从气机升降论治咽喉反流性疾病
Treatment of Laryngopharyngeal Reflux Disease from the Perspective of Ascending and Descending of Qi
尚奕晗 1张燕平 2杨荣刚 2何路坪 1徐露1
作者信息
- 1. 贵州中医药大学研究生院,贵州省贵阳市南明区市东路50号,550002
- 2. 贵州中医药大学第二附属医院
- 折叠
摘要
基于气机升降论治咽喉反流性疾病.认为中焦气机升降失调是咽喉反流性疾病发生的病机关键,肝肺升降逆乱是其迁延与进展的重要因素.治疗当顺脾胃之性,以健运脾胃为主,兼以疏肝宣肺;用药以苍术、茯苓、薏苡仁、葛根、山药等健运中土,以柴胡、木香、枳壳、白芍等疏肝养血以协调升降,辅以桔梗、旋覆花宣降肺气以斡旋中焦.如此以复脾胃气机,协调肝肺升降,则病向愈.
Abstract
This article explored the treatment of laryngopharyngeal reflux disease(LPRD)from the perspective of ascending and descending of qi.It is believed that the disorder of qi movement of the middle jiao(焦)is the key to the pathogenesis of LPRD.The ascending and descending disorder of liver and lung is an important factor in its prolon-gation and progression.The treatment of LPRD should follow the nature of the spleen and stomach,with the focus on fortifying and transporting the spleen and the stomach,supplemented by soothing the liver and diffusing the lung.The herbs such as Cangzhu(Rhizoma Atractylodis),Fuling(Poria),Yiyiren(Semen Coicis),Gegen(Radix Puerariae Lobatae)and Shanyao(Rhizoma Dioscoreae)could be used for fortifying and circuiting the center earth,and Chaihu(Radix Bupleuri),Muxiang(Radix Aucklandiae),Zhiqiao(Fructus Aurantii)and Baishao(Radix Paeoniae Alba)for soothing the liver and nourishing the blood to harmonize the ascending and descending.Jiegeng(Radix Platycodonis)and Xuanfuhua(Japanese Inula Flower)are supplemented to diffuse and direct lung qi downward thereby mediating the center jiao.In this way,the qi movement of the spleen and stomach is restored,and the ascending and descending between the liver and lung are harmonized,and therefore the disease is cureda.
关键词
咽喉反流性疾病/气机/脾胃/疏肝/宣肺Key words
laryngopharyngeal reflux disease/qi movement/spleen and stomach/soothing the liver/diffusing the lung引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据