ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (4): 365-368.

• 中医应用研究 • 上一篇    

小儿腺样体肥大临证经验探析

  

  • 出版日期:2022-08-25 上线日期:2023-11-29

Clinical experience of TCM treatment for adenoid hypertrophy in children

  • Published:2022-08-25 Online:2023-11-29

摘要: 腺样体肥大是儿童时期常见病,近年来发病率逐渐升高,严重影响儿童生长及心理发育,因此非手术方式治疗十分重要,而中医药在治疗时取得了显著效果,故通过分析儿童腺样体肥大的病因病机,临证中结合小儿生理病理特点,指导本病的治法治则,为选方用药提供依据,同时注重辨证论治、标本兼治,在疾病不同时期分阶段治疗。遵循整体观念和绿色医疗,根据中医内外合治法的临床机制,将中药、药粥、刺络拔罐、隔物灸、推拿等疗法有效结合,使腺样体缩减,不易反复,并且在一定程度上避免了手术,儿童及家长容易接受,提高了中医药治疗小儿腺样体肥大的临床疗效,为临床治疗小儿腺样体肥大提供新的思路与方法,值得在临床推广应用。并附验案1则,以资佐证。

关键词:

腺样体肥大, 银翘散, 药粥, 内外合治

Abstract:

Adenoid hypertrophy is a common disease during childhood, and the incidence has been increasing in the recent years, which seriously affect the children's growth and psychological development. Therefore, non-surgical treatment is very important. The treatment of traditional Chinese medicine(TCM) has achieved great success.Through analyzing the etiology and pathogenesis of adenoid hypertrophy in children and based on the children's pathophysiological characteristics, the treatment methods and principles are formed in clinical treatment, which provides evidence for making prescriptions and choosing drugs. Meanwhile, attention is paid to the differentiated treatment and the treatment of both symptoms and causes; different treatment is given at different stages of disease. Following the concept of wholism and green medicine and based on the clinical mechanism of combined internal and external treatment in TCM, the Chinese medicines, medicinal congee, blood-letting puncture and cupping, indirect moxibustion and massage are effectively combined to reduce the adenoid body and make the recurrence unlikely. This practice makes it possible to avoid surgeries, and the children and their parents are willing to accept. It increases the clinical effect of TCM treatment for children with adenoid hypertrophy, provides a new way of clinical treatment for adenoid hypertrophy in children, and is worthy of clinical promotion. A medical record is attached for verification. 

Key words:

Adenoid hypertrophy, Yinqiao powder, Medicinal congee, Combined internal and external treatment