基于“胃咽相关”探讨反流性咽喉炎中医证治和现代机制  

Discussion on TCM Syndrome Differentiation and Treatment and Modern Mechanism of Laryngopharyngeal Reflux Based on“Gastro-pharyngeal Correlation”

作　　者：李亚鼎 许高凡 刘晓文 吴月 何聪 王轶[1] 徐亭亭[1] 朱生樑[1] 周秉舵[1] LI Yading;XU Gaofan;LIU Xiaowen(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Chinese Medicine,Shanghai 200437,China;Jinjiang Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Chinese Medicine,Jinjiang Fujian 362200,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]福建中医药大学附属晋江市中医院,福建晋江362200

出　　处：《四川中医》2024年第4期46-50,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：上海市卫健委—朱生樑上海市名老中医学术经验研究工作室项目(编号:SHGZS-202203);上海市卫健委—上海市中医药高层次人才引领计划(编号:ZY(2021~2023)-0403)。

摘　　要：反流性咽喉炎(laryngopharyngeal reflux, LPR)属于中医“喉痹”“吐酸”“食管瘅”等范畴,病位在咽喉、食管,责之于胃。本文以“胃咽相关”为理论基础,结合历代医家对LPR的认识,探讨咽喉与胃的相关性,辨证论治LPR,阐明LPR的现代机制,以期对中医药治疗LPR有一定的指导作用。Laryngopharyngeal reflux(LPR)belongs to the categories of“laryngeal paralysis”,“vomiting acid”and“esophageal disease”in Traditional Chinese Medicine.It is located in the throat and esophagus,and is controlled by the stomach.Based on the theory of“gastro-pharyngeal correlation”,combined with the understanding of LPR by physicians in the past dynasties,this paper discusses the correlation between throat and stomach,treats LPR based on syndrome differentiation,and elucidates the modern mechanism of LPR,in order to provide some guidance for the treatment of LPR by Traditional Chinese Medicine.

关 键 词：反流性咽喉炎 胃咽相关 中医证治 现代机制 

分 类 号：R766.14[医药卫生—耳鼻咽喉科] R767.11[医药卫生—临床医学]