国医大师王琦教授治疗过敏体质相关疾病的经验总结

董思颖 秦静波 孟翔鹤 江泽强 李竹青 王济

摘要 中医体质学学科的创立人、中国工程院院士、国医大师王琦教授，经过50多年的临床实践与临床经验，提出了“辨体-辨病-辨证”诊疗模式。该模式的提出，充分体现了医师在临床诊疗中以人为本、突出个体差异的诊疗思想。本文以过敏体质为主题，从辨体-辨病-辨证，过敏体质治疗原则与要点及方药应用3个方面，归纳总结王琦教授治疗过敏体质相关疾病经验和过敏体质研究现状，重点对过敏体质的干预调体措施进行详细的介绍，以期为基础研究和临床工作提供相应的借鉴。

关键词 过敏体质;辨体论治;名老中医经验; @ 王琦;临床思路;辨体-辨病-辨证;经验总结;调体

Abstract As a founder of Traditional Chinese medicine constitution and academician of Chinese Academy of Engineering，Master WANG Qi has accumulated a great number of valuable experience in clinical practice for more than 50 years，and formed a diagnosis and treatment mode of constitution differentiation-disease differentiation-syndrome differentiation model.It fully embodied the ideas that doctors should pay attention to patients and individual differences.Based on the theme of allergic constitution，this paper summarizes Professor WANG Qi′s experience in treating allergic constitution-related diseases and the current research status of allergic constitution from 3 aspects：constitution differentiation-disease differentiation-syndrome differentiation.The principles and main points of allergic constitution treatment，and the application of prescriptions，with emphasis on allergic constitution intervention and adjustment measures of the body are introduced in detail，in order to provide corresponding reference for basic research and clinical work.

Keywords Allergic constitution; Treating by constitutions differentiation; Experience of famous seasoned doctors of Traditional Chinese medicine; @ WANG QI; Clinical thinking; Constitution differentiation-disease differentiation-syndrome differentiation; Summary of experience; Constitution adjustment

中圖分类号：R211;R249.2/.7文献标识码：Bdoi：10.3969/j.issn.1673-7202.2021.22.019

中医体质学以中医理论为基础，研究人体各种体质特征、体质类型的生理病理特点，分析疾病的反应状况、病变性质和病变趋势，阐述体质与健康、疾病的相关性，从而用以指导疾病的防治[1]。体质的特性决定了人体易感特定的某些致病因素，或更倾向于哪种病变类型[2]。王琦教授提出“辨体论治”思想，创立了以辨体论治为核心的“辨体-辨病-辨证”诊疗模式（三辨模式）。三辨模式立足于个体体质与疾病发生、发展、转归的关系，将人作为研究的主体，注重个体化诊疗，充分贯彻“因人制宜”的思想。特禀质是由于先天不足和禀赋遗传等因素造成的一种特殊体质，其中包括过敏体质、遗传疾病、胎传疾病。过敏体质是……