- 期刊
過敏性鼻炎之中醫辨證論治文獻探討
Discussion on Traditional Chinese Medicine Syndrome Differentiation of Allergic rhinitis
摘要
本文主要探討過敏性鼻炎在中西醫觀點下的辨證分型及治法方劑。研究以蒐集近十五年內中國醫學期刊網與五年PUBMED 資料庫中記載與過敏性鼻炎相關之文獻，在其病名、症狀、病因病機、辨證類型、用藥方劑與現代藥理學的機轉進行彙整。根據相關資料的分析統整，在疾病臨床過程的基礎下，對應相關的中醫辨證分型及治療概分如下：發作期以邪實為主，證型包括（1）風邪犯肺，寒飲痹阻（小青龍湯加減）、（2）風邪犯肺，熱飲痹阻（桑菊飲加減、蒼耳子散）、（3）肺經鬱熱（辛夷散、辛夷清肺飲、麻杏石甘湯加減）（4）肝經鬱熱（小柴胡湯合通氣散）。緩解期多肺、脾、腎虛，證型有（1）脾肺虛損，衛陽不實（玉屏風散加苓桂朮甘湯加減）、（2）肺腎虛損，水氣氾濫（真武湯合苓甘姜味辛夏湯加減）。遷延期乃正虛邪戀，（1）氣陰兩虛，風邪犯肺（沙參麥門冬湯加減）、（2）久病入絡（桃紅四物湯、桂枝茯苓丸）等。以上對應證型藥方應用可供臨床醫師診斷處方用藥參考，有關藥理作用機轉等實證醫學證據仍盼望於往後進一步的探討。
並列摘要
This study was mainly discussed the syndrome type and prescriptions of allergic rhinitis under the view of traditional Chinese medicines. This study was collected the literatures related to allergic rhinitis in the Chinese Medical Journal Network and the five-year PUBMED database to analysis the name of diseases, symptoms, pathogenesis, pattern identification, prescription and modern pharmacology Mechanism. According to the clinical course of the disease, the corresponding TCM syndrome differentiation and treatment are summarized as follows: the onset period is excessiveness of pathogen. The type of onset period includes (1) wind assailed the lung and lead to cold- retained fluid obstruction (modified Xiao-Qing-Long-Tang) (2) wind assailed the lung and lead to heat-retained fluid obstruction (modified Sang-Ju-Yin, Cang-er-zi-San) (3) lung was depressed by the heat (Xin-Yi-San, Xin-Yi-Qing-Fei-Yin, Ma-Xing-Shi-Gan-Tang) (4) liver was depressed by heat (Xiao-Chai-Hu-Tang plus Tong-Qi-San). On the remission period, the lungs, spleen, kidney were deficiency. The type of remission period includes (1) dual deficiency of the lung-spleen, Defense Yang is insecurity (Yu-Ping-Feng-San plus Ling-Gui-Zhu-Gan-Tang) (2) dual deficiency of the lung-kidney, water-dampness flooding (Zhen-Wu-Tang plus Ling-Gan-Jiang-Wei-Xin-Xia -Ren-Tang). The delay period is asthenic healthy qi with pathogen lingering. The type of delay period includes (1) dual deficiency of qi and yin, wind assailing the lung (Sha-Shen-Mai-Dong-Tang) (2) pathogen attacked collateral after long illness (Tao-Hon-Si-Wu-Tang, Gui-Zhi-Fu-Ling-Wan) and so on. The syndrome type and the corresponding prescription could be the prescription reference for clinicians. The pharmacological mechanisms of the prescriptions are still looking forward to further study.