摘要
王孟清教授认为儿童过敏性鼻炎哮喘综合征(CARAS)病机为水液代谢失常,伏痰留于肺窍,外邪引动伏痰,伺机而发。临床分为发作期、缓解期和稳定期。在分期论治中,“肺鼻同治”贯穿三期,遵循急则治肺、缓则健脾化痰、稳定期补肾的治疗原则。发作期寒证方予小青龙汤加减,热证方予麻杏石甘汤加减;缓解期方予清金化痰汤加减;稳定期方予人参五味子汤加减或麦味地黄汤加减。同时指出儿童CARAS病程久,应该坚持长期服药,切不可擅自停药,最终达到减少CARAS发作次数、治愈和长期缓解的目的。附验案1则,以资验证。
Professor WANG Mengqing holds that the pathogenesis of combined allergic rhinitis and asthma syndrome(CARAS) in children lies in the abnormal metabolism of water and fluid and the retention of sputum in pulmonary orifices.CARAS will attack when pathogenic factors induce sputum.Clinically,CARAS is divided into three phases:attack phase,remission phase and stable phase.In the treatment of differentiation phases,professor WANG follows the principle of treating lung in attack phase;invigorating spleen to remove phlegm in remission phase;nourishing kidney in stable phase and “simultaneous treatment of lung and nose”through the whole three phases.In the attack phase,modified Xiaoqinglong Tang(小青龙汤) is used for cold syndrome,while modified Maxing Shigan Tang(麻杏石甘汤) for heat,in the remission phase,modified Qingjin Huatan Tang(清金化痰汤) is used,and modified Renshen Wuweizi Tang(人参五味子汤) or modified Maiwei Dihuang Tang(麦味地黄汤) is used in stable stage.He also points out that children with CARAS have a long course of disease,so they should adhere to long-term medication,and stop medication only with authorization,so as to finally achieve the purpose of reducing the number of recurrent CARAS,curing and long-term remission.One case is attached for verification.
作者
鲁琳艳
王孟清(指导)
LU Linyan;WANG Mengqing(Graduate School of Hunan University of Chinese Medicine,Changsha,Hunan,410007,China;不详)
出处
《中医儿科杂志》
2023年第1期18-21,共4页
Journal of Pediatrics of Traditional Chinese Medicine
基金
湖南中医药大学中医学国内一流建设学科(4901-020000200207)。
关键词
过敏性鼻炎哮喘综合征
儿童
分期论治
临床经验
王孟清
combined allergic rhinitis and asthma syndrome
children
differentiation stage treatment
clinical experience
WANG Mengqing
