基于"阳化气,阴成形"理论探讨儿童腺样体肥大的中医辨治
Discussion on TCM treatment of adenoid hypertrophy in children based on the theory of "yang transforms into qi,while yin constitutes form"
郭建波 1韩阳飞 1张伟1
作者信息
- 1. 黑龙江中医药大学附属第一医院儿科 哈尔滨 150040
- 折叠
摘要
腺样体肥大为鼻咽顶壁与后壁交界处的淋巴组织增生而引起的相应症状.中医学将其归属于"痰核""鼾眠"等范畴,中医药治疗腺样体肥大有较好临床疗效.小儿肺虚而娇,难调易伤,脾薄而弱,乳食易伤,肾虚未充,天癸未至,故儿童"阳化气"常不足,表现为肺、脾、肾三脏动力不足,久则形成痰、湿、饮、瘀、滞等病理产物,有形之邪无以化,导致"阴成形"有余.儿童腺样体肥大的病因病机是"阳化气"不足为本,"阴成形"有余为标.固护元气、调节脏腑以治本,损其有余、随症加减以治标.结合临床验案对基于"阳化气,阴成形"理论辨治儿童腺样体肥大进行阐述.
Abstract
Adenoid hypertrophy is characterized by lymphoid tissue hyperplasia at the junction of the nasopharynx's roof and posterior wall. In Traditional Chinese Medicine (TCM),it is categorized under tanhe (phlegm core) and hanmian (snoring during sleep),and TCM treatment has shown significant clinical efficacy in managing adenoid hypertrophy. Children have delicate lungs,prone to difficulty in regulation and injury;thin and weak spleens make them susceptible to injury from milk diet. Additionally,incomplete kidney nourishment and the immature state of tiangui lead to insufficient "yang transforms into qi" resulting in inadequate function of the lungs,spleen,and kidneys. Over time,this leads to the formation of pathological products such as phlegm,dampness,accumulation of fluids,stasis,and stagnation,where tangible pathogens cannot transform,thus resulting in excessive "yin constitutes form". The etiology and pathogenesis of adenoid hypertrophy in children lie in insufficient "yang transforms into qi" as the root cause and excessive "yin constitutes form" as the manifestation. Treatment focuses on strengthening and protecting the vital energy,regulating the internal organs to address the root cause,and adjusting treatment according to specific symptoms. This paper elaborates on the differentiation and treatment of adenoid hypertrophy in children based on the theory of "yang transforms into qi,while yin constitutes form".
关键词
儿童腺样体肥大/阳化气,阴成形/不足/有余/治标治本Key words
adenoid hypertrophy in children/yang transforms qi and yin constitues form/insufficient/excessive/treat the symptoms and the root causes引用本文复制引用
基金项目
黑龙江省中医药管理局省级名中医专家传承工作室建设项目(黑中医药科教函[2021]24号)
出版年
2024
国家科技期刊平台
NSTL
万方数据