基于“痰瘀互结”理论辨治喉瘤验案一则
Differentiation and Treatment of Laryngeal Tumor Based on the Theory of Phlegm and Blood Stasis: A Case Report
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1.上海中医药大学附属曙光医院耳鼻喉科,上海 201203
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滕磊, 郑昌雄. 基于“痰瘀互结”理论辨治喉瘤验案一则[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861487&Fpath=home&index=0
TENG Lei, ZHENG Changxiong. Differentiation and Treatment of Laryngeal Tumor Based on the Theory of Phlegm and Blood Stasis: A Case Report[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861487&Fpath=home&index=0
滕磊, 郑昌雄. 基于“痰瘀互结”理论辨治喉瘤验案一则[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861487&Fpath=home&index=0 DOI:
TENG Lei, ZHENG Changxiong. Differentiation and Treatment of Laryngeal Tumor Based on the Theory of Phlegm and Blood Stasis: A Case Report[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861487&Fpath=home&index=0 DOI:
病史摘要,2,患者贾某,男性,61岁。2012年1月18日因“声音嘶哑3个月,加重10天”就诊。患者3个月前无明显诱因下出现声音嘶哑,未予重视,声嘶一直没有好转。近10天患者声音嘶哑加重,故来我院就诊。四诊信息:患者精神欠佳,声音嘶哑,讲话费力,喉干,痰黏难咯,时有异物感。舌苔薄腻、舌尖红,脉弦滑。中医诊断 喉瘤(痰瘀交阻,挟有阴虚证)。西医诊断 喉白斑。干预措施 中医以化痰祛瘀,养阴利咽为法,予中药消喉斑汤化裁治疗。疗效转归 患者声音基本正常,无喉干、痰粘着感。随访3个月后复查喉镜未见复发。
Summary of case history, The patient Jia, a 61-year-old male, visited the hospital on January 18, 2012 for "hoarseness for 3 months and aggravation for 10 days". The patient began to have hoarseness without obvious inducement 3 months ago, and did not pay attention to it. The hoarseness has not improved. The hoarseness of the patient became worse in the past 10 days, so he came to our hospital for treatment. Symptoms and signs: The patient is in poor spirits, hoarse voice, laborious speech, dry throat, sticky sputum, and sometimes foreign body feeling. The tongue coating is thin and greasy, the tongue tip is red, and the pulse is stringy and smooth.,TCM diagnosis, laryngeal tumor(phlegm and blood stasis and yin deficiency).,Western medicine diagnosis, laryngeal leukoplakia.,Therapeutic methods, Traditional Chinese medicine treatment is based on resolving phlegm and removing blood stasis, nourishing yin and promoting pharynx, and is treated with Xiaohouban Decoction.,Clinical outcomes, The patient's voice is basically normal, without dry throat and phlegm adhesion. After 3 months of follow-up, no recurrence was found.
喉瘤喉白斑痰瘀互结消喉斑汤
Laryngeal tumorLeukoplakia of larynxPhlegm and blood stasisXiaohouban Decoction.TCM otolaryngology
忻耀杰, 滕磊.张氏喉科郑昌雄临证经验集[M].北京:科学出版社,2018.58.
刘阳, 岳利峰, 李志更.痰瘀互结证的病因探讨[J].湖北中医药大学学报, 2022,24(3):57-60.
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