首页|基于"血实宜决之"应用咽部刺营治疗慢性咽炎探析

基于"血实宜决之"应用咽部刺营治疗慢性咽炎探析

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慢性咽炎是耳鼻喉科常见疾病,临床发病率高,其病因复杂,慢性感染性因素是慢性咽炎的主要病因之一。基于《黄帝内经》"血实宜决之"理论,认为邪滞咽喉、气郁痰阻、血瘀阻络、津伤络瘀是慢性咽炎的主要病机,其中"邪滞、气郁、痰阻、血瘀"是"血实"的病理基础,刺营是"决之"的治疗手段,通过针刺咽后壁淋巴滤泡、迂曲明显的浅表血管、咽侧索,使局部少量出血,可以达到"祛邪、通阳、化滞、散瘀"的目的,改善咽部症状,具有短期疗效明显,长期疗效稳定,操作简便,安全性高的特点。其作用机制可能是通过咽部针刺放血后改善咽部局部微循环,促进炎症吸收,调节免疫功能及咽部神经生理有关。对咽部刺营作用机制的探析,以期为临床治疗慢性咽炎提供新的思路和方法。
Exploration on Application of Pharyngeal Bloodletting Therapy for Chronic Pharyngitis Based on Theory of"Blood Stasis Treated by Bloodletting Method"
Chronic pharyngitis is a common disease in otorhinolaryngology.Its clinical incidence rate is high,and its etiology is complex.Chronic infectious factors are one of the main causes of chronic pharyngitis.This article is based on the theory that"blood stasis should be treated by bloodletting method"in Yellow Emperors Internal Classic.It is believed that the main patho-genesis of chronic pharyngitis is the stagnation of pathogenic factors in the throat,Qi stagnation and phlegm obstruction,blood sta-sis obstructing the collaterals and blood stasis damaging the collaterals.Among them,"pathogenic factors,Qi stagnation,phlegm obstruction and blood stasis"are the pathological basis of"blood stasis",and acupuncture is the treatment method of"bloodlet-ting".By acupuncture of lymphatic follicles,convoluted superficial blood vessels,and lateral pharyngeal cords in the posterior pharyngeal wall,a small amount of local bleeding is caused.It can achieve the goal of"dispelling pathogenic factors,clearing Yang,resolving stagnation and dispersing blood stasis",improve pharyngeal symptoms,and has the characteristics of obvious short-term efficacy,stable long-term efficacy,simple operation and high safety.Its mechanism of action may be related to im-proving local microcirculation in the pharynx,promoting inflammation absorption,regulating immune function and pharyngeal neu-rophysiology through acupuncture and bleeding.It explored the mechanism of pharyngeal stimulation in order to provide new ideas and methods for clinical treatment of chronic pharyngitis.

chronic pharyngitisblood deficiency treated by bloodletting methodacupuncturebloodletting therapy

曲中源、石磊、冷辉、孙海波

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辽宁中医药大学附属医院,辽宁沈阳 110032

慢性咽炎 血实宜决之 针刺 放血疗法

全国名老中医药专家传承工作室建设项目国家中医药局全国老中医药专家学术经验继承工作项目(第七批)沈阳市科技计划公共卫生研发专项

国中医药办人教函[2022]75号国中医药办人教函[2021]272号22-321-34-02

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(6)
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