| 引用本文: |
杨晓倩, 朱镇华, 邓晗薇, 马月湘, 朱娅娴, 张佳怡, 王斐, 杨伟丽.朱镇华教授辨证分型论治慢喉瘖经验[J].湖南中医药大学学报,2024,44(7):1242-1246[点击复制] |
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| 朱镇华教授辨证分型论治慢喉瘖经验 |
| 杨晓倩,朱镇华,邓晗薇,马月湘,朱娅娴,张佳怡,王斐,杨伟丽 |
| (湖南中医药大学第一中医临床学院, 湖南 长沙 410007;湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 慢喉瘖是中医耳鼻喉科临床常见病、多发病，其病因病机复杂，具有一定的反复性、难治性。朱镇华教授根据多年临床诊疗经验，认为慢喉瘖发病与肺、脾、肾三脏密切相关，将慢喉瘖主要分为气虚痰凝证、肺脾气虚证、阴虚肺热证，常用参苓白术散、补中益气汤、养阴清肺汤、六味地黄丸等方剂治疗，运用从脾论治、以形补形、形神共养、内外结合的组方策略与治疗法则，辨证分型论治，充分发挥中医药特色与优势，临床疗效显著，具有临床推广应用价值。 |
| 关键词: 慢喉瘖 从脾论治 木蝴蝶 形神共养 内外结合 朱镇华 |
| DOI：10.3969/j.issn.1674-070X.2024.07.014 |
| 投稿时间：2024-02-26 |
| 基金项目:“十四五”第一批中医药学科带头人培养项目（湘中医药〔2022〕4号）；湖南省中医药管理局第二周期湖南省中医医疗质量控制中心项目（湘中医药〔2019〕103号）；湖南省中医药管理局科研项目（B2023102）；湖南省中医药管理局科研项目（B2024067）。 |
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| Experience of Professor ZHU Zhenhua in treating chronic laryngeal aphonia based on pattern identification |
| YANG Xiaoqian, ZHU Zhenhua, DENG Hanwei, MA Yuexiang, ZHU Yaxian, ZHANG Jiayi, WANG Fei, YANG Weili |
| (The First Clinical College of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Chronic laryngeal aphonia is a common and frequently occurring disease in clinical practice of TCM otolaryngology. Its etiology and pathogenesis are complex, and it is recurrent and refractory to some extent. Based on years of clinical diagnosis and treatment experience, Professor ZHU Zhenhua believes that the onset of chronic laryngeal aphonia is closely related to the lung, spleen, and kidney. He mainly divides chronic laryngeal aphonia into three types: qi deficiency and phlegm retention pattern, lung and spleen qi deficiency pattern, and yin deficiency and lung heat pattern. He commonly uses formulas such as Shenling Baizhu Powder, Buzhong Yiqi Decoction, Yangyin Qingfei Decoction, and Liuwei Dihuang Pill for treatment. He employs the formulation strategies and treatment principles, including treating based on the spleen, treating human organs with corresponding items [treating chronic laryngeal aphonia with Muhudie (Oroxyli Semen)], simultaneously nourishing the body and mind, and integrating internal and external therapies. By adopting a strategy of treatment based on pattern identification, he fully leverages the unique features and advantages of Chinese medicine, achieving remarkable clinical efficacy and demonstrating significant value for clinical promotion and application. |
| Key words: chronic laryngeal aphonia treating based on the spleen Muhudie (Oroxyli Semen) simultaneously nourishing the body and mind integrating internal and external therapies ZHU Zhenhua |
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