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Western medicine treats this disease mostly with oral antibiotics and nasal hormones, which have the disadvantages of uncertain efficacy and drug resistance. Traditional Chinese Medicine (TCM) treats this disease through oral and external use of Chinese herbal drugs, offering a relatively safe and low - side - effect treatment option. In this study, we believe that the onset of pediatric sinusitis is related to the external pathogens to the lungs closing to the surface and inside; the heat of the gallbladder leading to the congestion of the nose and orifices; spleen and stomach disorders causing to the imbalance of qi movement. The primary pathogenesis involves internal heat stagnation and obstruction of the nasal passages. The following methods should be used in treating this disease: to resolve the pathogens both external and internal, to dispel external evils and clear the heat in the lungs at the same time; pungent and bitter medicines should be used together, to relieve the heat in the gallbladder; to elevate the clearness and lower the turbidity, regulating the spleen and the stomach Qi. Tongqiao Shengjiang Powder is derived from "Shengjiang Powder", a classic formula for treating epidemics, and is modified by the addition of Magnolia biondii Pamp., ueraria lobata(Willd.) Ohwi, and Glycyrrhiza uralensis Fisch. This formula has excellent therapeutic effects for treating pediatric sinusitis. It has the efficacy of resolving external pathogens and clearing the heat in the lungs, elevating the clearness and lowering the turbidity, and improving nasal ventilation. Although its medicinal flavor is simple, the formula is comprehensive and covers several treatments. It can effectively treat pediatric nasosinusitis of various TCM syndrome types through addition or subtraction. In this paper, one case is attached for clinical reference., authors=HUANG Xin1, WANG Wenyan1, REN Yanlin1, GAO Siyu1, authorsList=HUANG Xin, WANG Wenyan, REN Yanlin, GAO Siyu, authorCompany=1 Yulin Hospital of Traditional Chinese Medicine, Yulin 719000, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=陕西省重点研发计划 (2024SF-YBXM-513); 陕西省中医学术流派传承工作室建设项目 (陕中医药函〔2023〕84号); 榆林市科技计划项目 (YF-2022-50,2024-SF-058)), CN=ArticleExt(id=1304438796221706313, articleId=1304438796011991112, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=通窍升降散治疗小儿鼻渊刍议, columnId=1303760928365892493, 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中医药学报 | 临证体会 2026,54(1): 54-57
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中医药学报 |临证体会 2026 , 54 (1) : 54 -57
通窍升降散治疗小儿鼻渊刍议
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黄鑫1, 王文彦1, 任彦林1, 高思宇1
作者信息
    1 榆林市中医医院,陕西 榆林 719000
通讯作者:
* 王文彦(1988-)男,副主任中医师,研究方向:中医儿科常见病的诊治。
作者简介:
黄鑫(1987-),男,博士,副主任中医师,研究方向:中医内科、妇科、儿科常见病的诊治。
Discussion on Tongqiao Shengjiang Powder in the Treatment of Pediatric Sinusitis
  • HUANG Xin1, WANG Wenyan1, REN Yanlin1, GAO Siyu1
  • Affiliations
      1 Yulin Hospital of Traditional Chinese Medicine, Yulin 719000, China
    doi: 10.19664/j.cnki.1002-2392.260010
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    小儿鼻渊是儿科常见病,以鼻流浊涕、量多不止为主要表现。西医治疗多以口服抗生素、鼻用激素为主,存在疗效不确定、耐药性等缺点。中医治疗通过中药口服、外用等方法,安全性较高、副作用较小。小儿鼻渊的发病与外邪伤肺,郁闭表里;胆腑郁热,壅塞鼻窍;脾胃失常,气机失调相关,病机可概括为郁热内伏,鼻窍不通。治疗当以表里双解,宣散外邪兼清肺热;辛开苦降,疏利胆腑而解郁热;升清降浊,调理脾胃以畅气机为法。通窍升降散是在经典治疫名方升降散的基础上加辛夷、葛根、甘草而成,具有解表清里,辛开苦降,升清降浊,宣郁通窍之功。其药味虽简单,但组方周妙,涵盖多法,以其加减化裁治疗各种小儿鼻渊,效果良好。并附病案1则,以供临床参考。
    鼻渊  /  儿科  /  通窍升降散  /  郁热内伏  /  气机失调
    Pediatric sinusitis is prevalent among children, which is mainly manifested by a large amount of turbid nasal discharge. Western medicine treats this disease mostly with oral antibiotics and nasal hormones, which have the disadvantages of uncertain efficacy and drug resistance. Traditional Chinese Medicine (TCM) treats this disease through oral and external use of Chinese herbal drugs, offering a relatively safe and low - side - effect treatment option. In this study, we believe that the onset of pediatric sinusitis is related to the external pathogens to the lungs closing to the surface and inside; the heat of the gallbladder leading to the congestion of the nose and orifices; spleen and stomach disorders causing to the imbalance of qi movement. The primary pathogenesis involves internal heat stagnation and obstruction of the nasal passages. The following methods should be used in treating this disease: to resolve the pathogens both external and internal, to dispel external evils and clear the heat in the lungs at the same time; pungent and bitter medicines should be used together, to relieve the heat in the gallbladder; to elevate the clearness and lower the turbidity, regulating the spleen and the stomach Qi. Tongqiao Shengjiang Powder is derived from "Shengjiang Powder", a classic formula for treating epidemics, and is modified by the addition of Magnolia biondii Pamp., ueraria lobata(Willd.) Ohwi, and Glycyrrhiza uralensis Fisch. This formula has excellent therapeutic effects for treating pediatric sinusitis. It has the efficacy of resolving external pathogens and clearing the heat in the lungs, elevating the clearness and lowering the turbidity, and improving nasal ventilation. Although its medicinal flavor is simple, the formula is comprehensive and covers several treatments. It can effectively treat pediatric nasosinusitis of various TCM syndrome types through addition or subtraction. In this paper, one case is attached for clinical reference.
    Sinusitis  /  Pediatrics  /  Tongqiao Shengjiang Powder  /  Internal stagnation of heat  /  Dysregulation of qi dynamics
    黄鑫, 王文彦, 任彦林, 高思宇. 通窍升降散治疗小儿鼻渊刍议. 中医药学报, 2026 , 54 (1) : 54 -57 . DOI: 10.19664/j.cnki.1002-2392.260010
    HUANG Xin, WANG Wenyan, REN Yanlin, GAO Siyu. Discussion on Tongqiao Shengjiang Powder in the Treatment of Pediatric Sinusitis[J]. Acta Chinese Medicine and Pharmacology, 2026 , 54 (1) : 54 -57 . DOI: 10.19664/j.cnki.1002-2392.260010

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    doi: 10.19664/j.cnki.1002-2392.260010
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    2种不同金属材料的力学参数

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    Number of
    species
    占总种数比例
    Percentage of
    total species (%)

    Genus
    种数
    Number of
    species
    占总种数比例
    Percentage of total
    species (%)
    鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
    小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
    多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
    红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
    小菇属 Mycena 11 5.26
    光柄菇属 Pluteus 5 2.39
    红菇属 Russula 17 8.13
    栓菌属 Trametes 5 2.39
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