高树中治疗小儿鼻渊经验
GAO Shuzhong's experience in treating nasosinusitis in children
张敬芝 1张蕊玉 1刁志浩 1马玉侠1
作者信息
摘要
小儿鼻渊是鼻科的难治性疾病之一.高树中教授认为小儿脾胃功能较弱,中焦失运、生湿化热,脾胃湿热促生胆热是小儿鼻渊的常见病机;诊断是辨证的前提,小儿鼻渊病程缠绵、症候错杂,临证时应注重四诊合参,可结合面诊、手诊、舌诊等望诊方法辅助辨证;治疗当在治病求本的基础上,注意顾护小儿脾胃.高教授常以中药内治配合经穴外治达到精简药量、协同增效的治疗目的,小柴胡汤加减配合斑蝥天灸、耳穴压豆治疗小儿鼻渊的胆热脾湿证,临床疗效显著.
Abstract
Nasosinusitis in children is one of the refractory diseases in rhinology.Professor GAO Shuzhong holds the view that the function of spleen and stomach in children is weak.Dysfunction of middle-jiao makes the generation of dampness and heat,humidity promoting gallbladder heat is the main pathogenesis of nasosinusitis.Diagnosis is the prerequisite for syndrome differentiation.The course of the disease is continuous and the symptoms are complex.During clinical practice,attention should be paid to the combination of four diagnostic methods,such as facial examination,hand examination,and tongue examination,to assist in syndrome differentiation.On the basis of seeking the root cause of the disease,attention should be paid to protecting the spleen and stomach of children.Professor GAO often uses traditional Chinese medicine internal treatment combined with acupoint external treatment to achieve the therapeutic goal of reducing medication dosage and synergistically increasing efficacy.Xiaochaihu Decoction combined with application of cantharides and Auricular points plaster therapy,has a significant clinical effect in treating the gallbladder heat and spleen dampness syndrome of pediatric rhinorrhea.
关键词
鼻渊/儿科/望诊/内治法/外治法/临证经验Key words
Nasosinusitis/Pediatrics/Inspection/Internal therapies/External therapies/Clinical experience引用本文复制引用
基金项目
全国中医临床优秀人才研修项目专项(第五批)(国中医药人教函[2022]1号)
出版年
2024
NETL
NSTL
万方数据