从血瘀和郁火论治喉痹
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摘要
慢性咽炎属于临床多发病,以病程长,易反复为特点。中医治疗慢性咽炎方面应以辨证为准绳,明病因、抓主症,精准治疗。咽部不利合并血瘀证治疗以血府逐瘀汤为主方,活血化瘀利咽为治疗大法;脾阳被遏,郁火内生导致郁火上结于咽喉,治疗以升阳散火汤调和肝脾,发散郁火;反流性食管炎引起胃气上逆,上冲咽喉出现的咽部不利,以半夏厚朴汤治疗为首。
Chronic pharyngitis is a common clinical disease characterized by long course and easy relapse. TCM treatment for chronic pharyngitis should be based on syndrome differentiation,the cause of disease,catching the main symptoms,and precise treatment. For laryngopathy combined with blood stasis in throat,Blood Stasis Expelling Decoction is often used to activate blood circulation and remove stasis and ease the throat. If the spleen yang is restrained,the endogenous stagnation of fire will cause stagnation in the throat. Yang-Raising and Fire-Removing Decoction is often used to harmonize the liver and spleen,dispel stagnation of fire.For laryngopathy due to reflux esophagitis leading to stomach qi rushing up to the throat,Pinellia and Officinal Magnolia Bark Decoction is first adopted.
Chronic pharyngitis is a common clinical disease characterized by long course and easy relapse. TCM treatment for chronic pharyngitis should be based on syndrome differentiation,the cause of disease,catching the main symptoms,and precise treatment. For laryngopathy combined with blood stasis in throat,Blood Stasis Expelling Decoction is often used to activate blood circulation and remove stasis and ease the throat. If the spleen yang is restrained,the endogenous stagnation of fire will cause stagnation in the throat. Yang-Raising and Fire-Removing Decoction is often used to harmonize the liver and spleen,dispel stagnation of fire.For laryngopathy due to reflux esophagitis leading to stomach qi rushing up to the throat,Pinellia and Officinal Magnolia Bark Decoction is first adopted.
引文
[1]张月峰,吕玉玲,鹿萍.急慢性咽炎[M].北京:中国医药科技出版社,2013:1-7.
[2]马晓娟,殷惠军,陈可冀.血瘀证与炎症相关性的研究进展[J].中国中西医结合杂志,2007,27(7):669-670.
[3]王阶,姚魁武.血瘀证证候实质研究进展与思考[J].中国医药学报,2003,18(8):490-492.
[4]王清任.医林改错[M].北京:中国中医药出版社,1995:5-19.
[5]左加成,于娜,赵丹丹,等.高思华教授血府逐瘀汤治验4则[J].世界中医药,2016,11(7):1296-1298.
[6]伊庆岩,刘顺语,沈红.廉泉三穴治疗慢性咽炎急性发作的疗效观察[J].新疆中医药,2010,28(4):46-80.
[7]潘万雄.血府逐瘀汤临床新用[J].中国中医急症,2011,20(3):505.
[8]刘延青,张玲玲,秦冬颖.血府逐瘀汤临证验案4则[J].河北中医,2016,38(12):1849-1851.
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[10]李方,钟兴美,王玎,等.升阳散火汤用于郁热证的临床观察[J].四川中医,2010,28(6):121-122.
[11]张煜鑫,王庆国.旋覆代赭汤合半夏厚朴汤治疗胃食管反流病痰湿内阻证的临床研究[J].中医药导报,2015,21(7):49-51.
[12]周炬.加减半夏厚朴汤治疗胃食管反流性咽异感症的价值[J].医学前沿,2017,7(7):58-59.
[13]陈晓梅.知柏地黄丸合黄氏响声丸治疗慢性咽炎[J].现代中西医结合杂志,2008,17(15):2346-2347.
[14]李颖.以咽异感征为主要表现的反流性食管炎的诊治体会[J].中国现代药物应用,2014,8(18):11-12.
[15]王新佩.金匮要略[M].北京:中国中医药出版社,2011:328-329.
[16]阮紫娟,陈荣庄.半夏厚朴汤加减治疗慢性咽炎68例临床观察[J].国医论坛,2015,30(1):12.
[17]李用粹.证治汇补[M].太原:山西科学技术出版社,2011:10.
[18]刘志明,孙久龄,杨亚平,等.咽异感症患者有关心理生理因素调查[J].中国临床心理学杂志,2001,9(4):282-283.
[19]梁学清,李丹丹,黄忠威.茯苓药理作用研究进展[J].河南科技大学学报(医学版),2012,30(2):154.
[20]梁邦杰.胃食管反流病中医诊治规律探讨[D].南京:南京中医药大学,2012.
[21]杨莉,田理.“内经”对喉痹与脏腑关系的认识[J].杏林中医药,2010,30(9):819-820.
[2]马晓娟,殷惠军,陈可冀.血瘀证与炎症相关性的研究进展[J].中国中西医结合杂志,2007,27(7):669-670.
[3]王阶,姚魁武.血瘀证证候实质研究进展与思考[J].中国医药学报,2003,18(8):490-492.
[4]王清任.医林改错[M].北京:中国中医药出版社,1995:5-19.
[5]左加成,于娜,赵丹丹,等.高思华教授血府逐瘀汤治验4则[J].世界中医药,2016,11(7):1296-1298.
[6]伊庆岩,刘顺语,沈红.廉泉三穴治疗慢性咽炎急性发作的疗效观察[J].新疆中医药,2010,28(4):46-80.
[7]潘万雄.血府逐瘀汤临床新用[J].中国中医急症,2011,20(3):505.
[8]刘延青,张玲玲,秦冬颖.血府逐瘀汤临证验案4则[J].河北中医,2016,38(12):1849-1851.
[9]仝小林.维新医集[M].上海:上海科学技术出版社,2016:54.
[10]李方,钟兴美,王玎,等.升阳散火汤用于郁热证的临床观察[J].四川中医,2010,28(6):121-122.
[11]张煜鑫,王庆国.旋覆代赭汤合半夏厚朴汤治疗胃食管反流病痰湿内阻证的临床研究[J].中医药导报,2015,21(7):49-51.
[12]周炬.加减半夏厚朴汤治疗胃食管反流性咽异感症的价值[J].医学前沿,2017,7(7):58-59.
[13]陈晓梅.知柏地黄丸合黄氏响声丸治疗慢性咽炎[J].现代中西医结合杂志,2008,17(15):2346-2347.
[14]李颖.以咽异感征为主要表现的反流性食管炎的诊治体会[J].中国现代药物应用,2014,8(18):11-12.
[15]王新佩.金匮要略[M].北京:中国中医药出版社,2011:328-329.
[16]阮紫娟,陈荣庄.半夏厚朴汤加减治疗慢性咽炎68例临床观察[J].国医论坛,2015,30(1):12.
[17]李用粹.证治汇补[M].太原:山西科学技术出版社,2011:10.
[18]刘志明,孙久龄,杨亚平,等.咽异感症患者有关心理生理因素调查[J].中国临床心理学杂志,2001,9(4):282-283.
[19]梁学清,李丹丹,黄忠威.茯苓药理作用研究进展[J].河南科技大学学报(医学版),2012,30(2):154.
[20]梁邦杰.胃食管反流病中医诊治规律探讨[D].南京:南京中医药大学,2012.
[21]杨莉,田理.“内经”对喉痹与脏腑关系的认识[J].杏林中医药,2010,30(9):819-820.