阮岩治疗小儿鼾眠病经验
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摘要
阮岩教授认为小儿鼾眠病的主要病机为肺脾气虚、痰聚清窍;对扁桃体/腺样体轻中度肥大和/或拒绝手术治疗的鼾眠病患儿,可采用中药口服结合外治疗法。辨证用药时应扶正兼顾祛邪,采用四君子汤合苍耳子散加减以益气健脾及芳香通窍,同时根据兼症酌情选用化痰、活血、补肾等中药。外治法可采用鼻熏蒸疗法、滴鼻、洗鼻、扁桃体啄治、穴位贴敷等。
Professor RUAN Yan believes that the main pathogenesis of children snoring is phlegm accumulating in the upper orifices resulting from Qi deficiency of lung and spleen. For the treatment of snoring children with mild and moderate tonsil hypertrophy or adenoid hypertrophy and/or for snoring children refusing to have surgery,oral use of herbal medicine combined with external therapy can be used. The oral medication of herbs should be based on the principles of strengthening healthy Qi combined with eliminating pathogens, prescribed with Sijunzi Decoction plus modified Cangerzi Powder to strength lung and spleen Qi and dredge the upper orifices with aromatic herbs. Meanwhile,the herbs for resolving phlegm,activating blood,and tonifying spleen can be added according to the complications. The external therapies cover nasal fumigation,intranasal dripping,nasal washing,tonsil bird-pecking blood-letting,acupoint application,etc.
Professor RUAN Yan believes that the main pathogenesis of children snoring is phlegm accumulating in the upper orifices resulting from Qi deficiency of lung and spleen. For the treatment of snoring children with mild and moderate tonsil hypertrophy or adenoid hypertrophy and/or for snoring children refusing to have surgery,oral use of herbal medicine combined with external therapy can be used. The oral medication of herbs should be based on the principles of strengthening healthy Qi combined with eliminating pathogens, prescribed with Sijunzi Decoction plus modified Cangerzi Powder to strength lung and spleen Qi and dredge the upper orifices with aromatic herbs. Meanwhile,the herbs for resolving phlegm,activating blood,and tonifying spleen can be added according to the complications. The external therapies cover nasal fumigation,intranasal dripping,nasal washing,tonsil bird-pecking blood-letting,acupoint application,etc.
引文
[1]李玮.小儿鼾症的发病及治疗近况[J].辽宁中医药大学学报,2008,10(3):145.
[2]Nisbet L C.Nocturnal autonomic function in preschool children with sleep-disordered breathing[J].Sleep Med,2013,14(12):1310.
[3]Tatlipinar A.Adenotonsillar hypertrophy:correlation between obstruction types and cardiopulmonary complications[J].Laryngoscope,2012,122(3):676.
[4]Chang S J,Chae K Y.Obstructive sleep apnea syndrome in children:epidemiology,pathophysiology,diagnosis and sequelae[J].Korean J Pediatr,2010,53(10):863.
[5]高虹.鼾症对儿童睡眠结构及生长发育的影响[J].中国卫生产业,2014(1):196.
[6]司马国旗,蒋志毅,高金建,等.儿童阻塞性睡眠呼吸暂停低通气综合征73例临床分析[J].中国中西医结合耳鼻咽喉科杂志,2003,11(5):246.
[7]Cook S P,Brodsky L,Reilly J S,et al.Effectiveness of adenoidectomy and laser tympanic membrane fenestration[J].The Laryngoscope,2001,111(2):251.
[2]Nisbet L C.Nocturnal autonomic function in preschool children with sleep-disordered breathing[J].Sleep Med,2013,14(12):1310.
[3]Tatlipinar A.Adenotonsillar hypertrophy:correlation between obstruction types and cardiopulmonary complications[J].Laryngoscope,2012,122(3):676.
[4]Chang S J,Chae K Y.Obstructive sleep apnea syndrome in children:epidemiology,pathophysiology,diagnosis and sequelae[J].Korean J Pediatr,2010,53(10):863.
[5]高虹.鼾症对儿童睡眠结构及生长发育的影响[J].中国卫生产业,2014(1):196.
[6]司马国旗,蒋志毅,高金建,等.儿童阻塞性睡眠呼吸暂停低通气综合征73例临床分析[J].中国中西医结合耳鼻咽喉科杂志,2003,11(5):246.
[7]Cook S P,Brodsky L,Reilly J S,et al.Effectiveness of adenoidectomy and laser tympanic membrane fenestration[J].The Laryngoscope,2001,111(2):251.