从"伏邪"理论辨治过敏性鼻结膜炎OA
Treating Allergic Rhino-conjunctivitis Based on the"Latent Pathogen Theory"
过敏性鼻结膜炎作为临床常见的变态反应性疾病,反复发作、迁延难愈,其核心病机可概括为"本虚标实,伏邪为患","先天不足,邪伏少阴"是发病之遗传与体质基础,"邪伏日久,太少两虚"是疾病迁延、脏腑功能失调的核心过程,"外邪袭肺,引动伏邪"则是症状急性发作的直接诱因.治疗当遵循"分期论治,标本兼顾"的原则,急性发作期以"祛风宣肺,温透伏邪"为主,缓解期及慢性迁延期则以"扶正补虚,调理脏腑"为要,具体治法包括"温透伏邪""祛风宣肺"与"扶正补虚".本文探讨了"伏邪"理论指导下治疗过敏性鼻结膜炎的优势,以期为中医药临床治疗提供思路与参考.
Allergic rhino-conjunctivitis,a common clinical allergic disease,significantly plagues patients'lives due to its characteristics of recurrent attacks and refractory course.The core pathogenesis of allergic rhino-conjunctivitis can be summarized as"deficiency in origin and excess in superficiality,and disease caused by latent pathogens",which is specifically manifested:"Congenital insufficiency with latent pathogens in Shaoyin"is the genetic and constitutional basis for the onset;"Prolonged latent pathogens leading to deficiency of both Shaoyang and Shaoyin"is the core process of disease protraction and visceral dysfunction;"External pathogens invading the Lung and inducing latent pathogens"is the direct inducement of acute symptom attacks.The treatment should follow the principle of"stage-based treatment with simultaneous consideration of origin and superficiality".In the acute attack stage,the main treatment is to"disperse wind,ventilate lung,warm and diffuse latent pathogens",while in the remission stage and chronic protracted stage,the emphasis is on"strengthening the body to tonify deficiency and regulate the zangfu organs".The specific therapeutic methods include"warming and diffusing latent pathogens","dispersing wind and ventilating lung"and"strengthening the body to tonify deficiency".This article explores the advantages of treating allergic rhino-conjunctivitis under the guidance of the"latent pathogen theory",aiming to provide ideas and references for improving the clinical treatment of Traditional Chinese Medicine for this disease.
王子彤;董叶青;王嘉玺
北京中医药大学东方医院,北京 100078中国中医科学院眼科医院,北京 100040北京中医药大学东方医院,北京 100078
医药卫生
伏邪过敏性鼻结膜炎病因病机分期治疗
latent pathogenallergic rhino-conjunctivitisetiology and pathogenesisstage-based treatment
《中国中医眼科杂志》 2026 (4)
365-369,389,6
北京中医药大学东方医院耳鼻喉科重点专科项目(040203001012)
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