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基于"逆流挽舟"法探讨变应性鼻炎防治OA

Exploring the Prevention and Treatment of Allergic Rhinitis Based on the Method of"Rowing Upstream to Rescue the Boat"

中文摘要英文摘要

文章以喻嘉言提出的"逆流挽舟"法为理论核心,通过理论溯源揭示变应性鼻炎的病机演变规律,认为变应性鼻炎病机关键在于邪气内陷、三焦气机壅滞及脾肾阳气亏虚.在此基础上以"逆流挽舟"法作为治疗总则,构建"开通玄府以透邪达表—畅达三焦以调畅气机—运脾养肾以培元固本"的三阶段序贯治疗体系,旨在升举下陷清阳、恢复鼻窍生理功能,为变应性鼻炎的中医治疗提供新思路.附验案1则.

The article takes the"Rowing Upstream to Rescue the Boat"method proposed by YU Jiayan as its theoretical core.Through tracing the theoretical origin,it reveals the evolution law of the pathogenesis of a llergic rhinitis.It holds that the key to the pathogenesis of allergic rhinitis lies in the internal invasion of pathogenic factors,the obstruction of qi movement in the three jiao,and the deficiency of yang qi in the spleen and kidney.Based on this,the"Rowing Upstream to Rescue the Boat"method is adopted as the general treatment principle,and a three-phase sequential treatment system of"opening up the sweat pore to expel pathogenic factors and reach the surface-unblocking the three jiao to regulate qi movement-invigorating the spleen and nourishing the kidney to nourish the primordial essence and consolidate the foundation"is constructed.The goal is to uplift the submerged clear yang and restore the physiological function of the nasal orifices,providing a new idea for the treatment of allergic rhinitis in traditional Chinese medicine.One test case is attached.

何芮先;宋业琳;郝海燕;李正光

山东中医药大学第一临床医学院,山东济南 250355青岛市中医医院心血管三科/全科医学科,山东青岛 266033青岛市中医医院心血管三科/全科医学科,山东青岛 266033青岛市中医医院心血管三科/全科医学科,山东青岛 266033

医药卫生

变应性鼻炎喻嘉言逆流挽舟法病机演变开通玄府调畅三焦脾肾同治

allergic rhinitisYU JiayanRowing Up-stream to Rescue the Boat methodevolution of disease mechanismopening up the sweat poreregulating the Sanjiaosimultaneous treatment of spleen and kidney

《山东中医杂志》 2026 (6)

575-578,590,5

10.16295/j.cnki.0257-358x.2026.06.003

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