温里散寒方药治疗咽喉肿痛的咽喉局部适应证探究  

Study on the Symptoms of the Throat Treated in an Interior-warming Way

作　　者：刘靖薇 管桦桦[2] 欧阳惠欣 张晓轩[2] 黄臻[3] 老膺荣[2] 

机构地区：[1]广州中医药大学,广东广州510405 [2]广东省中医院,广东广州510120 [3]广东省中医院芳村分院中医经典临床应用研究基地,广东广州510370

出　　处：《中国中医急症》2016年第7期1285-1287,共3页Journal of Emergency in Traditional Chinese Medicine

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)

摘　　要：目的归纳与分析温里散寒方药治疗咽痛的咽喉局部适应证。方法以《中华医典(光盘版)》为工具,以"喉痹""乳蛾""咽痛""咽喉肿痛""咽疼""咽喉疼痛"为检索词,收集符合主题的内容并对纳入原文进行信息提取与半结构化处理,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。结果共纳入231条原文;理中汤,四逆汤等为常用方剂,附子,吴茱萸,肉桂等为常用药物;咽喉肿势具有局部无肿大,轻度肿大和明显肿大等3种情况;颜色有淡红和淡白2种情况;减轻的时间常为"日轻";加重的时间常为"午前尤甚"。结论温里散寒方药适用于以"不肿不赤"为咽喉局部特点的咽痛患者;"日轻""午前尤甚"的减轻和加重时间段或可作为此类方药应用的参考;扁桃体明显肿大的咽痛也不全是温里散寒方药的绝对禁忌证。Objective： To summarize the symptoms of the throat treated in an interior-warming way. Methods： Chinese Canon of Medicine （Disc） was used as a tool and search key words as follows： pharyngitis ,tonsillitis, sore throat. After collecting related items,the information was distilled and semi-structured form was performed. Then a database was established,classified and concluded with analytical-decriptive method and descriptive statistics. Results： 231 items were included;Lizhong Decoction and Sini Decoction were common prescriptions. Monks- hood,evodia rutaecarpa,cinnamon were common traditional Chinese medicine. The swelling of throat was graded into three degrees ： no swelling, mild swelling and obvious swelling. There were two colors of throat ： light red and light white. The pain would be reduced in the daytime while it would be strengthen before noon. Conclusion： The interior-warming drugs can be applied to sore throat patients with a normal throat. The degree of pain change with time can be a reference to use this kind of treatment. It＇s not an absolute contraindication to use the treatment when the tonsils are swollen.

关 键 词：咽喉肿痛 喉痹 乳蛾 温里散寒 咽喉局部 古籍 

分 类 号：R276.1[医药卫生—中医五官科学]