首页|期刊导航|中医儿科杂志|提壶揭盖法治疗儿童腺样体肥大的理论探讨

提壶揭盖法治疗儿童腺样体肥大的理论探讨OA

Theoretical Discussion on the Treatment of Pediatric Adenoid Hypertrophy by the"Lifting the Kettle to Uncover the Lid"Method

中文摘要英文摘要

朱丹溪首创"提壶揭盖"之法,强调宣利肺气,输布水液,通利下窍.基于该理论认为,腺样体肥大(AH)的发生发展与气机失调相契合,而"提壶揭盖"法的实质在于调节气机、复肺宣肃.AH病变早期,风邪束表,肺气郁闭,用六味汤宣肺气,解肺郁,揭壶盖;病变中期,气机阻滞,痰瘀互结,予自拟调气通窍汤调肺气,除痰瘀,涤壶垢;病变后期,肺脾气虚,清阳不升,取补中益气汤合苍耳子散补脾肺,升清阳,护壶基.

ZHU Danxi pioneered the"lifting the kettle to uncover the lid"method,emphasizing the need to diffuse and unblock lung qi,facilitate the distribution of body fluids,and promote the flow of the lower orifices.Based on this theory,it is proposed that the occurrence and development of adenoid hypertrophy(AH)are con-sistent with qi mechanism disharmony.The essence of the"lifting the kettle to uncover the lid"method lies in regulating the qi mechanism and restoring the lung's function of dispersion and descending.In the early stage of AH,when external wind pathogen constrains the exterior and lung qi is stagnated,Liuwei Tang(六味汤)is indicated to diffuse lung qi,relieve lung stagnation,and"uncover the lid."In the middle stage,characterized by qi mechanism blockage and intermingling of phlegm and blood stasis,self-formulated Tiaoqi Tongqiao Tang(调气通窍汤)is indicated to regulate lung qi,eliminate phlegm and stasis,and"scour the kettle."In the late stage,with spleen-lung qi deficiency and failure of clear yang to ascend,Buzhong Yiqi Tang(补中益气汤)combined with Cangerzi San(苍耳子散)is indicated to tonify the spleen and lung,elevate clear yang,and"protect the base of the kettle."

瞿丹萍;连俊兰;邵征洋;宋灿洋;李聪聪

浙江中医药大学第二临床医学院,浙江 杭州 310053浙江省中西医结合医院儿科,浙江 杭州 310003浙江省中西医结合医院儿科,浙江 杭州 310003浙江中医药大学第二临床医学院,浙江 杭州 310053浙江中医药大学第二临床医学院,浙江 杭州 310053

医药卫生

腺样体肥大儿童:提壶揭盖法气机失调理论探讨

adenoid hypertrophychildren"lifting the kettle to uncover the lid"methodqi mechanism disharmonytheoretical discussion

《中医儿科杂志》 2026 (4)

5-7,3

10.16840/j.issn1673-4297.2026.04.02

评论