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基于整体观念变应性鼻炎的中医辨证论治 被引量:21

Treatment of allergic rhinitis using syndrome differentiation based on the concept of“holism”in TCM
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摘要 变应性鼻炎属于中医"鼻鼽"的范畴,鼻鼽的病机以肺、脾、肾三脏虚损为本,风寒异气为标,其中,肺气虚是鼻鼽的终极表现。将变应性鼻炎分为发作期、缓解期进行辨证论治,在发作期按照肺脾气虚、肺经郁热、脾肾亏虚、邪伏少阳的证型论治;在缓解期采取在关键时间节点(冬至、夏至、春分、秋分等)进行干预的方式实现变应性鼻炎的治未病,同时配合针灸、贴敷等外治,并结合饮食、起居、情志等综合调养的方式防治变应性鼻炎。 Allergic rhinitis belongs to the category of "Bi Qiu"in traditional Chinese medicine. The pathogenesis of allergic rhinitis is associated with qi-deficiencies of the lung,spleen,and kidney,and it is indicated in wind chill. Among these,lung deficiency is the most important pattern associated with allergic rhinitis. Allergic rhinitis is categorized into episodes and in remission for syndrome differentiation and treatment. Disease episodes are treated according to the four patterns of syndrome—deficiency of the lung and spleen,muggy in lung channel,deficiency of the spleen and kidney,and evil hide in shaoyang. In remission,interventions at the key time nodes( such as the winter solstice,summer solstice,vernal equinox,and autumn equinox) constitute preventive treatment for the disease. Simultaneously,application of other external treatment strategies such as acupuncture and point-application aid in treating the disease. In addition,allergic rhinitis can also be prevented by maintaining a healthy balance in diets,daily life,emotions,and other factors.
作者 刘静 LIU Jing.(ENT Department, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China)
出处 《山东大学耳鼻喉眼学报》 CAS 2017年第3期28-30,共3页 Journal of Otolaryngology and Ophthalmology of Shandong University
关键词 变应性鼻炎 鼻鼽 中国传统医学 整体观念 辨证论治 治未病 Allergic rhinitis Bi Qiu Chinese Traditional medicine Concept of holism Syndrome differentiation and treatment Preventive treatment of disease
作者简介 刘静,中医学博士,中医传承博士后,主任医师,硕士生导师,中国中医科学院西苑医院耳鼻喉科主任,中国中医科学院第二届青年名中医。一直从事中医耳鼻喉科临床、教学及科研工作,擅长用中医、中西医结合方法诊治耳鼻喉科疾病,并积累了丰富的临床经验。先后在各级杂志发表论文20余篇,编写或参编著作10余部,承担或参与各级科研课题20余项。目前兼任中华中医药学会耳鼻喉科分会副主任委员,世界中医药学会联合会耳鼻咽喉口腔科专业委员会副秘书长,中国中药协会药物临床评价研究专业委员会常委,中国中西医结合学会耳鼻咽喉科专业委员会委员、变态反应专家委员会常委等。通讯作者:刘静。E—mail:liuj032679@vip.sina.com
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