文献类型：期刊文献

中文题名：史正刚教授分期论治小儿腺样体肥大经验

英文题名：Professor SHI Zhenggang's Experience in Stage Based Treatment of Pediatric Adenoid Hypertrophy

作者：吕彩兰[1];李玉霞[1];史正刚[2]

第一作者：吕彩兰

机构：[1]甘肃中医药大学附属医院儿科,甘肃兰州730020;[2]甘肃中医药大学中医临床学院,甘肃兰州730101

第一机构：甘肃中医药大学第二附属医院

年份：2025

卷号：21

期号：4

起止页码：4

中文期刊名：中医儿科杂志

外文期刊名：Journal of Pediatrics of Traditional Chinese Medicine

基金：全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号)。

语种：中文

中文关键词：腺样体肥大;分期论治;临床经验;史正刚

外文关键词：adenoid hypertrophy;stage-based treatment;clinical experience;SHI Zhenggang

摘要：史正刚教授认为风邪外袭是小儿腺样体肥大的诱因,痰瘀互结是疾病的宿根,采用分期论治,按质调治的诊疗思路,将病程分为外感初病期、急性发作期、慢性持续期、临床缓解期。于外感初病期、急性发作期疏风通窍、化痰散结,慢性持续期及临床缓解期健脾益肺固表,兼通窍散结,以增强体质,减少病情反复。临证中关注诱因,善疏风祛邪;固护脾胃,常健脾化痰;增强体质,运用健脾益肺、固表敛汗以防复发;强调化瘀通络,常用活血化瘀之品,疗效显著。附案例1则,以资验证。
Professor SHI Zhenggang believes that external invasion of wind pathogen is the predisposing factor for pediatric adenoid hypertrophy,while phlegm-blood stasis interaction constitutes the root of the disease.Adopting a stage-based treatment approach tailored to disease progression,he divides the clinical course into four phases:initial infection stage,acute exacerbation stage,chronic persistence stage,and clinical remission stage.During the initial infection and acute exacerbation stages,treatment focuses on dispelling wind,unblocking orifices,resolving phlegm,and dispersing nodules.In the chronic persistence and clinical remission stages,the emphasis shifts to fortifying the spleen,tonifying the lung,consolidating the exterior,combined with orifice-unblocking and nodule-dispersing methods to enhance constitution and reduce recurrence.Clinically,he pays close attention to predisposing factors and excels at dispelling wind and eliminating pathogens;protects spleen-stomach function through spleen-fortifying and phlegm-resolving methods;strengthens constitution by invigorating the spleen and nourishing the lung while consolidating the exterior and checking sweating to prevent relapse;emphasizes stasis-dispelling and collateral-dredging therapies,frequently using blood-activating and stasis-resolving herbs with remarkable efficacy.A representative case is included for verification.