Volume 40 Issue 3
Mar.  2024
Turn off MathJax
Article Contents
DAI Qigang, LI Tao, QIAN Xiang, DOU Yuzhu, HUANG Lingyin, GAO Jiawen, WANG Shouchuan. Strategies for Preventing and Treating Allergic Rhinitis in Children with Chinese Medicine[J]. Journal of Nanjing University of traditional Chinese Medicine, 2024, 40(3): 223-228. doi: 10.14148/j.issn.1672-0482.2024.0223
Citation: DAI Qigang, LI Tao, QIAN Xiang, DOU Yuzhu, HUANG Lingyin, GAO Jiawen, WANG Shouchuan. Strategies for Preventing and Treating Allergic Rhinitis in Children with Chinese Medicine[J]. Journal of Nanjing University of traditional Chinese Medicine, 2024, 40(3): 223-228. doi: 10.14148/j.issn.1672-0482.2024.0223

Strategies for Preventing and Treating Allergic Rhinitis in Children with Chinese Medicine

doi: 10.14148/j.issn.1672-0482.2024.0223
  • Received Date: 2023-12-11
    Available Online: 2024-03-15
  • Allergic rhinitis is a common allergic disease in children. Its pathogenesis is complex and it is difficult to achieve a radical cure or effective and stable long-term treatment goals. Chinese medicine has obvious advantages in preventing and treating allergic rhinitis in children due to its wide range of targets, long-lasting effects and few adverse reactions. This paper proposes that the onset of allergic rhinitis is mostly caused by the dysfunction of the lungs, spleen and kidneys, the external wind triggering the underlying wind, and the combination of the two winds. A staged prevention and treatment strategy of Chinese medicine should be adopted, which includes dispersing external wind, suppressing underlying wind, and promoting lungs and orifices during the attack period to treat its symptoms, and preventing external wind, calming down underlying wind, and regulating and tonifying the lungs, spleen, and kidneys during the remission period to treat its root cause; meanwhile, attention should be paid to avoiding the adverse effects of congenital endowment factors and the induction of acquired environmental factors, strengthening the body's health to protect against the evil wind, preventing the transformation of existing diseases and the recurrence of allergic rhinitis in children at all stages.

     

  • loading
  • [1]
    中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组, 中华医学会耳鼻咽喉头颈外科学分会鼻科学组、小儿学组. 儿童变应性鼻炎诊断和治疗指南(2022年, 修订版)[J]. 中华耳鼻咽喉头颈外科杂志, 2022, 57(4): 392-404. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXX202306001.htm

    The Nasology Group of the Editorial Committee of the Chinese Journal of Otolaryngology Head and Neck Surgery, the Nasology Group and Pediatrics Group of the Otolaryngology Head and Neck Surgery Branch of the Chinese Medical Association. Guideline for diagnosis and treatment of pediatric allergic rhinitis (2022, revision)[J]. Chin J Otorhinolaryngol Head Neck Surg, 2022, 57(4): 392-404. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXX202306001.htm
    [2]
    王睿坤, 梁洁琼, 韩伟, 等. 2001-2021年中国儿童青少年过敏性鼻炎患病率的Meta分析[J]. 中华预防医学杂志, 2022, 56(6): 784-793.

    WANG R K, LIANG J Q, HAN W, et al. Prevalence of allergic rhinitis in Chinese children from 2001 to 2021: Meta analysis[J]. Chin J Prev Med, 2022, 56(6): 784-793.
    [3]
    赵霞, 张杰, 秦艳虹, 等. 儿童变应性鼻炎中西医结合诊疗指南[J]. 南京中医药大学学报, 2023, 39(3): 274-284. doi: 10.14148/j.issn.1672-0482.2023.0274

    ZHAO X, ZHANG J, QIN Y H, et al. Guideline for the diagnosis and treatment of allergic rhinitis in children with integrated traditional Chinese and western medicine[J]. J Nanjing Univ Tradit Chin Med, 2023, 39(3): 274-284. doi: 10.14148/j.issn.1672-0482.2023.0274
    [4]
    戴圣. 礼记[M]. 北京: 金盾出版社, 2010: 172.

    DAI S. The book of rites[M]. Beijing: Jindun Publishing House, 2010: 172.
    [5]
    黄帝内经[M]. 北京: 线装书局, 2009.

    The yellow emperor's inner classic[M]. Beijing: Thread Bound Bookstore, 2009.
    [6]
    汪受传. 汪受传儿科医案[M]. 北京: 中国中医药出版社, 2020: 18-23.

    WANG S C. Wang Shouchuan's pediatric medical record[M]. Beijing: China Press of Traditional Chinese Medicine, 2020: 18-23.
    [7]
    夏晨, 汪受传. 汪受传教授运用温肺散寒、消风宣窍法治疗小儿鼻鼽肺气虚寒证经验[J]. 中医儿科杂志, 2022, 8(2): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYEZ202202001.htm

    XIA C, WANG S C. Professor WANG Shouchuan's experience in using warming lung for dispelling cold as well as dispelling wind and dispersing orifices method to treat allergic rhinitis in children with deficiency and cold of lung qi syndrome[J]. J Pediatr Tradit Chin Med, 2022, 8(2): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYEZ202202001.htm
    [8]
    SHEN M, LIU J H, WANG K H. Effect of traditional Chinese medicine on allergic rhinitis in children under data mining[J]. Comput Math Methods Med, 2022, 2022: 7007370.
    [9]
    FENG L, LIN L L, WANG S C, et al. Clinical practice guidelines for the treatment of allergic rhinitis in children with traditional Chinese medicine[J]. Anat Rec, 2021, 304(11): 2592-2604. doi: 10.1002/ar.24718
    [10]
    刘完素. 素问玄机原病式[M]. 北京: 中国中医药出版社, 2007: 16, 28.

    LIU W S. Explanation of mysterious pathogeneses and etiologies based on the "basic questions"[M]. Beijing: China Press of Traditional Chinese Medicine, 2007: 16, 28.
    [11]
    程国彭. 医学心悟[M]. 沈阳: 辽宁科学技术出版社, 1997: 73.

    Cheng G P. Medical revelations[M]. Shenyang: Liaoning Science and Technology Press. 1997: 73.
    [12]
    汪受传, 林丽丽. 儿科肺病证治[M]. 北京: 中国中医药出版社, 2022: 39-43.

    WANG S C, LIN L L. Syndrome differentiation and treatment of pediatric lung disease[M]. Beijing: China Press of Traditional Chinese Medicine, 2022: 39-43.
    [13]
    邹建华, 汪受传. 汪受传教授自拟消风宣窍汤治疗小儿鼻鼽经验[J]. 成都中医药大学学报, 2018, 41(4): 72-74, 104. https://www.cnki.com.cn/Article/CJFDTOTAL-CDZY201804019.htm

    ZOU J H, WANG S C. Clinical experience of professor Wang Shouchuan in treating allergic rhinitis by Xiaofeng-Xuanqiao Decoction[J]. J Chengdu Univ Tradit Chin Med, 2018, 41(4): 72-74, 104. https://www.cnki.com.cn/Article/CJFDTOTAL-CDZY201804019.htm
    [14]
    田蒙珂, 谢红卫. 中医体质类型与变应性鼻炎相关性的Meta分析[J]. 疾病监测与控制, 2023, 17(4): 258-262. https://www.cnki.com.cn/Article/CJFDTOTAL-JBJK202304002.htm

    TIAN M K, XIE H W. Meta analysis of the correlation between TCM constitution type and allergic rhinitis[J]. J Dis Monit Contr, 2023, 17(4): 258-262. https://www.cnki.com.cn/Article/CJFDTOTAL-JBJK202304002.htm
    [15]
    ZHANG Y, LAN F, ZHANG L. Update on pathomechanisms and treatments in allergic rhinitis[J]. Allergy, 2022, 77(11): 3309-3319.
    [16]
    MM Y Y, YAN MM J. Study on the mechanism of allergic rhinitis based on the expression of FIB, PCT, hs-CRP, and Th17/treg-IL10/IL-17 axis balance[J]. Am J Rhinol Allergy, 2023, 37(4): 429-437.
    [17]
    汪受传. 从风论治儿童过敏性疾病[J]. 中医杂志, 2016, 57(20): 1728-1731. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201620009.htm

    WANG S C. Treating allergic diseases in children from wind[J]. J Tradit Chin Med, 2016, 57(20): 1728-1731. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201620009.htm
    [18]
    汪受传, 赵霞, 王有鹏, 等. 儿童鼻鼽中医诊疗指南(修订)[J]. 南京中医药大学学报, 2023, 39(3): 285-292. doi: 10.14148/j.issn.1672-0482.2023.0285

    WANG S C, ZHAO X, WANG Y P, et al. Guideline for the diagnosis and treatment of allergic rhinitis in children in Chinese medicine (revision)[J]. J Nanjing Univ Tradit Chin Med, 2023, 39(3): 285-292. doi: 10.14148/j.issn.1672-0482.2023.0285
    [19]
    王宇婷, 李金飞, 徐文龙, 等. 苍耳子散治疗季节性变应性鼻炎的药理实验与作用机制研究变应性鼻炎[J]. 世界中医药, 2023, 18(16): 2289-2297. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZA202316005.htm

    WANG Y T, LI J F, XU W L, et al. Pharmacological experiment and action mechanism of Cangerzi power in treatment of seasonal allergic rhinitis[J]. World Chin Med, 2023, 18(16): 2289-2297. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZA202316005.htm
    [20]
    王平川, 侯薇, 马戈, 等. 辛夷清肺饮加味联合氯雷他定片治疗急性发作期变应性鼻炎(肺经伏热证)的疗效观察[J]. 中国中医急症, 2022, 31(5): 881-883. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJZ202205040.htm

    WANG P C, HOU W, MA G, et al. Observation on the curative effect of modified Xinyi Qingfeiyin combined with loratadine tablets in the treatment of acute allergic rhinitis (syndrome of latent heat in lung meridian)[J]. J Emerg Tradit Chin Med, 2022, 31(5): 881-883. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJZ202205040.htm
    [21]
    MINAMI M, KONISHI T, TAKASE H, et al. Shin'iseihaito (Xinyiqingfeitang) extract ameliorates ovalbumin-induced murine allergic rhinitis by regulating cytokines[J]. J Nat Med, 2022, 76(1): 244-253.
    [22]
    马丽, 沈佳曼, 郭文琴, 等. 玉屏风散对小鼠胸腺上皮细胞介导的皮肤淋巴细胞功能的影响[J]. 中国药理学与毒理学杂志, 2019, 33(9): 675. https://www.cnki.com.cn/Article/CJFDTOTAL-YLBS201909056.htm

    MA L, SHEN J M, GUO W Q, et al. Effect of Yupingfeng Powder on the function of skin lymphocytes mediated by thymus epithelial cells in mice[J]. Chin J Pharmacol Toxicol, 2019, 33(9): 675. https://www.cnki.com.cn/Article/CJFDTOTAL-YLBS201909056.htm
    [23]
    骆志均, 何明丰. 补中益气汤加味对慢性阻塞性肺疾病大鼠的治疗作用及机制研究[J]. 广州中医药大学学报, 2020, 37(12): 2401-2406. https://www.cnki.com.cn/Article/CJFDTOTAL-REST202012029.htm

    LUO Z J, HE M F. Therapeutic effects of modified Buzhong Yiqi Decoction on rats with chronic obstructive pulmonary disease and its mechanism[J]. J Guangzhou Univ Tradit Chin Med, 2020, 37(12): 2401-2406. https://www.cnki.com.cn/Article/CJFDTOTAL-REST202012029.htm
    [24]
    吴昆. 医方考[M]. 北京: 中国医药科技出版社, 2018: 176.

    Wu K. Investigations of medical formulas[M]. Beijing: China Medical Science and Technology Press, 2018: 176.
    [25]
    梁华, 朱明雪, 孙燕佩, 等. 六味地黄丸、金匮肾气丸的免疫调节作用研究进展[J]. 中医药学报, 2012, 40(2): 97-99. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXB201202032.htm

    LIANG H, ZHU M X, SUN Y P, et al. Research progress in immune regulation of Liuweidihuang Pill and Jinkuishenqi Pill[J]. Acta Chin Med Pharmacol, 2012, 40(2): 97-99. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXB201202032.htm
    [26]
    田树杰, 史晓娜, 周冰. 穴位贴敷治疗变应性鼻炎临床研究进展[J]. 临床医药实践, 2022, 31(11): 839-841. https://www.cnki.com.cn/Article/CJFDTOTAL-SXLC202211010.htm

    TIAN S J, SHI X N, ZHOU B. Clinical research progress of acupoint application in the treatment of allergic rhinitis[J]. Proceeding Clin Med, 2022, 31(11): 839-841. https://www.cnki.com.cn/Article/CJFDTOTAL-SXLC202211010.htm
    [27]
    张介宾. 景岳全书[M]. 北京: 人民卫生出版社, 2017: 866.

    Zhang J B. The complete works of Zhang Jingyue[M]. Beijing: People's Medical Publishing House, 2017: 866.
    [28]
    陈复正. 幼幼集成[M]. 北京: 人民卫生出版社, 2006: 3.

    Chen F Z. The grand compendium of pediatrics[M]. Beijing: People's Medical Publishing House, 2006: 3.
    [29]
    杨雨怡, 曾琳, 周薇, 等. 生命早期影响过敏进程的因素[J]. 中华临床免疫和变态反应杂志, 2022, 16(1): 84-89. https://www.cnki.com.cn/Article/CJFDTOTAL-OZHL202201016.htm

    YANG Y Y, ZENG L, ZHOU W, et al. Influencing factors for atopic March in early life[J]. Chin J Allergy Clin Immunol, 2022, 16(1): 84-89. https://www.cnki.com.cn/Article/CJFDTOTAL-OZHL202201016.htm
    [30]
    汪受传. 儿童体质八分法[J]. 南京中医药大学学报, 2019, 35(5): 518-522. http://xb.njucm.edu.cn/article/id/zr20190508

    WANG S C. Eight types of children's constitution[J]. J Nanjing Univ Tradit Chin Med, 2019, 35(5): 518-522. http://xb.njucm.edu.cn/article/id/zr20190508
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (189) PDF downloads(25) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return