摘要
介绍熊大经教授从风论治腺样体肥大所致小儿鼾眠的临床经验。小儿具有“肝常有余,脾常不足”的生理特点,且临证患者多伴有鼻部症状,有反复感受风邪的病史,熊大经教授认为腺样体肥大所致鼾眠的病因为外感风邪、肝内伏风及特禀之风,腺样体为先天所具,风为阳邪,易袭高位,加之脾虚运化不足致气虚,气虚难御风于外,另肝常有余,肝木旺而克脾土,肝风内生,外风引动内风,困顿于颃颡之内,久之致腺样体肥大。治当以祛风为要,提出治鼾当治鼻,治鼻当祛风,风去眠自安的治疗原则。
This article introduces Professor XIONG Dajing's clinical experience in treating pediatric sleep apnea caused by adenoid hypertrophy from the perspective of wind pathology.Children often exhibit the physiological characteristics of"frequent liver excess and spleen deficiency,"and clinical cases are mostly accompanied by nasal symptoms and a history of recurrent exposure to pathogenic wind.Professor XIONG believes that the etiology of sleep apnea caused by adenoid hypertrophy includes external wind pathogen,internal latent liver wind,and inherited wind pathogen.The adenoids are congenital,and wind,being a yang pathogen,tends to attack the upper parts of the body.Additionally,spleen deficiency leads to impaired transportation and transformation,resulting in qi deficiency,which weakens the body's defense against external wind.Furthermore,the frequent liver excess causes liver wood to overact and restrict spleen earth,giving rise to internal generation of liver wind.External wind then stirs the internal wind,trapping it within the nasopharynx,which over time leads to adenoid hypertrophy.The treatment should focus on dispelling wind,and it is proposed that managing snoring requires treating the nose,treating the nose requires dispelling wind,and once wind is eliminated,sleep naturally becomes peaceful.
作者
陈俏妍
夏纪严
李松键
谢慧
熊大经(指导)
CHEN Qiaoyan;XIA Jiyan;LI Songjian;XIE Hui;XIONG Dajing(Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510120,China;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510120,China;The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510120,China;Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 610075,China;Traditional Chinese Medicine Hospital of Sichuan Province,Chengdu Sichuan 610075,China)
出处
《新中医》
2026年第2期136-139,共4页
New Chinese Medicine
基金
第二届全国名中医传承工作室建设项目(国中医药人教函[2022] 5号)
四川省中医药管理局科学研究技术专项项目(2023MS566)
国家中医药管理高水平中医药重点学科建设项目(国中医药人教函[2023] 85号)。
关键词
小儿鼾眠
腺样体肥大
风邪
熊大经
Pediatric sleep apnea
Adenoid hypertrophy
Wind pathogen
XIONG Dajing
