〔摘要〕 变应性鼻炎是一种小儿常见的多发病，久病可能会增加哮喘等相关疾病的风险，甚至影响患儿心理健康、加重家庭负担。“气络-血络”理论是基于络病学说发展而来的一门应用理论。从络损角度认识小儿鼻鼽病机，肺脾肾三脏气络虚损为儿童变应性鼻炎发生发展的基础，气血失调是其发生发展的核心病机，风、寒、痰、瘀为重要病理因素，久病入血，发展为血络损伤。疾病病机虚实夹杂，以“实则通络，虚则补络”为治疗原则，为儿童变应性鼻炎的中医治疗提供了新的理论基础与实践指导。

    〔关键词〕 儿童变应性鼻炎；气络；血络；络病理论；发病机制；治则

    〔中图分类号〕R272" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.05.021

    Pattern differentiation and treatment of allergic rhinitis in children

    based on \"qi collaterals-blood collaterals\" theory

    ZHOU Yiyue1， DENG Kebin1，2*

    1. Hubei University of Chinese Medicine， Wuhan， Hubei 430065， China; 2. Hubei Provincial Hospital of TCM，

    Wuhan， Hubei 430061， China

    〔Abstract〕 Allergic rhinitis (AR) is a common disease that frequently occurs in children， and prolonged illness may increase the risk of asthma and other related diseases， even affecting the mental health of children and increasing the burden on families. The \"qi collaterals-blood collaterals\" theory is an applied theory developed based on the collateral disease theory. Understanding the pathogenesis of AR in children from the perspective of damage to collaterals ......