基于“正邪理论”辨治青少年肺气虚寒型鼻鼽一例
One Case of Allergic Rhinitis with Lung Yang Deficiency Pattern in Adolescents Was Treated by Syndrome Differentiation and Treatment
扫 描 看 全 文
1.广州中医药大学第一临床医学院,广州 510405
2.广州中医药大学第一附属医院耳鼻喉科,广州 510405
扫 描 看 全 文
王睿智, 周敏, 钟毓, 等. 基于“正邪理论”辨治青少年肺气虚寒型鼻鼽一例[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406159&Fpath=home&index=0
WANG Ruizhi, ZHOU Min, ZHONG Yu, et al. One Case of Allergic Rhinitis with Lung Yang Deficiency Pattern in Adolescents Was Treated by Syndrome Differentiation and Treatment[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406159&Fpath=home&index=0
王睿智, 周敏, 钟毓, 等. 基于“正邪理论”辨治青少年肺气虚寒型鼻鼽一例[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406159&Fpath=home&index=0 DOI:
WANG Ruizhi, ZHOU Min, ZHONG Yu, et al. One Case of Allergic Rhinitis with Lung Yang Deficiency Pattern in Adolescents Was Treated by Syndrome Differentiation and Treatment[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406159&Fpath=home&index=0 DOI:
病史摘要,2,患者范某,男性,17岁,2022年7月10日初诊。主诉:鼻痒、打喷嚏、流清涕、鼻塞10余年,加重1周。患者自10余年前感冒受凉后开始出现鼻塞、流清涕,并逐渐出现鼻痒、打喷嚏症状,每逢冬春季节或冷空气刺激时加重。1周前因运动大汗出后受凉,上述症状再次加重,遂来就诊。现症见:鼻痒难耐,喷嚏频作,涕出不止,以大量清水样鼻涕为主,时有鼻塞,以晨起时和安静状态下明显,活动后减轻,眼部瘙痒,偶有流泪,咽痒不适,痰少色白。伴恶风畏寒,时常自汗,倦怠乏力,活动后尤甚,气短声低。眠时打鼾,鼻塞发作时则难以入睡,小便稍频。舌淡红,苔薄白,脉弦滑。中医诊断 鼻鼽病,肺气虚寒证。西医诊断 变应性鼻炎。干预措施 以温肺散寒,益气固表为治法,方拟苍耳子散合玉屏风散加减。疗效转归 服药10天后,患者鼻鼽临床症状改善明显,且临床伴随症状亦有改善,随访1个月,症状明显改善。
Summary of case history, The patient surnamed Fan, a 17-year-old male, was first diagnosed on July 10, 2022. Chief complaint: nasal itching, sneezing, runny nose, nasal congestion for more than 10 years, aggravated for 1 week. The patient began to have nasal congestion and runny nose after catching cold more than 10 years ago, and gradually appeared nasal itching and sneezing symptoms, which became worse in winter and spring or when cold air stimulated. One week ago, the patient got cold after sweating during exercise, and the above symptoms aggravated again, so he came to the hospital now. Present symptoms: nasal itching, sneezing frequency, nasal discharge continuously, with a large number of clear nasal discharge. Intermittent nasal congestion, which is obvious in the morning and in the quiet state, alleviates after activity, itchy eyes, occasional tears, pharyngeal itching discomfort, nose backflow, cough up white sputum, no discomfort of ear swelling, no dizziness or headache. With chilly, spontaneous perspiration, exhausted, which is aggravated after exercise. Appetite to fair, Average quality of sleep, it is difficult to sleep during nasal congestion attacks, No symptoms of abdominal distension or diarrhea, A slight frequency of urine, Shit is compatible. The tongue is light red, the coating is thin and white, and the pulse condition is like string and slippery.,TCM diagnosis, The desease of Bi Qiu, The pattern of syndrome is deficiency of lung Qi and cold.,Western medicine diagnosis, Allergic rhinitis.,Therapeutic methods, To warm the lung and disperse the cold, replenish qi and strengthen solid surface as the treatment method, combination Cangerzi San and Yupingfeng San as the treatment medicine.,Clinical outcomes, This patient was treated with TCM. Based on the basic theory of TCM, Dr. Ruan analyzed the etiology and pathogenesis of patient's allergic rhinitis. After 10 days of medication, the patient's nasal clinical symptoms improved significantly, and the clinical concomitant symptoms also improved. At a follow-up period of 1 month, the symptoms of this patient improved significantly.
鼻鼽变应性鼻炎肺气虚寒辨证论治苍耳子散玉屏风散
The desease of Bi QiuAllergic rhinitisDeficiency of lung Qi and coldSyndrome differentiation and treatmentCangerzi SanYupingfeng San
Sharma M, Khaitan T, Raman S, et al. Determination of Serum IgE and Eosinophils as a Diagnostic Indicator in Allergic Rhinitis[J]. Indian J Otolaryngol Head Neck Surg, 2019, 71(Suppl 3): 1957.
Wise SK, Lin SY, Toskala E, et al. International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis[J]. Int Forum Allergy Rhinol, 2018, 8(2): 108.
Cheng L, Chen J, Fu Q, et al. Chinese Society of Allergy Guidelines for Diagnosis and Treatment of Allergic Rhinitis[J] . Allergy Asthma Immunol Res, 2018, 10(4): 300.
马春,李淑玲,郝如彬,等. 中医药治疗变应性鼻炎的作用机制及研究进展[J]. 中国中医基础医学杂志,2019,25(10): 1473.
0
浏览量
4
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构