从“风痰”论郑氏喉科诊治喉风诸症特色  

Characteristics of ZHENG’s Laryngology in Diagnosis and Treatment of Throat Wind Symptoms from“Wind Phlegm”

作　　者：王楚丁 屠彦红[1] 高士秀[1] 余萍萍 宋若会[1,2] 郑日新 WANG Chuding;TU Yanhong;GAO Shixiu;YU Pingping;SONG Ruohui;ZHENG Rixin(The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China;Branch Center of Huizhou Studies in Anhui University of Chinese Medicine,Key Research Bases of Humanities and Social Sciences,Ministry of Education,Hefei 230038,China)

机构地区：[1]安徽中医药大学第一附属医院,安徽合肥230031 [2]教育部人文社科重点研究基地徽学研究中心安徽中医药大学分中心,安徽合肥230038

出　　处：《山东中医药大学学报》2023年第6期715-718,共4页Journal of Shandong University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(编号:82074501);郑日新全国名老中医药专家传承工作建设项目(批文号:国中医药人教函〔2018〕134);安徽中医药大学探索性科研项目(编号:2021zxts06)。

摘　　要：以“风痰”为切入点,阐述新安郑氏喉科诊治喉风诸症的特色。喉风诸症发病皆为“火郁上焦,痰涎气血,结聚于咽喉”所致,传变遵循“咽喉(上)-胃鬲-心肺-辄变他症”的特征。喉风诸症传变迅速,早期即可形成风痰,并影响整个疾病转归。治疗上以紫正地黄汤疏风祛邪、养阴清热、调气活血、逐痰消肿,达到防痰治痰、扭转病势的目的,体现了郑氏喉科辛凉养阴学说“拦定风热,在上不下”的早防早治理念。Taking“wind phlegm”as the breakthrough point,this paper expounds the characteristics of Xin’an ZHENG’s laryngology in diagnosis and treatment of throat wind symptoms.The pathogenesis of throat wind symptoms is caused by“fire stagnating the upper energizer,phlegm,saliva,qi and blood accumulating in the throat”.The transmission follows the characteristics of“throat(upper)-stomach and diaphragm-heart and lung-variable complications”.Throat wind transmits quickly and develops into wind phlegm in the early stage,which affects the outcome of the whole disease.In the treatment,Zizheng Dihuang Decoction(紫正地黄汤)is used to expel wind and pathogen,nourish yin and clear heat,regulate qi and activate blood,remove phlegm and resolve swelling,so as to prevent phlegm and treat phlegm and reverse the disease tendency.It reflects the idea of early prevention and early treatment of ZHENG’s laryngology theory of nourishing yin with acrid-cool of“blocking wind-heat pathogen in the upper to prevent transmission to the lower”.

关 键 词：郑氏喉科 喉风诸症 风痰 火郁上焦 紫正地黄汤 防痰治痰 早防早治 辛凉养阴学说 

分 类 号：R246.81[医药卫生—针灸推拿学]