【摘要】：目的:兒童腺樣體肥大作為兒童常見病,對(duì)兒童生長(zhǎng)發(fā)育所產(chǎn)生的影響,得到了普遍重視。郭兆剛教授是云南省名中醫(yī),擅長(zhǎng)治療耳鼻喉科各種疾病。本文通過臨床歸納郭兆剛教授對(duì)小兒腺樣體肥大的臨證治法、臨床用藥、及加減規(guī)律,以系統(tǒng)總結(jié)郭兆剛教授對(duì)小兒腺樣體肥大的臨床思想及學(xué)術(shù)經(jīng)驗(yàn)使其對(duì)本病的證治思想得到繼承與發(fā)揚(yáng),為中醫(yī)臨床提供借鑒與參考。方法:閱讀相關(guān)古代文獻(xiàn),檢索現(xiàn)代醫(yī)學(xué)對(duì)兒童腺樣體肥大的相關(guān)文獻(xiàn)論述,同時(shí)在跟師的學(xué)習(xí)中,收集郭兆剛教授治療本病的病例資料、診療信息,并做好門診記錄及筆記。進(jìn)而歸納總結(jié)郭兆剛教授對(duì)本病的病機(jī)認(rèn)識(shí)、治療方法、用藥規(guī)律。結(jié)果:郭兆剛教授認(rèn)為小兒臟腑嬌嫩,形氣未充是兒童腺樣體肥大發(fā)病的內(nèi)在因素,在此基礎(chǔ)上外邪內(nèi)犯,內(nèi)外合邪,壅阻氣機(jī),化熱、生痰、致瘀,變生腺樣體肥大諸證。臨床當(dāng)通過“望、聞、問、切、查”五診,仔細(xì)辨之,根據(jù)辨證予以益氣固表、疏風(fēng)散邪、宣肺通竅、益氣活血、行氣通竅等治法,達(dá)到整體論治的觀念。從而使兒童達(dá)到陰平陽秘的狀態(tài),打斷因腺樣體肥大引起的惡性循環(huán),恢復(fù)其正常良性循環(huán),待腺樣體自然萎縮,則其引發(fā)的諸證消失。避免了激素及手術(shù)治療可能帶來的危害,取得了較好的臨床效果。結(jié)論:通過本次的研究總結(jié)了郭兆剛教授對(duì)兒童腺樣體肥大病因病機(jī)、臨床辯證及用藥規(guī)律。導(dǎo)師以整體觀進(jìn)行論治,審證求因,從因論治。重視臟腑嬌嫩的本因,輔以通竅的思想,臨床治療中效果顯著,緩解了腺樣體肥大兒童的痛苦,發(fā)揮了中藥治療的安全性、持續(xù)性,顯效性等特點(diǎn),對(duì)中醫(yī)臨床醫(yī)生治療本病給予了參考與指導(dǎo)。
[Abstract]:Objective: the effect of adenoid hypertrophy on children's growth and development as a common disease in children has been paid more and more attention. Professor Guo Zhaogang is a famous traditional Chinese medicine in Yunnan Province, specializing in the treatment of various diseases of otolaryngology. In this paper, Professor Guo Zhaogang's clinical treatment of adenoid hypertrophy in children, clinical medication, and the rule of addition and subtraction are summarized. By systematically summarizing Professor Guo Zhaogang's clinical thought and academic experience on adenoid hypertrophy in children, his thought on syndrome and treatment of this disease has been inherited and carried forward, which provides reference and reference for the clinical practice of traditional Chinese medicine. Methods: to read the relevant ancient literature, to search the literature about children's adenoid hypertrophy in modern medicine, at the same time to collect the case data, diagnosis and treatment information of Professor Guo Zhaogang in the study of follow teacher, and to make good records and notes of outpatient service. Then summarize Professor Guo Zhaogang's understanding of the pathogenesis of the disease, treatment methods, drug use law. Results: professor Guo Zhaogang thought that the internal factors of children's adenoid hypertrophy were delicate viscera and unfilled form qi. On the basis of this, internal and external pathogenic factors, internal and external evil, obstruction of qi, heat, phlegm, blood stasis and hypertrophy of adenoid were all syndromes. Clinical practice should pass "look, smell, ask, cut, check" five diagnoses, distinguish it carefully, according to differentiation to give Yiqi solid table, dispersing wind and dispersing evil, purging lung and opening orifices, benefiting qi and activating blood, and so on, so as to achieve the concept of holistic treatment. In order to make the children reach the state of yin and pacification, break the vicious circle caused by adenoid hypertrophy, restore its normal virtuous circle, and when the adenoid atrophies naturally, the symptoms will disappear. It avoids the possible harm of hormone and surgical treatment, and obtains better clinical effect. Conclusion: professor Guo Zhaogang has summarized the etiology, pathogenesis, clinical dialectical and drug use of adenoid hypertrophy in children. Mentors to the overall view of treatment, examination of the cause of evidence, from the cause of treatment. Paying attention to the delicate cause of the viscera, accompanied by the idea of opening the orifices, has had a remarkable effect in clinical treatment, alleviated the suffering of children with adenoid hypertrophy, and brought into play the characteristics of the safety, sustainability, and effectiveness of the treatment of traditional Chinese medicine. It provides reference and guidance for the treatment of this disease by TCM clinicians.
【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R249;R276.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 伍立德;譚學(xué)君;文溢;溫曉霞;代朋;吳敵;陳少云;陳曉平;;4種手術(shù)治療腺樣體肥大的效果研究[J];重慶醫(yī)學(xué);2016年27期

2 矯金玲;陳華;;俞景茂治療小兒腺樣體肥大經(jīng)驗(yàn)[J];中醫(yī)雜志;2016年18期

3 魏珍星;范崇盛;薛柯凡;張揚(yáng);;鼻內(nèi)鏡下3種不同手術(shù)方式治療兒童腺樣體肥大療效分析[J];中國(guó)耳鼻咽喉顱底外科雜志;2016年02期

4 魯媛媛;張慶翔;于振坤;;腺樣體肥大占位效應(yīng)理念在腺樣體手術(shù)中的應(yīng)用[J];臨床耳鼻咽喉頭頸外科雜志;2015年13期

5 袁軻;白燕;楊大志;;鼻噴激素與白三烯受體拮抗劑治療兒童腺樣體肥大臨床觀察比較[J];重慶醫(yī)科大學(xué)學(xué)報(bào);2015年01期

6 李明華;;過敏性鼻炎與腺樣體肥大[J];中國(guó)臨床醫(yī)生雜志;2014年12期

7 張占玲;黃蕾;;小兒腺樣體肥大辨治心得[J];中醫(yī)兒科雜志;2013年04期

8 湯海玲;曹園園;;孟魯司特鈉治療兒童腺樣體肥大的臨床療效[J];實(shí)用藥物與臨床;2013年04期

9 馮壽岐;;從肝論治小兒腺樣體肥大[J];河北中醫(yī);2012年09期

10 邰旭輝;戴嵩;桑月紅;徐振明;訾龍;褚艷玲;張杰;朱寶玉;曹捫;;70°鼻內(nèi)鏡下兒童腺樣體切除術(shù)825例臨床分析[J];中國(guó)耳鼻咽喉顱底外科雜志;2012年04期

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