常克教授基于"气机升降"理论运用"调膈"治疗小儿腺样体肥大学术经验探析OA
Exploring Professor CHANG Ke's clinical approach to pediatric adenoid hypertrophy:regulating the diaphragm based on the theory of Qi ascending and descending
小儿腺样体肥大是儿童呼吸系统高发疾病,以鼻塞、张口呼吸、打鼾等为典型表现,若延误治疗易引发鼻窦炎、颌面发育异常等并发症,严重影响儿童生长发育与身心健康.西医治疗存在手术侵袭性、复发率及激素不良反应等问题,而中医药以整体调理、无创安全的优势凸显治疗价值.常克教授深耕中医儿科四十余年,基于"气机升降"核心理论,创新性地提出了"调膈"治法,通过调节膈部气机枢纽功能,恢复脏腑气血津液运行,化解痰、湿、瘀等病理产物,为小儿腺样体肥大的中医治疗提供了独特思路.文章对其学术经验进行系统总结,以期为临床提供参考.
Pediatric adenoid hypertrophy is a prevalent respiratory disorder in children,characterized by nasal obstruction,mouth breathing,and snoring.If left untreated,it can lead to complications such as sinusitis and dentofacial developmental abnormalities,which severely impacts children's growth and well-being.Conventional medical treatments face challenges including surgical invasiveness,recurrence rates,and adverse effects of corticosteroids,while traditional Chinese medicine(TCM)offers significant therapeutic value due to its holistic,non-invasive,and safe approach.Professor CHANG Ke,with over four decades of clinical expertise in pediatric TCM,has innovatively proposed the"Diaphragm-regulation"therapeutic method.This approach is grounded in the core TCM theory of"Qi(气)movement and functional direction".By regulating the pivotal function of the diaphragm in governing Qi movement,it aims to restore the normal movement of Qi,blood,and body fluids in the Zang-Fu(脏腑)organs,thereby resolving pathological products like phlegm,dampness,and stasis.This provides a unique perspective for the TCM management of pediatric adenoid hypertrophy.This article systematically summarizes Professor CHANG's academic experience to offer a reference for clinical practice.
李雪柯;常克
成都中医药大学临床医学院,四川 成都,610075成都中医药大学附属医院,四川 成都,610072
医药卫生
中医儿科腺样体肥大气机升降调膈
Pediatric TCMAdenoid hypertrophyAscending and descending of QiDiaphragm regulation
《中医临床研究》 2026 (7)
93-97,5
国家中医药管理局2022年全国名老中医药专家传承工作室建设项目(国中医药人教发[2022]75号).
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