贾六金三期四法辨治儿童鼻窦炎经验介绍
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R249;R765.4

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河南省自然科学基金青年科学基金项目(212300410268)


Experience of JIA Liujin in Differentiating and Treating Sinusitis in Children with “ Three Phases and Four Methods ”
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    摘要:

    总结贾六金教授治疗儿童鼻窦炎的临证经验。根据儿童鼻窦炎的病程、证候特点等,将鼻窦炎分 为三期辨治,即急性发作期、反复迁延期、慢性复发期,相应治法予以散邪气、清肺热、补脾气、通鼻窍,称 之谓四法。急性发作期的主要病机为外邪犯肺、肺热熏蒸,治宜散邪气、清肺热;反复迁延期以外邪留恋、余 热未清、肺脾气虚为主,治宜散余邪、清肺热、补脾气;慢性复发期则为脾气亏虚、清阳不升、湿浊蒙窍,治 宜补脾气为主。同时,通鼻窍治疗应贯穿整个病程的始末。

    Abstract:

    Abstract: This article summarizes the clinical experience of Professor JIA Liujin in the treatment of sinusitis in children. According to the course and syndrome characteristics of sinusitis in children,it can be divided into three phases for differentiation and treatment, namely acute attack phase, recurrent and lingering phase, and chronic recurrence phase; the corresponding treatment methods include dispelling pathogenic qi, clearing lung-heat, tonifying the spleen qi, and unblocking nasal orifices, which are the four methods. The main pathogenesis in the acute attack phase is external pathogens invading the lung and intense lung-heat,and the appropriate treatment is to dispel pathogenic qi and clear lung-heat. The main pathogenesis in the recurrent and lingering phase is lingering external pathogens,residual heat,and lungspleen qi deficiency, and the treatment should dispel residual pathogens, clear lung-heat, and tonify spleen qi. The main pathogenesis in the chronic recurrence phase is spleen qi depletion,clear yang failing to ascend,and orifices confused by damp-turbidity,and the treatment should focus on tonifying spleen qi. Meanwhile, the treatment of unblocking the nasal orifices should run through the entire course of the disease.

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孟欣,张晓敏,韩雪.贾六金三期四法辨治儿童鼻窦炎经验介绍[J].新中医,2024,56(10):175-179

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  • 在线发布日期: 2024-05-28
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