基于“血不利则为水”理论探讨田理教授治疗AR的临床经验

Clinical Experience of Professor Tian Li in Treating Allergic Rhinitis Based on the Theory of “Blood Is Not Good, Then It Is Water”

摘要: 常年性过敏性鼻炎属于中医学“鼻鼽”范畴，是一个治愈率低、易复发的慢性疾病，严重影响患者的生活质量。当前中医治疗虽具整体调节优势，但对于病程迁延、反复发作的顽固性患者，常因对慢性期“血瘀”病机认识不足而面临瓶颈。导师田理教授结合自己从事中医治疗鼻鼽近四十年经验，基于“血不利则为水”理论，提出本病的基本病机为“肺气不足，窍络瘀阻”，其治法当以“补肺益气，活血通窍”为主，在临床上也取得了颇为显著的疗效。文章总结了田理教授在治疗过敏性鼻炎方面的临床经验，并附有验案一则，以期对常年性过敏性鼻炎的治疗提供思路。

Abstract: Perennial allergic rhinitis falls within the category of “Bi Qiu” (allergic rhinitis) in Traditional Chinese Medicine (TCM). It is a chronic disease characterized by low cure rate and high recurrence, significantly impacting patients’ quality of life. Although TCM treatment offers the advantage of holistic regulation, it often faces bottlenecks for patients with intractable, prolonged, and recurrent conditions, primarily due to an insufficient understanding of the “blood stasis” pathogenesis in the chronic stage. Drawing on nearly forty years of clinical experience in treating Bi Qiu, Professor Tian Li, based on the theory of “blood impairment leading to water retention” (Xue Bu Li Ze Wei Shui), posits that the fundamental pathogenesis of this condition is “deficiency of lung qi and obstruction of orifices due to blood stasis.” The therapeutic principle should therefore focus on “tonifying lung qi and promoting blood circulation to unblock the orifices.” This approach has achieved remarkable clinical efficacy. This article summarizes Professor Tian Li’s clinical experience in treating allergic rhinitis and includes a case report to provide new insights and strategies for managing perennial allergic rhinitis.