Abstract:

Adenoid hypertrophy(AH) is a common pediatric disease characterized by pathological enlargement of the adenoid due to repeated stimulation of inflammation, causing symptoms such as nasal obstruction, snoring, and mouth breathing. It is often associated with obstructive sleep apnea and adenoid facial expression. Based on the theory of "Deficient Qi and Liquid Stagnation" and long-term clinical experience, Professor Xiong Lei proposes that the core pathogenesis of pediatric AH follows a "deficiency-rooted, stagnation-manifested" pattern. Professor Xiong thinks that the root cause of disease is the deficient qi of the lung, spleen and kidney, while the fluid stagnation of such pathological factors as phlegm, dampness and blood stasis is the disease manifestation, exacerbated by external pathogens. Considering the disease features of "deficiency in origin and excess in superficiality", the treatment principle emphasizes "tonifying deficiency, resolving stagnation, and regulating qi dynamics", with the management tailored to disease phases (acute, remission and chronic). Professor Xiong uses aromatic herbs to regulate qi and blood, and uses drug pairs to enhance the effect (agastache–Fritillaria thunbergii, Coix lacryma jobi–Ostrea gigas, and Paeonia lactiflora–Luffa cylindrica). Insect-derived drugs, such as silkworm larva and cicada slough, are also utilized for targeted treatment. By integrating the theory of "Deficient Qi and Fluid Stagnation" with aromatic therapy, this approach of Professor Xiong Lei simultaneously addresses dysfunction of the lung, spleen and kidney while resolving phlegm, dampness and stasis, providing a novel TCM strategy for the prevention and treatment of pediatric AH. A supporting case study is included to validate the clinical efficacy of this method.

Key words: Adenoid hypertrophy, Deficient Qi and Liquid Stagnation, Famous doctor's experience, Aromatic Chinese herbs, Xiong Lei, Child