历代医家运用辛温解表方药治疗咽喉疼痛的经验研究

发布时间：2018-12-13 08:13

【摘要】：目的归纳总结古籍文献中运用辛温解表方药治疗咽喉疼痛的辨识及用药经验。方法以《中华医典(光盘版)》为工具,检索与辛温解表方药治疗咽喉疼痛有关的古籍文献原文,根据纳排标准筛选出符合要求者并从中提取相关信息,经过规范化处理后录入WPS2013建立数据库,采用内容分析法与描述性统计加以分类与归纳。结果辨识方面:采用辛温解表方药所治咽痛常具有以下特点。望诊:咽喉局部色白或紫且不甚肿大,或咽喉局部色白且扁桃体明显肿大,舌润。闻诊:暴喑(急性声音嘶哑)。问诊:有感受寒邪或服冷剂(对苦寒泻下药的统称)会加重病情的病史,常兼见恶寒(伴或不伴发热)、下利、咽喉异物感、咳嗽或口不渴等症状。切诊:脉沉、迟/缓、弱/微、细,或脉浮、弦/紧、数/疾。用药方面:常用于治疗阴证咽痛的辛温解表方药有桔梗汤、半夏散及汤、六味汤、荆防败毒散及麻黄细辛附子汤等方剂,以及细辛、荆芥、葱白、桂枝、生姜等药物。结论咽痛辨证时应关注患者发病的诱因、治疗经过、四诊特点,"恶寒、舌润、脉沉/细/弱"对辛温解表方药的使用有较强提示作用;桔梗汤、半夏散及汤等经方为各家所喜用,细辛、葱白等亦为利咽要药。
[Abstract]:Objective to summarize the identification and experience of treating pharynx and larynx pain with Xin-wen prescription in ancient literature. Methods using the Chinese Medical Code (Optical disk Edition) as a tool, the original texts related to the treatment of pharynx and throat pain with Xin-Wen prescription were searched. According to the standard of Nanopai, those who met the requirements were screened out and the relevant information was extracted from them. After standardized processing, the database is set up by WPS2013, and classified and summarized by content analysis and descriptive statistics. Results Identification: the treatment of pharynx pain with Xin-wen prescription often has the following characteristics. Diagnosis: throat local color white or purple and not very swollen, or throat local color white and tonsil obvious swelling, tongue moist. Smelling: aphasia (acute hoarseness). Inquiry: feeling cold evil or taking cold medicine (general name for bitter cold diarrhea) will aggravate the history of illness, often also see bad cold (with or without fever), lower benefits, throat foreign body sensation, cough or mouth thirst and other symptoms. Diagnosis: pulse sinking, late / slow, weak / slight, thin, or floating, string / tight, number / disease. Medication: often used in the treatment of Yin-syndromes of sore throat Xin-Wen prescription drugs such as Platycodon decoction, Banxia Powder and decoction, Liu Wei Tang, Jing Fang Bai du San and ephedra Asarum aconite decoction, as well as Asarum, Schizonepeta, scallion white, cinnamon, ginger and other drugs. Conclusion when differentiating symptoms and signs of pharynx, we should pay attention to the inducement of the onset of the disease, the course of treatment, the characteristics of four diagnoses, such as "bad cold, moist tongue, deep pulse / fine / weak", which have a strong effect on the use of Xin-Wen antitabular medicine. Platycodon grandiflorum decoction, Banxia Powder and decoction are preferred by each family, Asarum, scallion, etc.
【作者单位】：广州中医药大学;广东省中医院;
【基金】：广东省科技厅项目(2013B021800246) 广东省中医院扶阳流派传承工作室项目(2013KT1517);广东省中医院岭南中医学术流派临床研究专项(YN2014LN03);广东省中医院颜德馨膏方工作室(中医二院[2014]89号-6) 广州中医药大学第二临床医学院学生跟师中医学术流派学习活动(中医临二【2015】3号)
【分类号】：R249;R276.1

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