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盛艺菲, 张梦洁, 张琼月, 闫李婕, 于弋惠, 李燕.基于“肉胝䐢而唇揭”辨治腺样体肥大临床经验[J].湖南中医药大学学报英文版,2025,45(7):1332-1337.[Click to copy
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| 基于“肉胝䐢而唇揭”辨治腺样体肥大临床经验 |
| 盛艺菲,张梦洁,张琼月,闫李婕,于弋惠,李燕 |
| (北京中医药大学东直门医院, 北京 100700) |
| 摘要: |
| 《素问·五脏生成篇》中“肉胝䐢而唇揭”的现象，符合现代医学中对腺样体面容的唇面部肥厚翻揭的描述。临床认为腺样体肥大与脾胃气机长期壅滞相关。从经络循行及五脏络属方面介绍了腺样体和脾胃的生理联系。以病机作为切入点，从肺脾气虚、阳虚痰凝、脾阴不足、饮食积滞4个角度来分析腺样体肥大病机，探析腺样体肥大从脾胃论治的诊疗思路，以期为临床提供参考。 |
| 关键词: 腺样体肥大 腺样体面容 从脾胃论治 病机 肉胝䐢而唇揭 |
| DOI：10.3969/j.issn.1674-070X.2025.07.020 |
| Received:February 25, 2025 |
| 基金项目:全国老中医专家学术经验继承工作（国中医药办人教函〔2021〕272号）。 |
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| Clinical experience in differentiated treatment of adenoid hypertrophy based on "thickened soft tissue with everted lip" |
| SHENG Yifei, ZHANG Mengjie, ZHANG Qiongyue, YAN Lijie, YU Yihui, LI Yan |
| (Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China) |
| Abstract: |
| The phenomenon of "thickened soft tissue with everted lip" described in Su Wen:Wu Zang Sheng Cheng Pian (Basic Questions:Formation of the Five Zang Organs) aligns with modern medical observations of adenoid facies, characterized by hypertrophy and protrusion of the lips and facial soft tissues. Adenoid hypertrophy is considered to be associated with long-term stagnation of the spleen and stomach qi movement. This study elucidates the physiological connections of the adenoids with the spleen and stomach from the perspectives of meridian pathways and the interrelationships of the five zang organs. Taking the pathogenesis as the entry point, it analyzes the mechanisms of adenoid hypertrophy from four perspectives:lung and spleen qi deficiency, yang deficiency with phlegm stagnation, spleen yin insufficiency, and food retention. It further explores the diagnostic and therapeutic approaches to treating adenoid hypertrophy from the perspective of the spleen and stomach, aiming to provide clinical references. |
| Key words: adenoid hypertrophy adenoid facies treatment from the perspective of spleen and stomach pathogenesis thickened soft tissue with everted lip |
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