基于“阳化气,阴成形”理论浅析小儿腺样体肥大证治机制

Analysis on the Mechanism of Syndrome and Treatment of Adenoid Hypertrophy in Children Based on the Theory of“Yang Transforming Qi while Yin Constituting Form”

小儿腺样体肥大发病率呈逐年上升趋势,已成为儿科常见病、多发病。中医认为该病可归于“痰核”,基于“阳化气,阴成形”理论,病理性增生的腺样体属有形实物,是由于“阳化气”不及、“阴成形”太过导致气滞痰饮瘀血等阴邪凝滞壅塞于鼻咽、阻滞官窍,在病机上属本虚标实。病之根本在于“阳化气”不及,主要为肺脾肾功能不足,标实主要责之于“阴成形”太过,表现为津液输布障碍的病理产物痰饮的形成,造成浊邪壅塞肺窍,日久痰瘀互结,加重病情,缠绵反复。对于该病的治疗当扶阳化气固正以治本,消阴散结通窍以治标,同时注意分期论治。该文从“阳化气,阴成形”理论探析腺样体肥大的证治机制,为预防和治疗小儿腺样体肥大提供新思路,以期为临床选方用药提供一定的依据和思路。

The incidence rate of adenoidal hypertrophy in children are increasing year by year,which has become a common and frequently occurring disease in pediatrics.Traditional Chinese medicine believes that the disease can be attributed to“phlegm core”.Based on the theory of“Yang transforming Qi while Yin constituting form”,the pathologically proliferating adenoids belong to tangible objects.It is because the“Yang transforming Qi”is not enough and“Yin constituting form”is too much,which leads to Qi stagnation,phlegm,blood stasis and other Yin pathogens blocking the nasopharynx and blocking the official orifices.In terms of pathogenesis,it belongs to difficiency in origin and excess in superficiality.The root of the disease lies in the lack of“Yang transforming Qi”,which is mainly due to the insufficient function of lung,spleen and kidney.The excess in superficiality is mainly due to the excessive“Yin forming”,which is manifested in the formation of phlegm drink,the pathological product of the disorder of body fluid distribution,resulting in the blockage of lung orifices by turbid pathogens,the accumulation of phlegm and blood stasis for a long time,aggravating the condition and lingering repeatedly.For the treatment of this disease,we should strengthen Yang,transform Qi and solidify the body to treat the root cause,eliminate Yin,disperse the knot and clear the orifices to treat the symptoms,and pay attention to the treatment by stages.Based on the theory of“Yang transforming Qi,while Yin constituting form”,this paper analyzes the syndrome and treatment mechanism of adenoidal hypertrophy,and provides new ideas for the prevention and treatment of adenoidal hypertrophy in children,in order to provide some basis and ideas for clinical prescription.