咽异感症中医临证思辨录  

Traditional Chinese Medicine Clinical Differentiation and Treatment of Pharyngeal Paraesthesia

作　　者：梁伟杰 李珍 陈明达(指导) LIANG Weijie;LI Zhen;CHEN Mingda(Mentor)(Hubei University of Traditional Chinese Medicine,Wuhan 430065,China)

机构地区：[1]湖北中医药大学,湖北武汉430065

出　　处：《山东中医杂志》2024年第8期889-893,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：湖北省卫生健康委员会2021-2022年度中医药科研立项重点项目(编号:ZY2021M090)。

摘　　要：总结陈明达辨治咽异感症的临床经验。陈明达认为,咽异感症发病原因诸多,甚者多种病因共存,其发病特点是:大多与情志疾病相关;自觉症状多且严重;发病机制复杂;治疗难度大,且易复发。临证之时,必须排除器质性原因。中医辨证分型为外感、内伤,外感者又分风袭饮留型和湿热郁肺型,内伤者分痰气互结型、气滞血凝型和阴虚内热型。在辨证论治时,应同时辅以心理疏导和精神安慰。This paper summarizes CHEN Mingda’s academic views and clinical experience in differentiating and treating pharyngeal paraesthesia.CHEN Mingda believes that there are many causes of pharyngeal paraesthesia,and multiple factors coexist in some cases.The characteristics of its onset include:Most of them are related to emotional diseases.Consciously experiencing multiple and severe symptoms.The pathogenesis is complex.The treatment is difficult and prone to recurrence.In differentiation,organic causes must be ruled out.TCM syndrome differentiation is divided into external injury and internal injury.The external injury can be further divided into wind attacking and fluid retention syndrome and damp-heat stagnating in lung syndrome,and the internal injuries can be divided into phlegm-qi interlocking type,qi stagnation and blood coagulation type,and yin deficiency and internal heat type.In treatment based on syndrome differentiation,psychological counseling and spiritual consolation should be supplemented simultaneously.

关 键 词：咽异感症 辨治经验 情志疾病 心理疏导 精神安慰 陈明达 

分 类 号：R276.166.4[医药卫生—中医五官科学]