腺样体肥大是儿科常见病之一,目前西医治疗手段以手术和西药为主,但容易迁延反复,远期治疗效果并不理想。中医从热的不同角度去认识腺样体病理性增生过程,并通过辨别热的表里虚实属性,选择对应的治法,以达釜底抽薪之效。本文通过收集中医从热论治儿童腺样体肥大的相关文献,从热的不同角度总结儿童腺样体肥大治疗概况,为临床治疗儿童腺样体肥大提供参考。Adenoid hypertrophy is one of the common diseases in paediatrics. Currently, western medical treatment is mainly based on surgery and western medicine, but it is easy to be prolonged and recurring, and the long-term therapeutic effect is not satisfactory. Traditional Chinese medicine (TCM) recognises the process of pathological adenoid hyperplasia from different perspectives of heat, and chooses corresponding treatments by identifying the superficial and internal properties of heat, in order to achieve the effect of removing the firewood from the bottom of the cauldron. In this paper, we collect relevant literature on the treatment of adenoid hypertrophy in children from the perspective of heat in Chinese medicine, and summarise the treatment overview of adenoid hypertrophy in children from different perspectives of heat, so as to provide reference for the clinical treatment of adenoid hypertrophy in children.
目的:研究儿童内伤咳嗽的肝脾气机理论法则,重视肝咳、脾咳,了解肝脾在机体内环境中所起的作用。若肝脾气机之枢纽不通,则会引发内环境的改变,影响肺的宣降从而诱发咳嗽。《黄帝内经》里就已告诉后世:“五脏皆令人咳,非独肺也”,说明咳嗽并非是肺的专属病症。Objective: To investigate the theoretical principles of liver and spleen qi mechanism in pediatric internal injury cough, with emphasis on liver cough and spleen cough, and to understand the roles of the liver and spleen in the internal environment of the body. When the pivot of liver qi and spleen qi mechanism is obstructed, it can lead to changes in the internal environment, affecting the lung’s dispersion and descent functions, and thereby inducing cough. The Yellow Emperor’s Inner Classic already informed later generations, “All five zang organs can cause cough;it is not only the lung”. This indicates that cough is not a disease exclusively associated with the lung.
小儿变应性鼻炎发作率日益增高,对儿童的身心发育均有不同程度的影响,目前西医治疗方案包括鼻用药物、口服药物、免疫治疗、手术治疗等,但是都存在一定的局限性及副作用,药物治疗可能引发耐药性和副作用,免疫治疗周期长且费用高昂,手术治疗则存在风险。寻找更为有效的治疗方案非常重要。中医对于小儿变应性鼻炎的治疗多从肺脾肾考虑,儿童生理特性特殊,临床所见及相关文献所知,根据五行、肝经循行、以及肝的生理功能考虑,儿童变应性鼻炎与肝亦存在联系。The attack rate of allergic rhinitis in children is increasing, which has varying degrees of impact on the physical and mental development of children. At present, Western medicine treatment includes nasal drugs, oral drugs, immunotherapy, surgical treatment, etc., but there are certain limitations and side effects. Drug treatment may lead to drug resistance and side effects, immunotherapy has a long cycle and high cost, and surgical treatment has risks. Finding more effective treatment options is important. The treatment of children with allergic rhinitis in Chinese medicine is mainly considered from the lung, spleen and kidney. Children have special physiological characteristics. According to the clinical findings and relevant literature, children with allergic rhinitis are also related to the liver according to the five elements, liver meridian circulation and physiological function of the liver.
