温润辛金、培本宣通-法治疗过敏性鼻炎临证剖析.pdfVIP

“温润辛金、培本宣通”法治疗过敏性 鼻炎临证剖析 李四维1李友林2 1北京中医药大学，北京1000292中日友好医院，北京100029 摘要：李友林教授认为过敏性鼻炎的病机本质是 “本虚标实”，其病位在以肺脾为核心的肺、脾、肾三 脏，其基本病理为寒热虚实错杂，脏腑功能不足是其发生演变的基础。经过多年临床经验，总结出以调理 “本 虚”为主，以治疗 “标实”为辅的 “温润辛金、培本宣通”法，取得较好疗效。文章阐述了运用本法治疗过敏 性鼻炎的理论基础，并附医案3篇加以说明，阐明李友林教授治疗过敏性鼻炎的辨证及用药特点，以期对临床 治疗有所启发。 关键词：温润辛金；培本宣通；过敏性鼻炎；临床经验 Experienceinthetherapyof‘warmandhumidifythelung,cultivatethebasictodiffuse anddescendthelungqiforallergicrhinitis LISi-wei1LIYou-lin2 1BeijingUniversityofChineseMedicine,Beijing100029,China 2China-JapanFriendshipHospital,Beijing100029,China Abstract:ProfessorLIYou-linconsideredthat ‘deficientrootandexcessivesuperficialityistheessenceofallergic rhinitisspathogenesisinTCM,itsdiseasedpositionislocatedinthreevisceras:thelung,thespleenandthekidney,withthe lungandthespleenasthecore,itsbasicpathologyismixedofcoldnessandheat,astheniaandsthenia.Thedeficiencyofviscera functionisthefoundationofgenesisandchange.Aftermanyyearsofclinicalexperiences,hesummedupatherapynamed ‘warm andhumidifythelung,cultivatethebasic,diffuseanddescendthelungqiwith ‘deficientrootconditioning-basedto ‘excessive superficialitytreatmentofasupplement,andachievedgoodcurativeeffect.Thispaperexpoundsthemeaningofthistherapyand thetheoreticalbasisofusingthetherapytotreatallergicrhinitis,Somespecificmedicalrecordsaregivenintheendtorevealthe characteristicsofprofessorLIYou-linssyndromedifferentiationandmedicationfeaturesinthetreatmentofallergicrhinitis,in ordertoinspireclinicaltreatment. Keywords:Warmandhumidifythelung;Cultivatethebasictodiffuseanddescendthelungqi;Allergicrhinitis; Clinicalexperience 中华中医药杂志(原中国医药学报)2013年5月第28卷第5期CJTCMP，May2013，V01．28，No．5 ·1605· 李友林教授对鼻鼽中医认识的继承与丰富 证多从开通鼻窍人手，或散寒通窍、或清热宣通鼻窍，攻伐为 1．病因病机特点病因：脏腑虚衰，外邪侵扰，风寒为易 主，强调治标，苍耳子散、辛夷散、银翘桑菊等是代表药剂陋】