首页|期刊导航|世界中西医结合杂志|基于"一气周流"理论探讨儿童鼻炎-哮喘综合征的治疗

基于"一气周流"理论探讨儿童鼻炎-哮喘综合征的治疗OA

Treatment of Pediatric Rhinitis-Asthma Syndrome Based on the"One Qi Circulation"Theory

中文摘要英文摘要

儿童过敏性鼻炎-哮喘综合征(combined allergic rhinitis and asthma syndrome,CARAS)为同一气道疾病的共病状态,现代医学治疗存在药物依赖性强、不良反应多等局限.文中基于黄元御"一气周流"理论,提出CARAS的病机演变为脾虚失运致痰湿内蕴、枢轴不转,进而引发肝风上扰、肺失宣肃、肾不纳气、心神失守,呈现中土壅滞、四维气逆、伏痰内潜的病理态势.因此,以健运中土、柔肝息风、宁心安神、补肾固本为治法,以缓哮止鼽方重建枢轴为核心,辅以小柴胡汤合过敏煎、金匮肾气丸调节气机周流,配合外治法协同增效,为CARAS的中医治疗提供思路与参考,并附验案一则加以佐证.

Pediatric allergic rhinitis-asthma syndrome is a comorbid condition of the same airway disease.However,modern medical treatment faces limitations,including strong medicine dependency and frequent adverse reactions.Based on HUANG Yuanyu's"one Qi circulation"theory,this paper proposes the CARAS framework.It is proposed that spleen deficiency and dysfunction induce the internal accumulation of phlegm and dampness,while pivot dysfunction triggers liver wind disturbance,lung failure,failure of kidney to receive Qi,and heart disturbance.This constitutes the pathological pattern characterized by a developmental process of middle earth stagnation,four-dimensional Qi counterflow,and latent phlegm accumulation.According to these characteristics,a therapeutic protocol has been established focusing on activating the middle earth,softening liver to extinguish wind,calming the heart and tranquilizing the spirit,along with reinforcing the kidney and invigorating the origin.Centered on Huanxiao Zhiqiu Formula to rebuild the central pivot,treatment is combined with Xiao Chaihu Decoction and Guomin Decoction to regulate Qi circulation,supplemented by Jinkui Shenqi Pills,enhanced with external treatment.This study offers a novel concept and reference for traditional Chinese medicine(TCM)treatment of pediatric allergic rhinitis-asthma syndrome,accompanied by a validated case report for demonstration.

张晓伟;郭隽辰;吴力群

北京中医药大学第二临床医学院,北京 100078北京中医药大学第二临床医学院,北京 100078北京中医药大学东方医院儿科,北京 100078

医药卫生

一气周流儿童过敏性鼻炎-哮喘综合征中气升降缓哮止鼽方

one Qi circulationpediatric allergic rhinitis-asthma syndromeascending and descending of middle QiHuanxiao Zhiqiu Formula

《世界中西医结合杂志》 2026 (7)

1428-1431,4

国家自然科学基金面上项目(82474576)

10.13935/j.cnki.sjzx.260726

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