新型冠狀病毒（SARS-CoV-2）感染以致過敏性鼻炎復發

過敏性鼻炎（Allergic Rhinitis, AR）於中醫學稱「鼻鼽」，為小兒於中醫門診中常見疾病之一，主要症狀有陣發性噴嚏、流鼻水、鼻塞和鼻癢等，與遺傳、生活習慣、環境、飲食相關，又小兒肺、脾、腎常不足，外邪易乘虛而入導致發病。以中醫病因論述，內因多為臟腑功能失調，主要與肺、脾、腎虛損相關，外因多為風熱、風寒外邪所致。本案例為SARS-CoV-2感染後AR復發之病案，其先天稟賦、肺、脾不足，外邪入侵時，導致肺脾功能失常，使症狀復發；本案例整體辨證屬風熱鬱肺為主，治療上除相應治法，亦需從生活環境、飲食上衛教，以達更佳療效。

關鍵字

過敏性鼻炎；新型冠狀病毒； COVID-19 ；辛夷清肺湯

並列摘要

Allergic rhinitis (AR) is one of the most common atopic diseases, charactered by paroxysms of sneezing, clear rhinorrhea, nasal congestion, and nasal pruritis. The risk factors for AR are including family history of atopy, exposure to allergens, present of allergen-specific IgE, etc. Dietary habit/dietary history and environmental factors of are also strongly associated with childhood allergic rhinitis. Base on Traditional Chinese Medicine (TCM) theory, children are always susceptible to AR by exposed to certain foreign pathogens, because of lung, spleen, and kidney qi vacuity, and yin vacuity in childhood. This case, diagnosed as the pattern of wind-heat stagnatingthe lung, who had a relapse ofAR after SARS-CoV-2infectionwith AR history and family history of atopy, is presented. Furthermore, environmental factors play an important role in prevention and management of childhood AR.Not only TCM treatment, but also health education was involved in this case.

並列關鍵字

Allergic rhinitis ； SARS-CoV-2 ； COVID-19 ； Xin Yi Qing Fei Tang

參考文獻

Dykewicz MS, et al. Rhinitis 2020: A practice parameter update. J Allergy Clin Immunol 2020; 146(4):721-767.

Google Scholar

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