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辛姝英, 王昭倩, 陈铚晗, 蔡婷婷, 郑惠元, 刘静.刘静教授从木土同调辨治变应性鼻炎[J].湖南中医药大学学报,2026,46(1):180-184[点击复制] |
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| 刘静教授从木土同调辨治变应性鼻炎 |
| 辛姝英,王昭倩,陈铚晗,蔡婷婷,郑惠元,刘静 |
| (北京中医药大学, 北京 100029;中国中医科学院西苑医院, 北京 100091) |
| 摘要: |
| 刘静教授认为变应性鼻炎的发病常与肝胆、脾胃功能失衡相关。肝胆分属阴木、阳木，脾胃分属阴土、阳土；木与土及鼻窍，在经络循行、脏腑功能、脏腑特性方面均存在密切联系。据此，她提出变应性鼻炎宜从木土角度辨治，其核心病机为肝胆虚实夹杂、脾胃寒热错杂，进而形成了木土的乘克关系。基于此，胆实肝虚则宜养肝利胆，脾寒胃热则宜温脾清胃，肝脾不调则宜柔肝健脾，胆胃不和则宜疏解少阳，清降胃气。通过调和二木、二土和木土关系，变应性鼻炎的治疗取得了良好的疗效，并附验案一则以佐证。 |
| 关键词: 变应性鼻炎 胆实肝虚 脾寒胃热 肝脾不调 胆胃不和 |
| DOI：10.3969/j.issn.1674-070X.2026.01.026 |
| 投稿时间：2025-07-15 |
| 基金项目:中国中医科学院西苑医院能力提升项目（YZX0101-24）；中国中医科学院科技创新工程项目（C12021A02709）。 |
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| Professor LIU Jing's differentiation and treatment of allergic rhinitis by regulating wood and earth |
| XIN Shuying, WANG Zhaoqian, CHEN Zhihan, CAI Tingting, ZHENG Huiyuan, LIU Jing |
| (Beijing University of Chinese Medicine, Beijing 100029, China;Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China) |
| Abstract: |
| Professor LIU Jing believes that the onset of allergic rhinitis is often related to the functional imbalance of the liver-gallbladder and spleen-stomach. Respectively, the liver and gallbladder correspond to yin wood and yang wood, while the spleen and stomach correspond to yin earth and yang earth. Close connection exists among wood, earth and nasal orifices in terms of meridian circulation, zang-fu functions, as well as zang-fu characteristics. Accordingly, she proposes that allergic rhinitis should be differentiated and treated from the perspective of wood and earth. Its core pathogenesis lies in the combined deficiency and excess in the liver and gallbladder, as well as the mixed cold and heat in the spleen and stomach, which in turn give rise to the relationship of over-restraint and counter-restraint between wood and earth. Therefore, for cases characterized by gallbladder excess and liver deficiency, treatment should focus on nourishing the liver and promoting gallbladder function; for spleen cold and stomach heat, warming the spleen and clearing the stomach are recommended; for disharmony between liver and spleen, softening the liver and strengthening the spleen are suggested; and for disharmony between gallbladder, releasing Shaoyang and clearing and descending the stomach qi are advised. By regulating the two types of wood and earth and their relationships, significant therapeutic efficacy has been achieved in the treatment of allergic rhinitis. A clinical case example is appended for validation. |
| Key words: allergic rhinitis gallbladder excess and liver deficiency spleen cold and stomach heat disharmony between liver and spleen disharmony between gallbladder and stomach |
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