山东大学耳鼻喉眼学报 ›› 2023, Vol. 37 ›› Issue (5): 74-79.doi: 10.6040/j.issn.1673-3770.0.2022.330

• 论著 • 上一篇    下一篇

基于肝的生理功能探讨喉喑病治疗思路

周晓庆1,闫亚杰2,3,李迎春2,3   

  1. 1.广州中医药大学 第一临床医学院, 广东 广州 510000;
    2.广州中医药大学第一附属医院耳鼻咽喉头颈外科, 广东 广州 510405;
    3.广东省中医临床研究院岭南耳鼻喉病研究所, 广东 广州 510405
  • 发布日期:2023-10-13
  • 通讯作者: 李迎春. E-mail:doctorlyc@126.com
  • 基金资助:
    广东省基础与应用基础研究基金项目(2021A1515110446);广州市科技基础与应用基础研究项目(202201011211)

Treatment of hoarseness based on physiological function of the liver

ZHOU Xiaoqing1, YAN Yajie2,3, LI Yingchun2,3   

  1. 1. The First Clinical College of Guangzhou University of Chinese Medicine, Guangzhou 510000, Guangdong, China2. Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China3. Lingnan Institute of Otolaryngology, Guangdong Clinical Research Academy of Chinese Medicine, Guangzhou 510405, Guangdong, China
  • Published:2023-10-13

摘要: 目的 探讨从肝论治喉喑的思路。 方法 从肝与喉的生理、病理的相关性进行分析,通过2例典型病案归纳总结。 结果 临床上,“喉喑从肝论治”主要从肝火上炎证、气滞血瘀证、肝火犯肺证、肝郁脾虚证、肝胃不和证、肝肾阴虚证进行辨证论治,随证加减,获得良好疗效。 结论 喉喑是耳鼻喉科常见病、多发病,历代医家多从肺、脾、肾论治。而临床上,纵观喉喑发病及症状特点,其与肝关系亦十分密切。

关键词: 喉喑, 肝, 从肝论治, 声带白斑, 喉咽反流

Abstract: Objective To investigate the idea of treating hoarseness by targeting the liver. Methods To analyze the correlation between the physiological and pathological of the liver and throat, and summarize through 2 typical medical records. Results The clinical treatment of hoarseness via the liver is mainly based on the evidence of the effects on liver fire flaming, Qi stagnation and blood stasis, liver fire attacking the lung, liver-Qi stagnation with spleen-Qi deficiency, liver-stomach disharmony, and liver-kidney Yin deficiency on symptoms. Conclusion Hoarseness is a common and frequent symptom of Otorhinolaryngology-associated diseases; it has been treated by targeting the lung, spleen, and kidney for many generations. In clinical practice, hoarseness onset and symptoms are closely related to liver function.

Key words: Hoarseness, Liver, Treated from the liver, Vocal fold leukoplakia, Laryngopharyngeal reflux

中图分类号: 

  • R256.4
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