何若苹辨治灼口综合征经验探析  

The Clinical Experience of Professor HE Ruoping in the Syndrome Differentiation and Treatment of Burning Mouth Syndrome

作　　者：周光毅 林志豪 韩诗筠 黄硕 何若苹(指导)[2] ZHOU Guangyi;LIN Zhihao;HAN Shijun(Third Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou,310053,China)

机构地区：[1]浙江中医药大学第三临床医学院,杭州310053 [2]浙江中医药大学附属第三医院

出　　处：《浙江中医药大学学报》2020年第11期1074-1077,共4页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]探讨何若苹教授治疗灼口综合征的临床经验。[方法]通过随师侍诊,收集整理和记录分析何教授治疗灼口综合征的医案,分析何教授治疗灼口综合征的辨治思路,阐述何教授对该病病因病机的认识,详细论证其辨证分型,并举验案加以分析。[结果]何教授认为灼口综合征病机为肝肾亏虚、阴虚火旺,湿郁化火、熏蒸于口,气滞血瘀、瘀血阻络,通过舌诊将灼口综合征分为肝肾亏虚、湿热内蕴、气滞血瘀3个证型,以滋阴降火、清热化湿、活血化瘀之法治之,分别予六味地黄丸、甘露消毒丹、血府逐瘀汤施治,并随症加减。所举验案,何教授辨为肝肾亏虚、气阴两虚和气滞血瘀、瘀血阻络之证,分别治以滋补肝肾、益气养阴,理气活血、化瘀止痛,以六味地黄丸合黄芪生脉散、血府逐瘀汤加减治疗,获得良好疗效。[结论]何若苹教授治疗灼口综合征以辨舌为主,对灼口综合征的病因病机、辨证分型及治法方药见解独到,在辨证的基础上灵活遣方,对改善患者的临床症状、提高患者的生活质量,效果明显,值得学习与推广。[Objective]To discuss Professor HE Ruoping's experience in treating burning mouth syndrome.[Methods]Through following the teacher in clinical work,collecting and sorting the cases of burning mouth syndrome treated by Professor HE,it analyzes the thinking of syndrome differentiation and treatment of the burning mouth syndrome,expounds Professor HE's understanding of etiology and pathogenesis and demonstrates the syndrome differentiation detailedly,and the characteristics of the treatment was further explained through case analysis.[Results]Professor HE Ruoping proposes that treating burning mouth syndrome must pay attention to discrimination of tongue,the pathogenesis is deficiency of the kidney and liver,fire excess from Yin deficiency;stagnated dampness turns into fire,fumigating in the mouth;Qi stagnation and blood stasis,blood stasis obstructing the collaterals.Through tongue diagnosis,burning mouth syndrome is divided into three syndromes,the syndromes are deficiency of the kidney and liver,damp-heat accumulation,Qi stagnation and blood stasis,methods of nourishing Yin and reducing fire,clearing away heat and removing dampness,promoting blood circulation and removing blood stasis are applied respectively with Liuwei Dihuang pills,Ganlu Xiaodu pill,Xuefu Zhuyu decoction.At the sametime,Professor HE always changes the pescription according to the symptoms.The cited cases were identified as deficiency of the kidney and liver,deficiency of Qi and Yin,Qi stagnation and blood stasis,blood stasis obstructing the collaterals.After treated with modified Liuwei Dihuang pills and Huangqi Shengmai powder,Xuefu Zhuyu decoction,according to the rules of nourishing the kidney and liver,tonifying Qi and Yin,regulating Qi and promoting blood circulation,removing blood stasis and relieving pain,the patients achieved good results.[Conclusion]Professor HE Ruoping pays attention to discrimination of tongue,has unique opinions of etiology and pathogenesis,syndrome differentiation,treatment methods and pescriptions.It has obvious e

关 键 词：灼口综合征 何若苹 舌痹 舌灼痛 辨舌 验案 辨证论治 名医经验 

分 类 号：R276[医药卫生—中医五官科学]