Fragrant sand stomach soup plus minus reduce chronic pharyngitis
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1.Department of Otorhinolaryngology, Affiliated Hospital of Jiangxi University of Chinese Medicine,NanChang 330006
2.Xinyu City Hospital of Chinese Medicine, Xinyu 338000
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DENG Chengcheng, DENG Yuqiao. Fragrant sand stomach soup plus minus reduce chronic pharyngitis[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43054031&Fpath=home&index=0
病史摘要,2,患者钟某,男性,44岁。初诊时间:2022年7月6日。主诉咽部异物感3月,加重2天。患者自诉3月前无明显诱因出现咽部异物感,无明显咽痛,无吞咽困难,初期未行系统治疗,自行购买利咽药物服用,症状稍缓解,但反复发作。2天前,患者诉咽部异物感加重,伴咽干、咽痒,咯痰不爽,痰多、色白、质黏稠,乏力,腹胀、纳呆,寐欠佳,大便溏薄,小便正常。舌稍红,苔白厚腻,脉细滑。查体:咽部粘膜稍红,咽后壁淋巴滤泡增生。双侧扁桃体Ⅰ°肿大。中医诊断:慢喉痹 (脾虚湿困证)。中医治法:健脾温中、升清降浊。西医诊断:慢性咽炎。中药处方:香砂养胃汤加减。疗效转归:治疗14天后,患者咽部异物感消失。中医诊断 慢喉痹(脾虚湿困证)西医诊断 慢性咽炎干预措施 中药予口服香砂养胃汤加减,中医外治法予针刺、咽部针刀刺营疗法及耳穴压豆。疗效转归 患者属脾虚湿困型慢性咽炎,予香砂养胃汤加减联合针刀刺营治疗。服药7天后,患者舌苔发生明显变化,由厚腻苔转为稍厚苔,咽部异物感明显缓解。继服7天,患者咽部不适感消失,舌象正常。嘱患者继服香砂养胃丸2盒,以巩固疗效。避风寒,慎起居,调饮食。本案患者通过辨证论治,口服中药联合针刀刺营治疗,得以痊愈。
Summary of case history, Male patient named Zhong, 44 years old, came to see the doctor on July 6,2022. Complaint of pharyngeal foreign body sensation in March and aggravated for 2 days. Before 3 months ago, the patient had no obvious inducement of pharyngeal foreign body sensation, no obvious sore throat, and no dysphagia. There was no systematic treatment in the initial stage, and he bought the pharyngeal drugs by himself, and the symptoms were slightly relieved, but repeated attacks. Two days ago, the patient complained of aggravated foreign body sensation in the pharynx, accompanied by dry pharynx itching, uncomfortable phlegm, more phlegm, white color, thick mass, fatigue, abdominal distension, fatigue, poor sleep, thin stool, and normal urine. The tongue is red slightly, white moss thick and greasy, smooth pulse. Physical examination: pharynx mucosa is slightly red, posterior pharyngeal wall lymphatic follicular hyperplasia. Bilateral tonsil I° was enlarged. Chinese medicine diagnosis: slow throat bi (spleen deficiency and dampness sleepiness syndrome). Chinese medicine treatment: spleen temperature, rise clear and reduce turbidity. Western medicine diagnosis: chronic pharyngitis. Chinese medicine prescription: fragrant sand nourishing stomach soup. Efficacy: after 14 days of treatment, the foreign body sensation in the pharynx disappeared.,TCM diagnosis, Chronic laryngalgia Syndrome of dampness stagnancy due to spleen deficiency,Western medicine diagnosis, Chronic pharyngitis,Therapeutic methods, Chinese medicine of Xiang Sha Yang Wei Wan, Chinese medicine external treatment to acupuncture, pharyngeal acupuncture bayonet therapy and ear point pressure beans.,Clinical outcomes, The patient was was treated with Xiang Sha Yang Wei Wancombined with needle bayonet. After 7 days of medication, the patient's tongue moss changed significantly, changing from thick and greasy moss to slightly thick moss, and the foreign body sensation in the pharynx improved significantly. After 7 days, the patient's foreign body sensation in the pharynx basically disappeared, and the tongue image was basically normal. Ask the patient to take 2 boxes of Xiang Sha Yang Wei Wanto consolidate the curative effect. Avoid wind and cold, careful daily living, flirting, light diet. In this case, the patient was cured by syndrome differentiation, oral Chinese medicine combined with acupuncture and bayonet therapy.
慢性咽炎脾虚湿困证香砂养胃汤
Chronic pharyngitis(syndrome of dampness stagnancy due to spleen deficiency)Xiangsha Yangwei Decoction
杨淑荣,黄嘉莉,谢强.旴医谢氏"喉针"治疗咽喉嗓音疾病经验[J].中国中西医结合耳鼻咽喉科杂志,2019,27(4):310-313.DOI:10.16542/j.cnki.issn.1007-4856.2019.04.021http://dx.doi.org/10.16542/j.cnki.issn.1007-4856.2019.04.021.
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