Syndrome differentiation and treatment of allergic rhinitis based on theory of "imbalance between ying and wei， with one excess and one deficiency"

LIU Ze; CHEN Ruohong; CUI Ji; YANG Xiaoyu; AN Tianqi; YANG Haoran; CHENG Zhenyang

doi:10.16305/j.1007-1334.2025.z20240821008

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Syndrome differentiation and treatment of allergic rhinitis based on theory of "imbalance between ying and wei， with one excess and one deficiency"

更新时间：2025-07-31

- Syndrome differentiation and treatment of allergic rhinitis based on theory of "imbalance between ying and wei， with one excess and one deficiency"
- Shanghai Journal of Traditional Chinese Medicine Vol. 59, Issue 8, Pages: 68-71(2025)
- 作者机构：
  
  1.上海中医药大学附属市中医医院（上海 200071）
  2.上海市嘉定区南翔医院（上海 201802）
  3.上海中医药大学（上海 201203）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2025.z20240821008
  CLC：
- Received：21 August 2024，
  
  Published：10 August 2025
- 稿件说明：
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刘泽,陈若宏,崔骥,等.基于“营卫倾移，一实一虚”辨治变应性鼻炎[J].上海中医药杂志,2025,59(8):68-71.

LIU Ze,CHEN Ruohong,CUI Ji,et al.Syndrome differentiation and treatment of allergic rhinitis based on theory of "imbalance between ying and wei， with one excess and one deficiency"[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(8):68-71.
刘泽,陈若宏,崔骥,等.基于“营卫倾移，一实一虚”辨治变应性鼻炎[J].上海中医药杂志,2025,59(8):68-71. DOI： 10.16305/j.1007-1334.2025.z20240821008.

LIU Ze,CHEN Ruohong,CUI Ji,et al.Syndrome differentiation and treatment of allergic rhinitis based on theory of "imbalance between ying and wei， with one excess and one deficiency"[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(8):68-71. DOI： 10.16305/j.1007-1334.2025.z20240821008.

摘要

变应性鼻炎作为中医治疗优势病种，常规辨治存在一定的机械性和局限性。营卫是深化认识变应性鼻炎的基础，在内外因的影响下，营卫倾移引发的营卫、气血、脏腑之间的虚实变化是变应性鼻炎发生、发展的关键病机。基于此，将变应性鼻炎分为初、中、晚3期，治以解表祛风、平和营卫，统摄上下、固摄藩篱，荡涤积滞、泻阴复阳。并附验案3则。

Abstract

Allergic rhinitis， as a condition where traditional Chinese medicine （TCM） holds a therapeutic advantage， has limitations in conventional syndrome differentiation and treatment methods due to their mechanical nature. The theory of ying （nutritive qi） and wei （defensive qi） provides a foundational understanding of allergic rhinitis. The change of deficiency and excess between ying and wei， qi and blood， and the visceral organs under the influence of both internal and external factors，caused by imbalance between ying and wei， is crucial to the onset and progression of allergic rhinitis. Accordingly， allergic rhinitis could be divided into three stages： early， middle， and advanced. The treatment approach is aimed at releasing the exterior and expelling wind， harmonizing the ying and wei， regulating the upper and lower body， fortifying and securing the defensive barriers， clearing accumulated stagnation， and restoring the balance of yin and yang. Three clinical cases are provided for reference.

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references

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