从本虚标实论治颈部淋巴结结核  

Exploration of treatment of cervical lymph node tuberculosis from deficiency in origin and excess in superficiality

作　　者：靳汝辉[1] 钮晓红[2] 黄子慧[2] 薛倩一[2] JIN Ru-hui;NIU Xiao-hong;HUANG Zi-hui;XUE Qian-yi(Nanjing Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Nanjing University of Chinese Medicine,Nanjing 210014,China)

机构地区：[1]南京中医药大学附属南京市中西医结合医院瘰病科,南京210014 [2]南京中医药大学附属南京市中西医结合医院,南京210014

出　　处：《中华中医药杂志》2021年第3期1457-1460,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：江苏省中医药管理局科技项目(No.YB2017042);江苏省“十二五”中医药重点学科建设项目(No.苏中医政[2013]30号);南京市中医药青年人才培养计划(No.ZYQ20050)。

摘　　要：文章回顾中医古籍有关病机理论的论述,结合流行病学证据展开分析,提出"肝郁脾肾两虚是根本,痨瘵邪毒侵淫是诱因,痰浊结块是标象"的颈部淋巴结结核病机理论新观点。倡导颈部淋巴结结核中药治疗应"化痰杀毒治其标,疏肝健脾固肾治其本",将缩短疗程、减少结核药物不良反应及降低复发率作为中医治疗的切入点。Reviewing the discussion of pathogenesis theory in ancient Chinese medicine books, combining with the analysis of epidemiological evidence, this paper put forward new ideas for pathogenesis theory of cervical lymph node tuberculous, which is ’stagnation of liver qi and deficiency of spleen and kidney are the basis, tuberculosis and toxin invasion is the inducement, while the symptoms are phlegm and turbid mass’. It is suggested that Chinese medicine treatment of cervical lymph node tuberculous should ’treat the symptoms from phlegm retention and toxin, treat the prigin from dispersing the stagnated liver-qi and invigorating the spleen and kidney’. Reducing the course of treatment, reduce the side effects of tuberculosis drugs and reduce the recurrence rate are taken as the entry point in Chinese medicine treatment.

关 键 词：颈部淋巴结结核 本虚标实 病机理论 疏肝健脾固肾 肝郁脾肾两虚 痨瘵邪毒侵淫 痰浊结块 

分 类 号：R259[医药卫生—中西医结合]