Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (5): 74-79.doi: 10.6040/j.issn.1673-3770.0.2022.330

• Original Article • Previous Articles     Next Articles

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

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

CLC Number: 

  • R256.4
[1] 刘蓬. 中医耳鼻咽喉科学[M]. 4版. 北京: 中国中医药出版社, 2016: 134-135
[2] 周星宇, 宋秋莹, 韩梅. 散结开音法治疗喉喑血瘀痰凝证的临床研究[J]. 中医眼耳鼻喉杂志, 2021, 11(4): 188-190. doi:10.3969/j.issn.1674-9006.2021.04.003 ZHOU Xingyu, SONG Qiuying, HAN Mei. Clinical study on the treatment of phlegm with phlegm and blood stasis by Sanjie opening sound method[J]. Journal of Chinese Ophthalmology and Otorhinolaryngology, 2021, 11(4): 188-190. doi:10.3969/j.issn.1674-9006.2021.04.003
[3] 苏丽君, 何伟平. 基于“三部六病学说”之协调疗法探讨慢喉喑治疗思路[J]. 河北中医, 2022, 44(3): 501-504, 508. doi: 10.3969/j.issn.1002-2619.2022.03.032
[4] 黄选兆, 汪吉宝, 孔维佳. 实用耳鼻咽喉头颈外科学[M]. 北京, 人民卫生出版社, 2007:399-400
[5] 李迎春, 谢强, 黄晓萍, 等. 论治喑取阳明[J]. 广州中医药大学学报, 2016, 33(4): 592-594. doi:10.13359/j.cnki.gzxbtcm.2016.04.034
[6] 崔玉容, 国嵩, 刘倩, 等. 基于“滞、郁、瘀、虚”疾病观论治胃食管反流病[J]. 中国中西医结合消化杂志, 2022, 30(3):236-239. doi: 10.3969/j.issn.1671-038X.2022.03.12 CUI Yurong, GUO Song, LIU Qian, et al. Treatment of gastroesophageal reflux disease based on "Stagnation, Depression, Stasis and Deficiency theory"[J]. Chin J Integr Tradit West Med Dig, 2022, 30(3): 236-238. doi: 10.3969/j.issn.1671-038X.2022.03.12
[7] 尚艳华, 梅祥胜, 王冰, 等. 金津、玉液点刺放血结合发声矫治法治疗癔症性失音12例[J]. 中国中西医结合耳鼻咽喉科杂志, 2021, 29(4): 283-286. doi: 10.16542/j.cnki.issn.1007-4856.2021.04.011 SHANG Yanhua, MEI Xiangsheng, WANG Bing, et al. Jin Jin and Yu Ye puncturing and bloodletting combined with Voice Therapy for the treatment of 12 cases of hysterical aphasia[J]. Chinese Journal of Otorhinolaryngology in Integrative Medicine, 2021, 29(4): 283-286. doi: 10.16542/j.cnki.issn.1007-4856.2021.04.011
[8] 张雪, 布赫. 癔症性喉喑案[J]. 中国针灸, 2015, 35(5): 487-488. doi:10.13703/j.0255-2930.2015.05.021
[9] 王士贞. 中医耳鼻咽喉科学[M]. 北京: 中国中医药出版社, 2003: 177
[10] 严道南. 干祖望对喉炎的临证思辨方法: 干祖望验案赏析之二[J]. 江苏中医药, 2009, 41(3): 5-7. doi:10.3969/j.issn.1672-397X.2009.03.004 YAN Daonan. Gan Zuwang's clinical experience in differential diagnosis and treatment of laryngitis[J]. Jiangsu Journal of Traditional Chinese Medicine, 2009, 41(3): 5-7. doi:10.3969/j.issn.1672-397X.2009.03.004
[11] 李洋, 谯凤英. 谯凤英应用逍遥散验案举隅[J]. 中国民间疗法, 2021, 29(10): 108-109. doi:10.19621/j.cnki.11-3555/r.2021.1042
[12] 陈琪, 陈小宁. 陈小宁治疗声带白斑经验探析[J]. 山东中医杂志, 2021, 40(5): 511-514. doi:10.16295/j.cnki.0257-358x.2021.05.013 CHEN Qi, CHEN Xiaoning. Experience of CHEN xiaoning in treating vocal cord leukoplakia[J]. Shandong Journal of Traditional Chinese Medicine, 2021, 40(5): 511-514. doi:10.16295/j.cnki.0257-358x.2021.05.013
[13] 宋济, 唐旭霞, 李斌, 等. 谢强辨治嗓音病之“声涩”[J]. 成都中医药大学学报, 2021, 44(1): 55-57. doi:10.13593/j.cnki.51-1501/r.2021.01.055 SONG Ji, TANG Xuxia, LI Bin, et al. Analysis of Xie qiang's diagnosis and treatment of voice disease[J]. Journal of Chengdu University of Traditional Chinese Medicine, 2021, 44(1): 55-57. doi:10.13593/j.cnki.51-1501/r.2021.01.055
[14] 胡启煜, 谢强, 黄冰林. 旴江谢氏喉针喉药治疗梅核气顽症的临证经验[J]. 江西中医药大学学报, 2020, 32(6): 14-16 HU Qiyu, XIE Qiang, HUANG Binglin. Clinical experience of treating meiheqi obstinate disease with xujiang XIE's laryngeal acupuncture and laryngeal medicine[J]. Journal of Jiangxi University of Traditional Chinese Medicine, 2020, 32(6): 14-16
[15] 沈敏, 屈季宁, 姜义道. 客观嗓音分析比较CO2激光术与传统剥脱术治疗声带白斑患者的疗效[J]. 山东大学耳鼻喉眼学报, 2020, 34(1): 67-71. doi: 10.6040/j.issn.1673-3770.0.2019.349 SHEN Min, QU Jining, JIANG Yidao. Evaluation the efficacy of a CO2 laser and traditional exfoliation in the treatment of vocal cord leukoplakia by using objective voice analysis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 67-71. doi: 10.6040/j.issn.1673-3770.0.2019.349
[16] Isenberg JS, Crozier DL, Dailey SH. Institutional and comprehensive review of laryngeal leukoplakia[J]. Ann Otol Rhinol Laryngol, 2008, 117(1): 74-79. doi:10.1177/000348940811700114
[17] Park JC, Altman KW, Prasad VMN, et al. Laryngeal leukoplakia: state of the art review[J]. Otolaryngol Head Neck Surg, 2021, 164(6): 1153-1159. doi:10.1177/0194599820965910
[18] 王刚, 吴玮, 王磊, 等. Ryan指数与反流症状指数量表、反流体征量表在咽喉反流性疾病诊断中的相关性分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 48-52. doi: 10.6040/j.issn.1673-3770.0.2017.507 WANG Gang, WU Wei, WANG Lei, et al. Correlation analysis between Ryan index and reflux symptom index and reflux finding score, in the diagnosis of laryngopharyngeal reflux diseases[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(4): 48-52. doi: 10.6040/j.issn.1673-3770.0.2017.507
[19] Sidhwa F, Moore A, Alligood E, et al. Diagnosis and Treatment of the Extraesophageal Manifestations of Gastroesophageal Reflux Disease[J]. Ann Surg, 2017, 265(1): 63-67. doi: 10.1097/SLA.0000000000001907
[20] 张方, 胡雄杰. 艾司西酞普兰联合埃索美拉唑肠溶片治疗伴焦虑(抑郁)咽喉反流患者的临床分析[J]. 中国中西医结合耳鼻咽喉科杂志, 2022, 30(3): 206-210, 201. doi:10.16542/j.cnki.issn.1007-4856.2022.03.011 ZHANG Fang, HU Xiongjie. Analysis of curative effect of Escitalopram combined with Nexium enteric-coated tablets in treatment of laryngopharyngeal reflux with anxiety and depression[J]. Chinese Journal of Otorhinolaryngology in Integrative Medicine, 2022, 30(3): 206-210, 201. doi:10.16542/j.cnki.issn.1007-4856.2022.03.011
[21] 吴彩达, 陈小宁. 从脾论治慢喉喑的临床经验[J]. 环球中医药, 2018, 11(6): 898-900. doi:10.3969/j.issn.1674-1749.2018.06.029
[22] 赵晶晶, 陈小宁. 山萸肉治疗慢喉喑的理论探索[J]. 中国中西医结合耳鼻咽喉科杂志, 2014, 22(1): 59-60. doi:10.3969/j.issn.1007-4856.2014.01.023
[23] 李莹, 余亚斌, 陈旭辉, 等. 针灸治疗慢喉喑研究进展[J]. 中国中医药现代远程教育, 2016, 14(3): 138-141. doi:10.3969/j.issn.1672-2779.2016.03.065 LI Ying, YU Yabin, CHEN Xuhui, et al. Research progress of acupuncture and moxibustion in the treatment of chronic hoarseness[J]. Chinese Medicine Modern Distance Education of China, 2016, 14(3): 138-141. doi:10.3969/j.issn.1672-2779.2016.03.065
[24] 项秀英, 刘海媚, 邱宝珊. 邱宝珊健脾化痰祛瘀治疗慢喉喑经验[J]. 广州中医药大学学报, 2020, 37(3): 556-561. doi:10.13359/j.cnki.gzxbtcm.2020.03.033 XIANG Xiuying, LIU Haimei, QIU Baoshan. Experience of QIU Bao-Shan in treating chronic aphonia by therapy of invigorating spleen, resolving phlegm and eliminating stasis[J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2020, 37(3): 556-561. doi:10.13359/j.cnki.gzxbtcm.2020.03.033
[25] 薛明, 程宇晟, 黄俊珺. 会厌逐瘀汤加减对声带良性肿物术后嗓音恢复的研究[J]. 中国中西医结合耳鼻咽喉科杂志, 2019, 27(4): 279-281, 288. doi:10.16542/j.cnki.issn.1007-4856.2019.04.010 XUE Ming, CHENG Yusheng, HUANG Junjun. Research on voice recovery after vocal cord benign tumor operation with Hui Yan Zhu yu decoction[J]. Chinese Journal of Otorhinolaryngology in Integrative Medicine, 2019, 27(4): 279-281, 288. doi:10.16542/j.cnki.issn.1007-4856.2019.04.010
[1] XU Dongjiao, TIAN Xiufen. 232 children with congenital pyriform sinus fistula treated by endoscopic radiofrequency ablation [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 56-62.
[2] SHAO Na, ZHANG Qingqing, LIU Xiaohong, XIE Meng, GUO Ruixin, MA Sijing, LIU Haiqin, REN Xiaoyong, LUO Huanan. Effects of Helicobacter pylori infection on salivary pepsin concentration in patients with symptomatic laryngopharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 89-95.
[3] QIN Ming, SUN Zhanwei, WANG Weiwei, LI Shichao, WU Tianyi, WANG Guangke. Efficacy of alkaline isotonic saline in laryngopharyngeal reflux symptom-positive or finding score-positive patients with chronic rhinosinusitis following endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 147-153.
[4] ZENG Xianting, WANG Guangke, SUN Zhanwei, WU Tianyi, LI Shichao, WANG Weiwei. Postoperative efficacy of proton pump inhibitor in the treatment of difficult-to-treat rhinosinusitis with laryngopharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 189-194.
[5] NIU Zijie, XIAO Yang,WANG Jun,MA Lijinng. Progress in the surgical treatment of recurrent laryngeal papillomatosis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 96-100.
[6] CHENG Liyu, XU Wen. Clinical characteristics of functional dysphonia secondary to inadequate voice rest [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(3): 10-13.
[7] WU Dipanpan, CUI Xinhua, GUO Ying, GENG Bo, GAO Fangfang, LIANG Hui. Narrow band imaging might contribute to the diagnosis of laryngopharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(3): 31-36.
[8] PU Yadi, LI Yuanbin. Endogenous endophthalmitis associated with Klebsiella pneumoniae pyogenic liver abscess: a report of 31 cases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 95-98.
[9] SUN Zhezhe, WU Wwei, WANG Gang. Utility of intraluminal pH monitoring in reflux diseases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 90-94.
[10] Lei WANG,Gang WANG,Wei WU,Hongdan LIU,Bingxin XU,Xin LI,Haolun HAN,Baowei LI,Ruiying DING,Lianyong LI. Simultaneous Dx-pH monitoring of the oropharynx and esophagus for laryngopharyngeal reflux disease research [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 101-106.
[11] Yongyao LANG,Yun YANG,Qing LIU,Lindi XU,Ziping LIN. Analysis of influencing factors and observation of therapeutic effects in patients with laryngopharyngeal reflux disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 119-123.
[12] HU An, XING Yanli, CHEN Xiaoping, XUE Xiaocheng, ZHANG Yi, XU Weihua. Treatment of coexisting obstructive sleep apnea and laryngopharyngeal reflux disease and analysis of its characteristic reflux symptom index and reflux finding score [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 86-89.
[13] TAO Yanli, YUAN Tiejun. Diagnostic value of detection of pepsin in the saliva for laryngopharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 52-55.
[14] WANG Gang, WU Wei, WANG Lei, LIU Hongdan, XU Xiaohang, XU Bingxin, DING Ruiying, ZHOU Ying, HAN Haolun, GONG Jing,LI Baowei, SUN Zhezhe. Correlation analysis between Ryan index and reflux symptom index and reflux finding score, in the diagnosis of [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 48-52.
[15] LI Ping. The traditional Chinese understanding and treatment on laryngopharyngeal reflux. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 103-105.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!