通窍升降散治疗小儿鼻渊刍议OA

Pediatric sinusitis is prevalent among children,which is mainly manifested by a large amount of turbid nasal discharge.Western medicine treats this disease mostly with oral antibiotics and nasal hormones,which have the disadvantages of uncertain efficacy and drug resistance.Traditional Chinese Medicine(TCM)treats this disease through oral and external use of Chinese herbal drugs,offering a relatively safe and low-side-effect treatment option.In this study,we believe that the onset of pediatric sinusitis is related to the external pathogens to the lungs closing to the surface and inside;the heat of the gallbladder leading to the congestion of the nose and orifices;spleen and stomach disorders causing to the imbalance of qi movement.The primary pathogenesis involves internal heat stagnation and obstruction of the nasal passages.The following methods should be used in treating this disease:to resolve the pathogens both external and internal,to dispel external evils and clear the heat in the lungs at the same time;pungent and bitter medicines should be used together,to relieve the heat in the gallbladder;to elevate the clearness and lower the turbidity,regulating the spleen and the stomach Qi.Tongqiao Shengjiang Powder is derived from"Shengjiang Powder",a classic formula for treating epidemics,and is modified by the addition of Magnolia biondii Pamp.,ueraria lobata(Willd.)Ohwi,and Glycyrrhiza uralensis Fisch.This formula has excellent therapeutic effects for treating pediatric sinusitis.It has the efficacy of resolving external pathogens and clearing the heat in the lungs,elevating the clearness and lowering the turbidity,and improving nasal ventilation.Although its medicinal flavor is simple,the formula is comprehensive and covers several treatments.It can effectively treat pediatric nasosinusitis of various TCM syndrome types through addition or subtraction.In this paper,one case is attached for clinical reference.