在全球范围内,过敏性鼻炎的发病率高达20%—40%,也就是说每5个人里就有1人罹患本病。临床研究显示,未积极治疗的过敏性鼻炎是哮喘、慢阻肺、心脑血管疾病、糖尿病等疾病的源头性疾病。
Globally, incidences of allergic rhinitis are as high as 20%-40%, which means that 1 in 5 people will suffer from the disease. Clinical studies have shown that untreated allergic rhinitis is the source disease of asthma, chronic obstructive pulmonary disease, cardiovascular and cerebrovascular disease, diabetes, and other diseases.
鼻子作为五官中比较中心的器官,相当于是一个头部的枢纽,当炎症向上时会引起眼睛发痒,甚至流眼泪;如果往下发展会引起急慢性咽喉炎和支气管炎和哮喘等疾病。
As the central organ of the five sense organs, the nose is equivalent to the hub of the head. When the inflammation goes up, it will cause the eyes to itch and even teary eyes; if inflammation goes down, it will cause acute and chronic pharyngitis, bronchitis and asthma, and other diseases.
对过敏性鼻炎患者而言,痛苦不堪,不仅影响了社交和生活质量,而且过敏性鼻炎可直接诱发多系统疾病。那么要怎样治疗鼻炎呢?今天就请专业中医师杨医生来给大家分享一下真实病例的处理建议。
For patients with allergic rhinitis, the pain is unbearable, which not only affects social life and quality of life, but also can directly induce multi-system diseases. So how to treat allergic rhinitis?
病例 Case Study:
我今年40岁,有过敏性鼻炎多年,最近一段时间鼻塞喷嚏流清鼻水症状明显,平时容易感冒,中医可以如何治疗调理。
I am 40 years old and have had allergic rhinitis for many years. Recently, the symptoms of nasal congestion, sneezing and clear nasal water are obvious. I get a cold easily.
相关信息:女性,年龄40岁,体重介乎于51-60kg之间。大便正常,睡眠正常,月经推后,不喝酒,没有抽烟习惯。
Related information: Female, 40 years old, weight between 51-60kg. Normal stool, normal sleep, post-menstruation, no alcohol & smoking habit.
杨医生 Dr. Yang:
过敏性鼻炎又称变态反应性鼻炎,临床上以突发鼻痒、喷嚏、流清涕为主要症状,严重者嗅觉减退或消失,给患者带来较大的痛苦,本病有发病率高、不易根治的特点。中医药治疗该病有疗效显著而持久的特点,有一定的优势。
Allergic rhinitis is clinically characterized by sudden nasal itching, sneezing, and runny nose. In severe cases, the sense of smell decreases or disappears, which brings greater pain to the patient. The disease has a high incidence. It is not easy to cure. Traditional Chinese Medicine practitioner has the characteristics of remarkable and long-lasting curative effect in treating this disease, and it has certain advantages.
临床上根据过敏性鼻炎的表现,可以分为三种证型:
According to the clinical manifestations of allergic rhinitis, it can be divided into three types of syndromes:
一类为肺虚饮停型,表现为鼻塞喷嚏流清涕,平时容易感冒,乏力神疲的症状,治疗以补肺固卫、温化水饮为原则,可以选用中成药玉屏风颗粒加上小青龙颗粒同鼻炎康片一起服用,汤水调理方面主张多用黄芪泡水饮用,或服用灵芝孢子粉。也可以用黄芪30克、白术15克、白芷10克、加生姜适量,煮鱼头汤食用。
The first type of is a type of lung deficiency, which is manifested by nasal congestion, sneezing and runny nose. It is easy to catch a cold, feeling fatigue. The treatment is based on the principle of nourishing the lungs and strengthening the health and drinking warm water. For soup, it is advisable to use Radix Axtragali soak in water or take Reishi Mushroom Spore Powder. You can also use 30 grams of Radix Axtragali, 15 grams of Atractylodes, 10 grams of Angelica Dahurica, plus appropriate amount of ginger, and cook with fish head for consumption.
图为黄芪
一类为脾阳虚弱型,表现为鼻塞喷嚏流涕,伴有食少腹胀便溏怕冷的症状,治疗以健脾温阳化饮利水为原则,可以选用中成药理中丸加鼻炎康片一起服用,汤水调理方面推荐用五指毛桃30克、白术15克、陈皮、生姜适量煲瘦肉食用。
The second type is spleen-yang weakness, manifested by nasal congestion, sneezing and runny nose, accompanied by eating less, abdominal distension, loose stools, and fear of cold symptoms. The treatment is based on the principle of invigorating the spleen, warming the yang, and drinking water. For soup, it is recommended to use 30 grams of Hairy Fig (Wu Zhi Mao Tao), 15 grams of Atractylodes, appropriate amount of tangerine peel and ginger cook with lean pork for consumption.
图为五指毛桃
第三类肾阳虚弱型,表现为鼻塞喷嚏流涕,伴见畏寒肢冷、腰膝酸冷、大便稀溏、夜尿频多,治疗以温肾助阳、化气行水为原则,中成药可以用金贵肾气丸加上鼻炎康片一起服用,汤水调理方面,也可以服用灵芝孢子粉或胎盘粉。
The third type of kidney-yang weakness, manifested by nasal congestion, sneezing, and runny nose, accompanied by chills, aches in the waist and knees, loose stools, and frequent nocturia. The treatment is based on the principles of warming the kidney and promoting yang, dissipating qi, and promoting water. Chinese Patent Medicine can be taken together with Jin Kui Shen Chi Wan. Consumption of Reishi Mushroom Spore Powder can be replaced for soup.
图为白术
无论是哪一种过敏性鼻炎,都可以通过按摩迎香穴、上迎香穴、合谷穴、足三里穴等保健穴位来增强体质,缓解症状。
Regardless of the type of allergic rhinitis, you can massage acupoint such as Ying Xiang point, Shang Ying Xiang point, Hegu point, and Zusanli point to strengthen your physical fitness and relieve symptoms.
作为日常的养护,鼻炎患者尤其要做好头部的保暖。同时锻炼身体,这对于改善鼻炎症状甚至是治愈鼻炎有非常大的辅助作用。
As a daily maintenance, patients with rhinitis should especially keep their head warm. Exercising at the same time has a great auxiliary effect on improving the symptoms of rhinitis and even curing rhinitis.
为方便广大客户寻医问诊,德成行更推出线上“德健康”栏目,邀请专业中医师,定期为真实案例提供在线问诊或咨询专业意见,详情请关注德成行公众号。
For medical consultations, T S EMPORIUM has launched an online “TSE Health” column, inviting Traditional Chinese Medicine practitioners to regularly provide online consultations, or consulting professional opinions for real cases. For detailed, please follow T S EMPORIUM official account.
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