摘要
腺样体肥大是指腺样体因炎症的反复刺激而发生病理性增生,从而引起鼻塞、打鼾、张口呼吸为特征的儿童时期常见疾病,易引发阻塞性睡眠呼吸障碍及腺样体面容。熊磊教授基于“虚气流滞”理论,结合长期临证经验,提出儿童腺样体肥大的核心病机为“虚气为本,流滞为标”,认为肺、脾、肾三脏虚气为发病之本,痰、湿、瘀等病理因素流滞为致病之标,六淫外感为加重因素。针对“本虚标实”的疾病特点,以“补虚行滞,调畅气机”为基本治则,主张从发作期、缓解期、迁延期分期论治,临证善用芳香药调节气血,结合藿香-浙贝母、薏苡仁-牡蛎、赤芍-丝瓜络等经验药对协同增效,灵活运用僵蚕、蝉蜕等虫药直达病所。熊磊教授将“虚气流滞”理论与芳香疗法相融合,体现肺脾肾同调,痰湿瘀并治的中医优势,为儿童腺样体肥大的中医药防治提供新策略。并附案例一则,以资验证。
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.
作者
蒋怡
熊磊
曹婷
郗域江
JIANG Yi;XIONG Lei;CAO Ting;XI Yujiang(Yunnan University of Traditional Chinese Medicine,Kunming 650051,China)
出处
《中国中西医结合儿科学》
2025年第5期451-456,共6页
Chinese Pediatrics of Integrated Traditional and Western Medicine
基金
国家自然科学基金项目(82374523)
国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函〔2023〕85号)
岐黄学者-国家中医药领军人才支持计划(国中医药人教函〔2022〕6号)
全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)。
关键词
腺样体肥大
虚气流滞
名医经验
芳香中药
熊磊
儿童
Adenoid hypertrophy
Deficient Qi and Liquid Stagnation
Famous doctor's experience
Aromatic Chinese herbs
Xiong Lei
Child
