从辨涕与分期相结合探讨儿童鼻渊病论治

Treating Children’s Nasosinusitis by Combining Nasal Discharge Differentiation and Staging

摘要: 儿童鼻渊病临床发病率高，目前治疗多从肺经风热、胆腑郁热、脾胃湿热、肺气虚寒、脾气虚弱论治。笔者在临证中发现儿童因其“肝常有余、脾常不足、肺常不足”的生理特点，其鼻渊存在“分期明显、易虚易实”的病理特点，与成人有所区别，故治疗应当充分重视其生理病理特点。文章从“分期治疗”、“辨涕与分期治疗相结合”展开探讨，希望为儿童鼻渊的治疗提供新的思路。

Abstract: The clinical incidence of pediatric rhinosinusitis is high. Currently, its treatment mainly focuses on addressing wind-heat in the lung meridian, gallbladder depression with heat, damp-heat in the spleen and stomach, deficiency cold of lung Qi, and weakness of spleen Qi. In clinical practice, the author has observed that due to the physiological characteristics of children, namely, “excessive liver function, insufficient spleen, and insufficient lung”, the pathological features of rhinosinusitis in children are characterized by “distinct staging and susceptibility to both deficiency and excess”, which differs from adults. Therefore, the treatment should fully consider their physiological and pathological characteristics. This article explores the topic from the perspectives of “staged treatment” and “combining nasal discharge differentiation with staged treatment”, aiming to provide new insights into the treatment of pediatric rhinosinusitis.