-cold syndrome of the lung meridian based on the "Ying-Wei theory" combined with syndrome differentiation of viscera

Weizhuo LIU1, Liping SUN2()   

  1. 1.Changchun University of Traditional Chinese Medicine, Changchun 130117, China
    2.Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun 130021, China
  • Received:2025-04-25 Revised:2025-06-06 Published:2025-08-25 Online:2025-08-25
  • Contact: Liping SUN E-mail:slpwzt7063@163.com
  • Supported by:
    Jilin Province Science and Technology Development Program Project(20200603008SF)

摘要:

小儿鼻鼽是临床常见疾病,临证以肺经风寒证多见。孙丽平教授基于“营卫理论”,认为该病证发作期乃因风寒犯肺,肺失宣降,使营卫不和,气不行津,致鼻窍不利,治以宣畅气机为主,佐以解表通窍,常用自拟宣肺利鼻汤加减;缓解期脾虚不运,营卫虚滞,痰瘀结滞于鼻,治以补益脾胃为主,佐以消痰化瘀,利鼻通窍,常用玉屏风散加味;稳定期正气亏虚,疾病易反复发作,重视肾脏,固本培元,常用固防汤加减。

关键词: 鼻鼽, 营卫理论, 脏腑辨证, 儿童

Abstract:

Allergic rhinitis in children is a common clinical disease, and wind-cold syndrome of the lung meridian is the most common clinical evidence. Based on the theory of “Ying and Wei”, Prof. Sun Liping believes that during the attack period the onset of allergic rhinitis is due to wind-cold attacking the lungs and the lungs' lack of dispersing and descending function, which leads to the disharmony between Ying and Wei and causes the gas to stop working, resulting in obstruction of nasal orifices; the treatment should focus on dispersing and smoothing qi, supplemented by relieving the symptoms and unblocking the nasal orifices, and the self-made Xuanfei Libi decoction with modification is often used. In the remission period during which the spleen is deficient and not functioning and Ying and Wei are stagnant, phlegm and stasis are stagnated in the nose; the treatment is to tonify the spleen and stomach, supplemented by eliminating phlegm, transforming stasis and unblocking the nose orifices, and Yupingfeng powder with flavor is often used. During the stable period, there is deficiency of favorable qi, and the disease is likely to reoccur, so kidneys should be paid attention to in order to strengthen the foundation and nourish the vital energy, and Gufang decoction with modification is often used.

Key words: Allergic rhinitis, Ying-Wei theory, Syndrome differentiation of viscera, Child

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