中国中医药信息杂志2025，Vol.32Issue(7)：161-166,6.DOI:10.19879/j.cnki.1005-5304.202501057
从"土壅木郁"探讨反流性咽喉炎病机演变及分期论治
Exploration on the Pathogenesis and Treatment of Laryngopharyngeal Reflux from the Perspective of"Earth Stagnation and Wood Depression"
摘要
Abstract
The occurrence and development of laryngopharyngeal reflux(LPR)are closely related to the changes in the qi movement of the spleen,stomach,liver and lungs.The authors believed that"earth stagnation and wood depression"is the key to the onset of LPR.Based on this,the disease could be treated in three stages.In the early stage,the main symptoms are spleen clearing but not rising,difficulty in reducing gastric turbidity and abnormal rise and fall.Treatment should focus on regulating the spleen and stomach,promoting clearing and reducing turbidity,and commonly using modified Liujunzi Decoction;at the beginning of the middle stage,the main symptoms are earth stagnation,stagnation of qi and reflux of the throat.The treatment is suitable for using herbs clearing wood and promoting earth,regulating qi movement,and commonly using Sini Powder combined with modified Banxia Houpo Decoction or Chaihu Shugan Powder;at the end of the middle stage,the main treatment methods are wood stagnation turning into fire,horizontal rebellion invading the earth and upper inflammation punishing the metal.The treatment is suitable for using herbs acid in flavour for dispersing and herbs bitter in flavour foe descending,clearing the liver and stomach,and commonly using modified Banxia Xiexin Decoction and Zuojin Pills;in the later stage,the main symptoms are spleen and stomach deficiency,failure of earth to produce gold and failure of gold to break through without making a sound.The treatment is suitable for using herbs cultivating earth to produce gold,nourishing the throat and benefiting the throat,and commonly using modified Maimendong Decoction or Shenling Baizhu Powder,in order to provide theoretical basis for the treatment of LPR with TCM,broaden the thinking of diagnosis and treatment,and better improve clinical efficacy.关键词
土壅木郁/反流性咽喉炎/病机演变/分期论治/中医药Key words
earth stagnation and wood depression/laryngopharyngeal reflux/pathogenesis evolution/staging treatment/traditional Chinese medicine分类
医药卫生引用本文复制引用
刘卓颖,鲜馨蕾,刘昱辛,徐春英..从"土壅木郁"探讨反流性咽喉炎病机演变及分期论治[J].中国中医药信息杂志,2025,32(7):161-166,6.基金项目
中国中医科学院科技创新工程(CI2021A02701) （CI2021A02701）
中国中医科学院西苑医院名老中医经验传承研究专项(XYZX0101-34) （XYZX0101-34）
