袁今奇教授治疗小儿过敏性鼻炎经验

Professor YUAN Jinqi’s experience in treating children with allergic rhinitis

袁今奇教授认为小儿过敏性鼻炎的发生多以肺、脾、肾三脏不足为主。临床治疗时应将辨“体”与辨证相结合。首先,应当重视辨体质以精准疾病本质,小儿过敏性鼻炎以特禀质、气虚质、阴虚质较多见;其次,重视主症辨析,针对不同主症选择药物;最后,对于不同发病时期的患儿分期处方遣药,急性发作期应用葛根汤或桂枝汤加味解肌发表,缓解期应用小柴胡汤或玉屏风散、生脉散加减益气固表。附案例1则,以资验证。

Professor YUAN Jinqi holds that the occurrence of allergic rhinitis in children is mainly caused by the insufficiency of lung,spleen and kidney.In clinical treatment,the differentiation of physical constitution should be combined with syndrome recognition.First of all,attention should be paid to distinguishing the constitution in order to pinpoint the nature of the disease.Pediatric allergic rhinitis is more common with idiosyncratic,qi-deficiency,or yin-deficiency constitutions.Secondly,analysis of main symptoms should be emphasized,and different Chinese materia medica are supposed to used for different main symptoms.Finally,prescription should vary according to the different periods of allergic rhinitis in children.In the acute stage,Gegen Tang(葛根汤)or Guizhi Tang(桂枝汤)was used to release the muscle and drive away exogenous pathogen.In the remission period,Xiaochaihu Tang(小柴胡汤),Yupingfeng San(玉屏风散)or modified Shengmai San(生脉散)were used to improve qi and stop perspiring.One case is attached for verification.