过敏共病是儿科临床常见的一种与过敏相关的疾病，现代医学称之为特应性三联征（atopic triad）。许尤佳教授认为， 过敏共病患儿稚阳未充的体质特点较明显。过敏共病患儿以脾气虚之病机为先，因调补不及时而进一步累及肾阳，导致肾 阳亏虚。针对过敏共病患儿存在的脾肾虚寒病机，许尤佳教授提出需重视顾护中焦脾土，以后天之火温煦先天肾阳，以达 “升气壮阳”之效。其治疗虚寒型鼻鼾的核心用药包括甘草、白术、白芷、防风、苍耳子、辛夷、五味子共7味。对于虚寒 程度严重的患儿，则需从补益肾气、顾护阳根入手，可选用补骨脂、升麻、杜仲、肉桂之品。并强调调整患儿饮食结构及 习惯以顾护脾胃的重要性。“斡旋中土，升气壮阳”之法遵循小儿生长发育之势，适合指导虚寒证相关病证的临床施治，临 证方药的选择需辨识虚寒病机及其轻重程度。

Allergic comorbidity is a common allergic-related disease in the department of pediatrics，which is called atopic triad in modern medicine. Professor Xu Youjia believes that the children with allergic comorbidity have a more distinctive constitution of insufficiency of immature yang. Children with allergic comorbidity initially have the spleen-qi deficiency pathogenesis，and then the kidney yang will be further involved if the children fail in timely regulation and supplementation，which will result in kidney yang deficiency. In the view of spleen-kidney deficiency-cold pathogenesis of children with allergic comorbidity，Professor Xu Youjia suggested that，during the treatment，attention should be paid to the protection of the spleen （earth） of the middle energizer，thus to ensure the postnatal fire warm congenital kidney yang，and then the efficacy of raising qi and reinforcing yang can be achieved. The core medicines used for the treatment of deficiency-cold snineling nose include seven herbs，and they were Glycyrrhizae Radix et Rhizoma， Atractylodis Macrocephalae Rhizoma， Angelicae Dahuricae Radix， Saposhnikoviae Radix，Xanthii Fructus，Magnoliae Flos，and Schisandrae Chinensis Fructus. For children with severe deficiency-cold，the treatment needs to start from supplementing kidney-qi and protecting the root of yang， and the medicinals such as Psoraleae Fructus，Cimicifugae Rhizoma，Eucommiae Cortex，and Cinnamomi Cortex can be used. Professor Xu stressed the importance of adjusting the children’s dietary structure and habits for protecting the spleen and stomach. The application of therapy of mediating the middle earth， raising qi and strengthening yang should accord with the growth and development of children， and the therapy is suitable for guiding the clinical treatment of diseases related to deficiency-cold syndrome. The selection of prescriptions should be based on the identification of the pathogenesis of deficiency-cold and its severity.

R272.6

国家中医药管理局罗笑容全国名老中医药专家传承工作室建设项目（编号：14GG2X02）；广东省中医院岭南儿科杜明昭学术 流派传承工作室建设项目（中医二院 〔2013〕 E43608）；广东省第四批名中医师承项目（粤中医办函 〔2023〕 108号）