陈小宁治疗扁桃体周脓肿经验  

Experience by CHEN Xiaoning on Treating Peritonsillar Abscess

作　　者：吴彩达 陈小宁[1] WU Caida;Tutor： CHEN Xiaoning(Nanjing University of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学

出　　处：《山东中医杂志》2018年第9期753-754,763,共3页Shandong Journal of Traditional Chinese Medicine

摘　　要：扁桃体周脓肿是耳鼻喉科常见的疾病。陈小宁教授根据多年临床经验,结合扁桃体周脓肿发病、症状及预后特点,认为肺经蕴热、胃腑热盛,化腐成脓、气阴耗伤,余邪未清为本病的主要病机。临床分酿脓期、成脓期、溃脓期三期进行精准辨证论治。并总结了两条经验：（1）肺与大肠相表里,泻下以清肺热;（2）治重症当用重典,量小无功。Peritonsillar abscess is a common disease in the otolaryngology department. Based on years of clinical experience,and the pathogenesis,symptoms and prognosis of peritonsillar abscess,Professor Chen Xiaoping proposes that the major disease mechanism is heat accumulating in lung meridians and excessive heat in stomach leading to putrification and suppuration,consumption of qi and yin,finally lingering evil qi. This disease could be divided into 3 phases,suppuration stage,the pus-forming stage,rupture stage,to be treated with syndrome differentiation. Two practical experiences were also summarized：（1）since lung and large intestine are interiorly and exteriorly inter-related,purgation can be used to clear away the lung;（2）The severe case should be treated with heavy dose,for medicine of small dose often failed to achieve effect.

关 键 词：扁桃体周脓肿 陈小宁 辨证论治 经验 

分 类 号：R249[医药卫生—中医临床基础]