201 4 年5 月 1 日 第 5 期 No. 5 1 M av 20 14 中 医 学 报 C H INA J OU R NA L OF C HINE SE ME DIC INE 第 29 卷 总第 192 期 V 01. 29 Serial No. 192 麻黄连翘赤小豆汤治疗过敏性鼻炎 彭丽丽 , 朱婉萍 , 孔繁智 , 张永 臣 1. 临安 市人 民 医院 , 浙 江 临安 311300 2. 浙江省 中医药研 究院 , 浙 江 杭 州 310053 3. 山东中医药大学, 山东 济南 250000 摘要 : 笔者在临床 中将过敏性鼻炎分3 期治疗: 前期以风寒表证为主, , 临床大多按照风寒感冒治疗; 少数患者治疗不当, 或因体 质因素, 风寒入里化热, 郁于肺窍, 则进入过敏性鼻炎中期, 此期患者以鼻部郁热为主证, 治以外散风寒、 内清郁热, 以麻黄连 翘赤小豆汤为主方, 合用牛蒡解肌汤和苍耳子散加减; 如失治误治, 迁延不愈, 郁热往往导致血瘀痰凝, 仍用麻黄连翘赤小豆 汤, 合牛蒡解肌汤和苍耳子散, 但需要加用玄参、 制胆南星、 清半夏、 牡蛎、 皂角刺、 赤芍、 浙贝母等。因郁热较重, 仍用麻黄, 取 “ 火郁发之” 之意。另患者不论何期, 鼻部分泌物较多者, 加用苍术、 生薏苡仁等; 阴虚体质者, 平素潮热盗汗, 五心烦热, 加用 麦冬, 生地黄等; 阳虚体质者 , 平素食生冷后腹泻, 加用干姜等。 文献引用: 彭丽丽, 朱婉萍, 孔繁智, 等. 麻黄连翘赤小豆汤治疗过敏性鼻炎[J ] . 中医学报, 2014, 29(5) : 759 — 760. 关键词: 过敏性鼻炎; 麻黄连翘赤小豆汤; 张仲景; 伤寒论 中图分类号: R259. 652. 1 文献标志码 : A 文章编号: 1674 —8999(2014)05 — 0759 — 02 F o rsythia R ed Bean So up E p h edr a in A llergic R h ini tis Peng L i li , Z hu W anpi ng , K ong F anzhi , Z hang Y ongchen 1. People S Hospita l of Linan City , Linan Zhejiang China 31 1300 2. China Academy of Traditional Chinese Medicine o f Zhejing Pro vince , Hangzhou Zhejiang China 310053 3. Shandong University of Traditional Chinese Medicine, J inan Shandong China 250000 A bstr act : T he author will be in cli ni cal al lergic rhi ni ti s treatment of 3 : E arly in the cold table card— based , cli ni ca l~ llow mostl y cold cold therapy ; improper treatment of a minor i ty of patients, or because of physic al factors , into the inside of the cold heat, Y u awakened in the lung , then enter the mid— all ergi c rhinitis , the swelter of patients wi th nasal — based card , governance bulk col d outside , the clear swel — ter, red bean soup with ephedra forsythia main square , a soup and burdock combined X anthium Powder; such as loss of gover n ment mis— treatment, del ayed heali ng , sweher of t en leads to bl ood stasi s T anning , stil l using ephedra forsythia red bean soup , a soup together bur— dock and X anthi um Powder , but requi res the addi ti on of S crophul ariaceae , S outhern Star , clear haf t summer , oysters , herb , red peony root , F ritil lari a and SO on. D ue to swelter heavier , still using ephedra , which means ” f i re Y u made up” means. W hether any of the other patients , nasal secretions more , plus used the herb, Health Y iyiren etc . ; def i ciency constitution, usua l ly hot f l ashes , night sweats , f i ve up— set hot , pl us Radix , R E H M A NNIA E etc . ; Y ang constitution f i at vegetar i an cold di arr hea , plus gi nger and SO on. Reference citation : Peng Lili , Zhu Wanping, Kong Fanzhi , et a1 . Forsythia Red Bean Soup Ephedra in Allergic Rhinitis[ J] . China Jour- nal of Chinese Medicine, 2014 , 29 ( 5) : 759 — 760. K ey words: a l lergic rhinitis; forsythia red bean soup; Zhang Zhongjing; shanghan