分型辨治儿童腺样体肥大简况
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摘要
儿童腺样体肥大可归属"鼾眠""鼻窒""鼻渊""鼻鼽""窠囊""颃颡""乳蛾""咳嗽""痰核"范畴,与肺、脾、肾、痰阻热盛有关。基本证型有肺脾气虚、肺肾阴虚、气血瘀阻、痰瘀互结、少阳不利、肝郁脾虚、外感风热、肺热血瘀等。临床以异功散合玉屏风散、六味地黄丸合苍耳子散、金匮肾气丸、补中益气丸、补阳还五汤、小柴胡汤合龙胆泻肝汤、二陈汤、银翘散、四逆散及自拟方剂对症治疗,能有效避免手术带来的并发症,保留儿童腺样体的免疫功能,改善患儿的生活质量。亦有按病程-时期等辨治。小儿多正虚,寒凉碍阳,损伤脾胃,宜少用。
Pediatric adenoidal hypertrophy is attibutable to the category,such as "snoring sleep" "chronic rhinitis" "allergic rhinitis" "beehive sac" "Hang sang" "actute tonsilitis" "cough" "subcutaneous nodule". It is associated with lung,spleen,nephridiumand phlegmbeat. Basic types including in lung spleen-deficiency,lung and kidney Yin deficiency,Qi and blood stasis resistance,phlegmand blood stasis and knot,Shaoyang Buli;Liver depression and spleen;Phlegm turbidity resistance;exogenous wind hot;pulmonary blood stasis;Yigong powder and Yupinfeng powder;Liuwei dihuang pill and cangerzi powder;Golden kidney pills;Buzhong Yiqi pills;Buyanghuanwu decoction;Xiaochaihu decoction and Longdan Xiegan decoction;Erchen decoction,Yinqiao powder,Sini powder. These treatments can advoid operative complications and keep adenoid immune function. The rapeutic methods in traditional Chinese medicine will improve their quality of life.
Pediatric adenoidal hypertrophy is attibutable to the category,such as "snoring sleep" "chronic rhinitis" "allergic rhinitis" "beehive sac" "Hang sang" "actute tonsilitis" "cough" "subcutaneous nodule". It is associated with lung,spleen,nephridiumand phlegmbeat. Basic types including in lung spleen-deficiency,lung and kidney Yin deficiency,Qi and blood stasis resistance,phlegmand blood stasis and knot,Shaoyang Buli;Liver depression and spleen;Phlegm turbidity resistance;exogenous wind hot;pulmonary blood stasis;Yigong powder and Yupinfeng powder;Liuwei dihuang pill and cangerzi powder;Golden kidney pills;Buzhong Yiqi pills;Buyanghuanwu decoction;Xiaochaihu decoction and Longdan Xiegan decoction;Erchen decoction,Yinqiao powder,Sini powder. These treatments can advoid operative complications and keep adenoid immune function. The rapeutic methods in traditional Chinese medicine will improve their quality of life.
引文
[1]孔维佳.耳鼻咽喉头颈外科学[M].北京:人民卫生出版社,2010:353-354.
[2]郑中立.耳鼻咽喉科诊断学[M].北京:人民卫生出版社,2006:381-382.
[3]赵丹丹.儿童腺样体肥大辨证论治研究[D].昆明:云南中医学院,2014.
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[8]田道法.中西医结合耳鼻喉科学[M].北京:中国中医药出版社,2001:162-164.
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[15]王景辉,罗海清,韩梅.综合疗法治疗腺样体肥大(气血瘀阻型)65例[J].中医耳鼻喉科学研究,2008(2):28,37.
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[17]蒋锴.核消散治疗小儿腺样体肥大480例临床观察[J].中国医药指南,2012,10(19):330-331.
[18]杨杨,贺爱燕.贺爱燕运用活血化瘀法治疗小儿腺样体肥大验案2则[J].中医药导报,2015(22):102-103.
[19]赵文萍,桂柏全,胡燕.川蒲汤治疗小儿腺样体增生30例[J].陕西中医,2009,30(7):809-810.
[20]姜之炎,石李.通窍化痰方治疗小儿腺样体肥大32例[J].上海中医药杂志,2009(8):48-49.
[21]宋翠叶.利咽散结丸治疗小儿腺样体肥大125例[J].光明中医,2014(4):746-747.
[22]张霞,史英杰,马艾菲.化痰散结法治疗儿童腺样体肥大33例临床分析[J].时珍国医国药,2009(10):2617-2619.
[23]陈伟斌,封玉琳,王霞芳.王霞芳运用“和法”治疗儿科疾病经验——附验案4则[J].江苏中医药,2015(7):21-23.
[24]熊曼琪.伤寒论[M].北京:人民卫生出版社,2011:461.
[25]冯寿岐.从肝论治小儿腺样体肥大[J].河北中医,2012(9):1335-1336.
[26]叶剑,梁海娜,林森.顺息汤治疗儿童腺样体肥大68例[J].浙江中医杂志,2015(7):495.
[27]郑英花.清肺散结汤治疗小儿腺样体肥大(肺热血瘀)临床研究[D].长春:长春中医药大学,2010.
[28]胡丹霞.清肺通窍方治疗小儿腺样体肥大的疗效观察[J].广东医学院学报,2014(4):473-474.
[29]何春玲.中西医结合治疗儿童腺样体肥大96例分析[J].医学信息(上旬刊),2010(9):3447-3448.
[30]邬思远,李岚,俞景茂.俞景茂分期论治腺样体肥大经验[J].浙江中医杂志,2013,(3):160-161.
[31]钟玉明,徐荣谦.徐荣谦教授小儿腺样体肥大“3期论治”经验[J].中国中医急症,2013,(6):933-934.
[32]赵文明,刘静,李蕾.李淑良治疗小儿腺样体肥大经验[J].江西中医药,2011,(6):17-18.
[33]倪平敏,陈小宁.陈小宁教授治疗小儿腺样体肥大经验[J].吉林中医药,2012,(12):1208-1209.
[34]林燕,姜之炎.姜之炎教授运脾化痰通窍方治疗小儿腺样体肥大经验[J].光明中医,2015,(6):1171-1172.
[2]郑中立.耳鼻咽喉科诊断学[M].北京:人民卫生出版社,2006:381-382.
[3]赵丹丹.儿童腺样体肥大辨证论治研究[D].昆明:云南中医学院,2014.
[4]熊大经,刘蓬.中医耳鼻咽喉科学[M].北京:中国中医药出版社,2012.
[5]王永钦.中医耳鼻咽喉口腔科学[M].北京:人民卫生出版社,2001:662-667.
[6]韩梅.耳鼻咽喉病临床诊治[M].北京:科学技术文献出版社,2005:355-364.
[7]熊大经.实用中医耳鼻咽喉口齿科学[M].上海:上海科学技术出版社,2001:254-255.
[8]田道法.中西医结合耳鼻喉科学[M].北京:中国中医药出版社,2001:162-164.
[9]李凡成,徐绍勤.中西医结合耳鼻咽喉科学[M].北京:人民卫生出版社,2001:269-270.
[10]欧正武,舒兰.中医儿科查房手册[M].太原:山西科技出版社,2004:553.
[11]关宁宁.口服消腺散配合中药雾化治疗小儿肺脾气虚型腺样体肥大的临床研究[D].长春:长春中医药大学,2010.
[12]多鹏.六君消瘰汤加减治疗肺脾气虚证儿童腺样体肥大的临床观察[D].长沙:湖南中医药大学,2014.
[13]许必芳,谢慧,张锋,等.熊大经教授治疗小儿酣眠2例分析[J].四川中医,2013(12):119-120.
[14]刘竹云,于忠翠,孙丽凤.苍耳子散加减治疗儿童增殖体肥大50例[J].中国中医药信息杂志,2006(2):68-69.
[15]王景辉,罗海清,韩梅.综合疗法治疗腺样体肥大(气血瘀阻型)65例[J].中医耳鼻喉科学研究,2008(2):28,37.
[16]彭文.补阳还五汤加味治疗儿童鼾症40例[J].中国现代药物应用,2008(6):62-63.
[17]蒋锴.核消散治疗小儿腺样体肥大480例临床观察[J].中国医药指南,2012,10(19):330-331.
[18]杨杨,贺爱燕.贺爱燕运用活血化瘀法治疗小儿腺样体肥大验案2则[J].中医药导报,2015(22):102-103.
[19]赵文萍,桂柏全,胡燕.川蒲汤治疗小儿腺样体增生30例[J].陕西中医,2009,30(7):809-810.
[20]姜之炎,石李.通窍化痰方治疗小儿腺样体肥大32例[J].上海中医药杂志,2009(8):48-49.
[21]宋翠叶.利咽散结丸治疗小儿腺样体肥大125例[J].光明中医,2014(4):746-747.
[22]张霞,史英杰,马艾菲.化痰散结法治疗儿童腺样体肥大33例临床分析[J].时珍国医国药,2009(10):2617-2619.
[23]陈伟斌,封玉琳,王霞芳.王霞芳运用“和法”治疗儿科疾病经验——附验案4则[J].江苏中医药,2015(7):21-23.
[24]熊曼琪.伤寒论[M].北京:人民卫生出版社,2011:461.
[25]冯寿岐.从肝论治小儿腺样体肥大[J].河北中医,2012(9):1335-1336.
[26]叶剑,梁海娜,林森.顺息汤治疗儿童腺样体肥大68例[J].浙江中医杂志,2015(7):495.
[27]郑英花.清肺散结汤治疗小儿腺样体肥大(肺热血瘀)临床研究[D].长春:长春中医药大学,2010.
[28]胡丹霞.清肺通窍方治疗小儿腺样体肥大的疗效观察[J].广东医学院学报,2014(4):473-474.
[29]何春玲.中西医结合治疗儿童腺样体肥大96例分析[J].医学信息(上旬刊),2010(9):3447-3448.
[30]邬思远,李岚,俞景茂.俞景茂分期论治腺样体肥大经验[J].浙江中医杂志,2013,(3):160-161.
[31]钟玉明,徐荣谦.徐荣谦教授小儿腺样体肥大“3期论治”经验[J].中国中医急症,2013,(6):933-934.
[32]赵文明,刘静,李蕾.李淑良治疗小儿腺样体肥大经验[J].江西中医药,2011,(6):17-18.
[33]倪平敏,陈小宁.陈小宁教授治疗小儿腺样体肥大经验[J].吉林中医药,2012,(12):1208-1209.
[34]林燕,姜之炎.姜之炎教授运脾化痰通窍方治疗小儿腺样体肥大经验[J].光明中医,2015,(6):1171-1172.