基于整体观念变应性鼻炎的中医辨证论治

Treatment of allergic rhinitis using syndrome differentiation based on the concept of“holism”in TCM

变应性鼻炎属于中医"鼻鼽"的范畴,鼻鼽的病机以肺、脾、肾三脏虚损为本,风寒异气为标,其中,肺气虚是鼻鼽的终极表现。将变应性鼻炎分为发作期、缓解期进行辨证论治,在发作期按照肺脾气虚、肺经郁热、脾肾亏虚、邪伏少阳的证型论治;在缓解期采取在关键时间节点(冬至、夏至、春分、秋分等)进行干预的方式实现变应性鼻炎的治未病,同时配合针灸、贴敷等外治,并结合饮食、起居、情志等综合调养的方式防治变应性鼻炎。

Allergic rhinitis belongs to the category of ＂Bi Qiu＂in traditional Chinese medicine. The pathogenesis of allergic rhinitis is associated with qi-deficiencies of the lung,spleen,and kidney,and it is indicated in wind chill. Among these,lung deficiency is the most important pattern associated with allergic rhinitis. Allergic rhinitis is categorized into episodes and in remission for syndrome differentiation and treatment. Disease episodes are treated according to the four patterns of syndrome—deficiency of the lung and spleen,muggy in lung channel,deficiency of the spleen and kidney,and evil hide in shaoyang. In remission,interventions at the key time nodes（ such as the winter solstice,summer solstice,vernal equinox,and autumn equinox） constitute preventive treatment for the disease. Simultaneously,application of other external treatment strategies such as acupuncture and point-application aid in treating the disease. In addition,allergic rhinitis can also be prevented by maintaining a healthy balance in diets,daily life,emotions,and other factors.