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荀春铮, 朱镇华.朱镇华教授防治儿童过敏性鼻炎-哮喘综合征的经验[J].湖南中医药大学学报,2025,45(6):1105-1110[点击复制] |
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| 朱镇华教授防治儿童过敏性鼻炎-哮喘综合征的经验 |
| 荀春铮,朱镇华 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 总结朱镇华教授治疗儿童过敏性鼻炎-哮喘综合征（CARAS）的临床经验。朱镇华教授认为，儿童CARAS的发病以肺、脾、肾不足为基础，痰湿内蕴为核心病机，风邪引动为关键诱因。在治疗上，朱镇华教授提出分期论治策略：发作前期以疏风通窍、健脾化痰为主；发作期根据肺经风寒证、肺经伏热证、外寒内热证、气虚痰恋证分别采用温肺散寒、清肺涤痰、解表清里和益气化痰等治法；缓解期则以补益肺脾、固表培元为原则，防止复发。此外，朱镇华教授结合耳穴压豆、涂鼻疗法和熏蒸疗法等中医特色外治法，增强整体疗效。附验案一则以验证其诊疗思路的有效性，体现中医药在调节体质和个体化治疗中的优势，为临床治疗儿童CARAS提供参考。 |
| 关键词: 过敏性鼻炎-哮喘综合征 儿童 分期防治 内外同治 体质调理 朱镇华 |
| DOI：10.3969/j.issn.1674-070X.2025.06.018 |
| 投稿时间：2025-04-23 |
| 基金项目:湖南中医药管理局委托课题（D2023003）；湖南省“十四五”第一批中医药领军人才和学科带头人培养项目（湘中医药发〔2022〕4号）；国家中医优势专科建设单位（国中医药医政函〔2024〕90号）；湖南省中医耳鼻喉临床医学研究中心（2021SK4024）。 |
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| Experience of Professor ZHU Zhenhua in prevention and treatment of pediatric combined allergic rhinitis and asthma syndrome |
| XUN Chunzheng, ZHU Zhenhua |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| This paper summarizes Professor ZHU Zhenhua's clinical experience in treating pediatric combined allergic rhinitis and asthma syndrome (CARAS). Professor ZHU proposes that the pathogenesis of CARAS in children is characterized by constitutional deficiency of lung, spleen, and kidney as the fundamental basis, internal retention of phlegm-dampness as the core mechanism, and wind pathogen as the triggering factor. In terms of treatment, Professor ZHU Zhenhua proposes the strategy of treatment by stages: during the pre-onset stage, the therapy focuses on dispelling wind, unblocking orifices, and strengthening spleen to resolve phlegm, using modified Yupingfeng Powder combined with Shenling Tongqiao Powder; during the attack stage, treatments are tailored to pattern patterns (wind-cold invading lung, latent heat in lung, external cold with internal heat, and qi deficiency with phlegm retention) with corresponding therapeutic Methods (warming the lung to dispel the cold, clearing the lung to dispel phlegm, resolving the exterior to clear the interior, tonifying qi to resolve phlegm); the remission stage emphasizes tonifying lung-spleen and consolidating exterior to prevent recurrence. Additionally, Professor ZHU integrates characteristic external therapies including auricular acupoint pressing, nasal ointment application, and herbal fumigation to enhance therapeutic effects. A case is attached to verify the effectiveness of its diagnosis and treatment ideas, which reflects the advantages of Chinese medicine in regulating constitution and individualized treatment, and provides reference for clinical treatment of children with CARAS. |
| Key words: combined allergic rhinitis and asthma syndrome children stage-based treatment internal and external treatment regulating constitution ZHU Zhenhua |
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