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朱镇华治疗小儿慢性鼻窦炎并发腺样体肥大临证经验

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朱镇华教授认为小儿慢性鼻窦炎和腺样体肥大在解剖、生理结构、病因病机上相互影响,根据临床观察,小儿慢性鼻窦炎与腺样体肥大并发的小儿体质有一定的趋向性,其病机可基本归纳为肺脾气虚、痰湿聚窦窍,故治疗应补肺益气、健脾祛湿。将经方参苓白术散加减为党参、白术、黄芪、山药、茯苓、白扁豆、薏苡仁、石菖蒲、桔梗、甘草并重命名为参苓通窍散,对治疗小儿慢性鼻窦炎并发腺样体肥大疗效较佳。介绍朱镇华教授治疗小儿慢性鼻窦炎并发腺样体肥大的经验,并附验案一则,以资佐证。
Zhu Zhenhua's Clinical Experience in Treating Pediatric Chronic Sinusitis Complicated with Adenoid Hypertrophy
Professor Zhu Zhenhua believes that chronic sinusitis and adenoid hypertrophy in children have a mutual in-fluence on anatomy,physiological structure,etiology,and pathogenesis.According to clinical observations,children with chronic sinusitis and adenoid hypertrophy have a certain tendency towards physical constitution,and their pathogenesis can be basically summarized as lung and spleen qi deficiency,phlegm and dampness accumulation in the sinuses and ori-fices.Therefore,treatment should supplement the lungs and Qi,strengthen the spleen and dispel dampness.The pre-scription of Shenling Baizhu Powder was modified to include Codonopsis pilosula,Atractylodes macrocephala,Astrag-alus membranaceus,Yam,Poria cocos,White Lentils,Coix seed,Acorus tatarinowii,Platycodon grandiflorus and Lic-orice,and renamed as Shenling Tongqiao Powder.It has shown excellent therapeutic effects in treating pediatric chronic sinusitis complicated by adenoid hypertrophy.Introduce Professor Zhu Zhenhua's experience in treating pediatric chron-ic sinusitis complicated with adenoid hypertrophy,and provide one case study as evidence.

Chronic SinusitisAdenoid HypertrophyZhu ZhenhuaClinical Experience

张佳怡、朱镇华

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湖南中医药大学,湖南长沙 410208

湖南中医药大学第一附属医院,湖南长沙 410007

慢性鼻窦炎 腺样体肥大 朱镇华 临证经验

2025

亚太传统医药
中国民族医药学会 湖北省科技信息研究院

亚太传统医药

影响因子:0.743
ISSN:1673-2197
年,卷(期):2025.21(1)