从“阳化气,阴成形”论治小儿腺样体肥大

Syndrome differentiation and treatment of children with adenoidal hypertrophy from “yang transforming into qi, while yin constituting form”

基于《黄帝内经》"阳化气,阴成形"理论,认为小儿腺样体肥大与"阳化气"不及、"阴成形"太过密切相关,其核心病机为阳气不足、痰瘀互结,属本虚标实之证,故治疗当以扶阳消阴为原则,扶阳重在肺脾肾,消阴重在痰与瘀,并辅以辛温芳香通窍之药,时时顾护胃气,疗效显著。附病案1 则,以资验证。

Based on the theory of "yang transforming into qi, while yin constituting form" in Huangdi Neijing,it holds that children with adenoid hypertrophy is closely related to inferiority of "yang transforming into qi" and excess of "yin constituting form".Its core pathogenesis is insufficiency of yangqi and mutual accumulation of phlegm and stagnation, which pertains to the syndrome of deficiency in the root and excess in the branch.Therefore, the treatment should take strengthening yang to subdue excess of yin as the principle, on the grounds that strengthening yang focuses on lung, spleen and kidney, while subduing excess of yin stresses on phlegm and stagnation, and supplemented by pungent, warm, fragrant, and dredging orifices medicinals, protecting and nursing stomach qi all the time, whereby obtaining marked efficacy.One case is attached for verification.