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基于“虚气流滞”理论探讨变应性鼻炎的病机与辨治

Exploration on the Pathogenesis and Treatment of Allergic Rhinitis Based on the Theory of“Deficient Qi Inducing Stagnation”
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摘要 变应性鼻炎(AR)的发病率高且难以治愈,严重影响患者的生活质量。“虚气流滞”与本病发生发展高度契合。本文认为,肺、脾、肾三脏虚损的“虚气”状态为AR发病的根本因素,由“虚气”引起的外感之风寒湿邪和内生之痰瘀浊邪“流滞”是AR的诱发和加重因素。提出培土生金、金水相生之法以“补虚气”,解表祛风,散寒胜湿、化痰祛湿,逐瘀通络之法以“祛流滞”的治疗思路,通过扶正和祛邪的双向调节,从而使正气得充,邪滞得祛,以期为该病的中医药治疗提供思路。 The incidence rate of allergic rhinitis(AR)is high and difficult to cure,which seriously affects the quality of life of patients.The theory of“deficient qi inducing stagnation”is highly consistent with the occurrence and development of this disease.This article believed that the“deficient qi”state of the deficiency of the lungs,spleen and kidney was the fundamental factor of the onset of AR,and the external pathogenic factors,cold,dampness and endogenous phlegm,stasis and turbidity caused by“deficient qi”were the inducing and aggravating factors of AR.It proposed to cultivate the earth to produce gold,gold and water to“replenish the deficient qi”,to dispel the wind,to dissipate cold and dampness,to dispel phlegm and dampness,and to reducing stasis and promoting circulation,and to use the two-way regulation of strengthening the healthy qi and dispelling the pathogens,so that the healthy qi could be filled and the pathogen stagnation could be dispelled,in order to provide ideas for the TCM treatment of this disease.
作者 刘卓颖 鲜馨蕾 刘昱辛 徐春英 LIU Zhuoying;XIAN Xinlei;LIU Yuxin;XU Chunying(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China)
出处 《中国中医药信息杂志》 2025年第10期174-178,共5页 Chinese Journal of Information on Traditional Chinese Medicine
基金 中国中医科学院科技创新工程(CI2021A02701) 中国中医科学院西苑医院名老中医经验传承研究专项(XYZX0101-34)。
关键词 虚气流滞 变应性鼻炎 鼻鼽 补虚气 祛流滞 deficient qi inducing stagnation allergic rhinitis Biuqiu tonifying deficient qi clearing stagnation
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