Treatment of allergic rhinitis based on the theory of"spleen and stomach deficiency and excess transformation"
10.3969/j.issn.1006-2157.2025.06.013
- VernacularTitle:基于"脾胃虚实传变"理论论治变应性鼻炎
- Author:
Yuechun ZHAO
1
;
Hong GUO
;
Dian CHEN
;
Wanying XIA
;
Jingya HUANG
;
Lu ZHANG
Author Information
1. 中国中医科学院西苑医院 北京 100091
- Publication Type:Journal Article
- Keywords:
spleen and stomach deficiency and excess transformation;
allergic rhinitis;
Piwei Lun;
LI Dongyuan
- From:
Journal of Beijing University of Traditional Chinese Medicine
2025;48(6):827-832
- CountryChina
- Language:Chinese
-
Abstract:
The theory of"spleen and stomach deficiency and excess transformation"originates from Huangdi Neijing,which is based on the five elements theory.It systematically elucidates the physiological interconnections and pathological transmission relationships among spleen,stomach,and the five zang and six fu viscera.This theory was continuously developed and refined by later physicians.It was first systematically summarized and deepened by LI Dongyuan in his work Piwei Lun,which elaborates on the pathological transmission relationships of other zang-fu viscera after spleen and stomach deficiency.From the perspective of LI Dongyuan's theory of"spleen and stomach deficiency and excess transformation",this paper discusses the pathological relationships between spleen-earth,lung-metal,and kidney-water,and proposes that spleen-earth deficiency is the pathological basis for the onset of allergic rhinitis.Based on the pathological evolution following spleen-earth deficiency,the traditional Chinese medicine syndromes of allergic rhinitis were categorized into three types:earth deficiency with metal weakness,earth dryness with metal desiccation,and water cold with metal excess and earth decline.The treatment of allergic rhinitis should prioritize the spleen-earth,employing acrid and dispersing herbs with light properties to elevate the spleen,sweet-warm and sour-astringent herbs to tonify the spleen,and diuretic and dampness-resolving herbs to activate the spleen,thereby restoring spleen-earth function.Simultaneously,treatment should regulate lung-metal and kidney-water according to different pathological evolutions,incorporating cold-cool or acrid-warm herbs as appropriate,combining cold and warm properties,and treating both the manifestation and root cause of the disease.
