春分气运承变与鼻鼽发病相关性探赜

Exploration on the correlation between the change of qi-circuit at the vernal equinox and the onset of allergic rhinitis

鼻鼽是以鼻痒、喷嚏、流涕、鼻塞等为主要症状的鼻部疾病,发病具有春季易感性。春季为由寒始热之季,春分气运居阴阳相平之界,上承厥阴风木初之气,下启少阴君火二之气,此时寒气将尽,风气流行,湿气连亘,火气欲行,阴阳交争显著,易致气运变化反常。若春分气运交接失常,则人体肝肺气机升降失和,易感鼻鼽。基于春分之气运变化探讨此时鼻鼽发病特点,有利于充实中医“天人相应”理论的科学内涵,也为临床鼻鼽的季节性防治提供一定的思路。

Allergic rhinitis is a nasal disease with nasal itching,sneezing,runny nose,nasal congestion and other main symptoms,and its onset has spring susceptibility.Spring begins from cold to hot,and spring equinox occupies the boundary of yin and yang.It inherits the qi of Jueyinfengmu,and activates the qi of Shaoyinjunhuo,at this time the coldness will diminish,the wind is popular,the dampness is continuous,the fire is about to go,the yin and yang competition is significant,which is easy to cause abnormal changes in qi movement.If the handover of qi at the spring equinox is abnormal,the rise and fall of yin and yang in the liver and lungs are out of harmony and susceptible to allergic rhinitis.This paper discusses the pathogenesis characteristics of allergic rhinitis at this time based on the change of qi-circuit of the spring equinox,which is conducive to enriching the scientific connotation of the theory of“heaven and man correspond”in traditional Chinese medicine,and also provides certain ideas for the seasonal prevention and treatment of clinical allergic rhinitis.