黎世明从肺脾论治小儿鼻鼽的临床经验OA

Sniveling nose,known as allergic rhinitis in modern medicine,is one of the common pediatric disorders.Professor Li Shiming posits that children with allergic rhinitis frequently present with a pronounced spleen-deficient constitution.The core pathogenesis is predominantly characterized by insecurity of defensive qi of the lung and failure in transportation due to spleen deficiency.In response to the dual deficiency of the lung and spleen,Professor Li recommends the therapeutic principles of diffusing the lung and unblocking the orifices to address the manifestations,strengthening the spleen and replenishing qi to treat the root cause,and simultaneously regulating both the lung and spleen to consolidate long-term efficacy.There are Astragali Radix,Fici Simplicissimae Radix,Pseudostellariae Radix,Magnoliae Flos,fried Xanthii Fructus,Schisandrae Chinensis Fructus,and Atractylodis Macrocephalae Rhizoma frequently used for strengthening the spleen,replenishing qi,securing the exterior,and unblocking the orifices.In clinical practice,modifications are performed flexibly,with careful adjustment of the ratio of purging herbs to tonifying herbs according to syndrome differentiation,thereby achieving concurrent management of both manifestations and root cause and simultaneous regulation of the lung and spleen.Professor Li's experience in treating pediatric allergic rhinitis from the perspective of lung and spleen offers valuable insights for its diagnosis and management with traditional Chinese medicine.