从抑木扶土法辨治情志相关性喉痹
Pharyngitis Discriminated and Treated by Suppressing Wood and Supporting Soil
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1.天津中医药大学第一附属医院、国家中医临床针灸医学研究基地,天津 300381
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陶唯, 杨仕蕊, 谯凤英. 从抑木扶土法辨治情志相关性喉痹[DB/OL].(2023-05-09)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36918693&Fpath=home&index=0
TAO Wei, YANG Shirui, QIAO Fengying. Pharyngitis Discriminated and Treated by Suppressing Wood and Supporting Soil[DB/OL].(2023-05-09)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36918693&Fpath=home&index=0
陶唯, 杨仕蕊, 谯凤英. 从抑木扶土法辨治情志相关性喉痹[DB/OL].(2023-05-09)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36918693&Fpath=home&index=0 DOI:
TAO Wei, YANG Shirui, QIAO Fengying. Pharyngitis Discriminated and Treated by Suppressing Wood and Supporting Soil[DB/OL].(2023-05-09)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36918693&Fpath=home&index=0 DOI:
病史摘要,2,本案患者罹患喉痹长达两年,症状以咽部异物感、痰粘感,咽干、偶有咽痛为主,且发病及症状加重均与情绪波动有密切联系;伴易汗出,少气懒言,四肢倦怠无力,腹胀,平素思虑过重,郁郁寡欢。纳呆,寐欠安,入睡难,多梦,大便干燥,3~4日一行。中医诊断 喉痹病(肝郁脾虚证)西医诊断 慢性咽炎干预措施 谯凤英主任把握情志因素对喉痹病的影响并将其作为辨证施治的难点,治以抑木扶土法,自拟疏肝健脾利咽方,肝脾同调。疏散郁结之肝气同时,培土以健运中焦,辅以养心类药物安神定志。疗效转归 二诊时咽部异物感、咽干减轻,三诊时腹胀消失,四诊时咽痛消失、咽部异物感减轻,五诊时咽部异物感、咽干均较前明显减轻,六诊时咽部异物感、咽干基本消失。历经六诊,患者咽部异物感、痰粘感、咽干、咽痛均基本消失,情绪明显好转,全身症状亦改善,已无碍日常生活。
Summary of case history, The patient in this case suffered from pharyngitis for two years. The symptoms were mainly pharyngeal foreign body sensation, phlegm viscosity sensation, dry throat and occasional throat pain, and the onset and aggravation of the symptoms were closely related to mood fluctuations,meanwhile, accompanied by hidrosis, deficiency of vital energy and lazy words, myasthenia of limbs, abdominal distension, overthinking and depression,anorexia, slowly sleeping, dreaminess and constipation once 3~4 days.,TCM diagnosis, Pharyngitis,syndrome of stagnation of liver qi and spleen deficiency.,Western medicine diagnosis, Chronic Pharyngitis.,Therapeutic methods, Director Qiao Fengying grasped the influence of emotional factors on Pharyngitis and took it as the difficulty of syndrome differentiation, treating the soil, regulating the liver, spleen and pharynx, and coordinated the liver and spleen.,Clinical outcomes, At the second visit, the patient had reduced pharyngeal foreign body sensation and dry pharynx. At the third time, the abdominal distension disappeared. In the fourth diagnosis, the sore throat disappeared and the pharyngeal foreign body sensation was reduced. In the subsequent return visit, pharyngeal foreign body sensation and dry pharynx were significantly reduced than before. At the last diagnosis, the patient said the pharyngeal foreign body sensation and dry pharynx had basically disappeared, emotional improvement and systemic symptoms also significantly improved and her life was no longer affected.
喉痹情志致病抑木扶土法
Pharyngitisemotional diseaseTreating the method of suppressing the attributes of wood and supporting the attributes of soil
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