謅議Ⅰ型變態(tài)反應(yīng)性疾病現(xiàn)代醫(yī)學(xué)與中醫(yī)治療的相似之處

摘 要 對于Ⅰ型變態(tài)反應(yīng)性疾病，現(xiàn)代醫(yī)學(xué)采用抗過敏、降低氣道高反應(yīng)性、消除炎癥因子、抗血小板活化、調(diào)節(jié)免疫——神經(jīng)紊亂等治療；中醫(yī)以祛風(fēng)、理氣、化痰、通瘀、補瀉為治法，細觀中西醫(yī)醫(yī)治手段，二者存在一定相似之處。

關(guān)鍵詞 Ⅰ型變態(tài)反應(yīng)性疾病；現(xiàn)代醫(yī)學(xué)；中醫(yī)

中圖分類號：R249 文獻標(biāo)志碼：A 文章編號：1006-1533（2023）12-0038-05

引用本文 凌雯琛， 鄭偉， 張靜靜， 等. 謅議Ⅰ型變態(tài)反應(yīng)性疾病現(xiàn)代醫(yī)學(xué)與中醫(yī)治療的相似之處 [J]. 上海醫(yī)藥， 2023， 44（12）： 39-42.

基金項目：緊缺醫(yī)學(xué)人才專項-中醫(yī)五官科學(xué)（JX61.02.03.66）

Discussion of similarities between modern medicine and traditional Chinese medicine in the treatment of type I allergic diseases

LING Wenchen1， ZHEN Wei1， ZHANG Jingjing2， HUANG Ping1

（1. Department of Otorhinolaryngology of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine， Shanghai University of Traditional Chinese Medicine， Shanghai 200437， China； 2. Acupuncture and Moxibustion Department of Integrated Traditional Chinese and Western Medicine Hospital， Shanghai 200082， China）

ABSTRACT Type I allergic diseases are treated in modern medicine with anti-allergy， reducing airway hyper responsiveness， eliminating inflammatory factors， anti-platelet activation， and regulating immune-neurological disorders， etc.； traditional Chinese medicine adopts the treatment methods of dispelling wind， regulating qi， resolving phlegm， unblocking blood stasis， and tonifying and reducing diarrhea， and compared with traditional Chinese and Western medicine treatment methods， there are certain similarities between them.

KEY WORDS type I allergic disease； modern medicine； traditional Chinese medicine

變態(tài)反應(yīng)又稱過敏反應(yīng)，部分人群初次接觸變應(yīng)原后，B細胞產(chǎn)生特異性IgE抗體吸附于肥大細胞和嗜堿性粒細胞表面，機體處于致敏狀態(tài)；再次接觸相同變應(yīng)原，快速激活嗜堿性粒細胞、肥大細胞脫顆粒，炎性物質(zhì)如組胺、白三烯、前列腺素等不斷生成、募集、釋放，隨血液蔓延全身，常波及呼吸道、皮膚、消化道等，如過敏性鼻炎、哮喘、胃腸炎、皮炎等，屬Ⅰ型變態(tài)反應(yīng)性疾病[1]，對應(yīng)“鼻鼽”“癮疹”“哮證”等中醫(yī)病名。（剩余7867字）