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 (5): 369-372.doi: 10.20274/j.cnki.issn.1674-3865.2025.05.001

• 儿童鼻炎治疗专栏 •    下一篇

董幼祺教授运用冬令膏方调治小儿鼻鼽经验

赵诗琴1, 董幼祺2()   

  1. 310053 杭州,浙江中医药大学2023级中医儿科学专业研究生(赵诗琴)
    315012 浙江 宁波,浙江中医药大学附属宁波市中医院儿科(董幼祺)
  • 收稿日期:2025-04-18 修回日期:2025-07-14 出版日期:2025-10-25 上线日期:2025-10-25
  • 通讯作者: 董幼祺 E-mail:youyouluzhu@163.com
  • 作者简介:赵诗琴(2000-),女,浙江中医药大学2023级硕士研究生在读。研究方向:中医药防治小儿呼吸和消化系统疾病
  • 基金资助:
    浙江省名老中医专家传承工作室建设项目(GZS2021014);宁波市中医药传统特色学科建设项目

Clinical experience of Professor Dong Youqi in treating children's allergic rhinitis with winter ointments

Shiqin ZHAO1, Youqi DONG2()   

  1. 1.Zhejiang Chinese Medical University,Hangzhou 310053,China
    2.Ningbo Municipal Hospital of Traditional Chinese Medicine,Affiliated Hospital of Zhejiang Chinese Medical University,Ningbo 315012,China
  • Received:2025-04-18 Revised:2025-07-14 Published:2025-10-25 Online:2025-10-25
  • Contact: Youqi DONG E-mail:youyouluzhu@163.com
  • Supported by:
    Zhejiang Province Famous and Senior TCM Experts Inheritance Studio Construction Project(GZS2021014)

摘要:

鼻鼽是儿童常见的鼻部疾病,临床以突然和反复发作的鼻痒、喷嚏、清水样涕、鼻塞等为特征,常伴发过敏性结膜炎、湿疹、哮喘、腺样体肥大、鼻窦炎、鼻出血及睡眠呼吸障碍等疾病。其病因有内外因之分,外因为风寒热或异气侵犯鼻窍,内因为先天禀赋不足,肺脾肾虚损。董幼祺教授认为本病是内外因相互作用的结果,核心病机以肺脾肾三脏功能失调为本,外邪侵袭为标,导致卫表不固,邪浊恋窍,气机失和。膏方作为中医的8种剂型(丸、散、膏、丹、酒、露、汤、锭)之一,具有调补滋养、治病防病的综合作用,儿童膏方有量体施方、用药轻灵平和、服用方便、口感好等特点。本文以第四批全国名老中医药专家学术经验继承工作指导老师董幼祺教授运用冬令膏方调治小儿鼻鼽的临证经验为切入,总结和举例了儿童膏方辨证施治的组方思路及用法用量,强调膏方通过补虚救弊、调和脏腑以改善患儿体质,降低疾病复发率,以期为中医药治疗小儿鼻鼽提供新的诊疗思路,为儿童膏方的临床标准化及推广应用提供参考。

关键词: 鼻鼽, 董氏儿科, 膏方, 名医经验, 儿童

Abstract:

Allergic rhinitis is a common nasal disease in children, characterized by sudden and recurrent episodes of nasal itching, sneezing, clear nasal discharge, nasal congestion, etc. It is often accompanied by allergic conjunctivitis, eczema, asthma, adenoid hypertrophy, sinusitis, epistaxis and sleep breathing disorders. The causes of this disease can be divided into internal and external factors. External factors include invasion of wind, cold, heat or foreign qi into the nasal cavity, while internal factors involve congenital insufficiency and deficiency of the lung, spleen and kidney. Professor Dong Youqi believes that this disease is the result of the interaction between internal and external factors, and the core pathogenesis is the dysfunction of the lung, spleen and kidney as the root and the invasion of external pathogenic factors as the superficial cause, leading to instability of the body's defense mechanism, retention of pathogenic factors in the nasal cavity, and disharmony of qi movement. As one of the eight types of traditional Chinese medicine preparations (pill, powder, ointment, pellet, wine, syrup, decoction, and pastille), ointment has the comprehensive effects of tonifying and nourishing as well as disease treatment and prevention. Children's ointments have the characteristics of individualized prescriptions, mild and harmonious ingredients, convenient administration, and good taste. This article takes the clinical experience of Professor Dong Youqi, a national master of traditional Chinese medicine, as the starting point, who uses winter ointments to treat children's allergic rhinitis, and summarizes and provides examples of the formula composition and dosage of children's ointments based on syndrome differentiation, emphasizing that ointments can improve the constitution of children by tonifying deficiencies and regulating the internal organs, thereby reducing the recurrence rate of the disease. It aims to provide new ideas for the diagnosis and treatment of children's allergic rhinitis with traditional Chinese medicine and offer references for the clinical standardization and promotion of children's ointments.

Key words: Allergic rhinitis, Dong's pediatrics, Ointments, Famous doctor's experience, Child

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