秦裕辉教授治疗慢性鼻-鼻窦炎验案二则

Two medical cases of chronic rhinosinusitis treated by Professor QIN Yuhui

报道国家级名中医秦裕辉教授治疗慢性鼻-鼻窦炎验案2则。慢性鼻-鼻窦炎病机复杂,有虚实之分,实者多为肺经风热、胆腑郁热;虚者多因肺脾气虚,兼受风寒所致。久治不瘥,肺脾愈虚,气机逆乱,清阳不升,湿浊上干,湿聚为痰,壅塞鼻窍,郁而化火,后期往往发展为虚实夹杂、寒热错杂之证,治疗颇为棘手。秦裕辉教授认为治疗本病应散寒与清热并施,散寒以羌活、防风、辛夷、白芷类药物通窍止痛,清热用薄荷、广藿香、龙胆芳香化浊,清泄肺经、胆经郁火;同时还应健脾益气,扶正固本。秦裕辉教授通过辨证施治本病,疗效显著,可为该病治疗提供借鉴。

Our study reported two cases of chronic rhinosinusitis treated by national famous Chinese medicine practitioner QIN Yuhui.The complex pathogenesis of chronic rhinosinusitis can be divided into deficiency and excess.The excess is mostly caused by the wind-heat in the lung meridian and stagnant heat in the gallbladder;the deficiency is mainly caused by qi deficiency of the lung and spleen,combined with wind-cold.If it is not cured after long-term treatment,the lungs and spleen will become more deficient leading to the disordered qi movement.As a result,the clear yang can not rise,and the dampness and turbid will invade the upper part,further changing into phlegm.The phlegm will block the nose orifices and turn into fire.In the later stage,it often develops into the pattern of mixed deficiency and excess,and mixed cold and heat.It is therefore difficult to cure.Professor QIN Yuhui dispells cold and clears heat to treat chronic rhinosinusitis.To dispell cold,he mainly prescribes Qianghuo(Rhizoma et Radix Notopterygii),Fangfeng(Radix Saposhnikoviae),Xinyi(Flos Magnoliae)and Baizhi(Radix Angelicae Dahuricae)to clear the orifices and relieve pain.To clear heat,he takes Bohe(Herba Menthae),Huoxiang(Herba Pogostemonis),Longdan(Radix Gentianae)to dissolve the turbid with aroma,clear the stagnant fire of lung meridian and gallbladder meridian.Meanwhile,he tonifies the spleen and reinforces healthy qi to strengthen the body.Professor QIN Yuhui treats chronic rhinosinusitis based on pattern differentiation with apparent curative effect,which can provide reference for the treatment of this disease.