姜泉运用会厌逐瘀汤治疗风湿免疫病吞咽障碍经验  

Jiang Quan’s experience in managing autoimmune swallowing disorders with Huiyan Zhuyu Decoction

作　　者：张柔曼 董竞方 巩勋[1] 姜泉(指导)[1] ZHANG Rouman;DONG Jingfang;GONG Xun;JIANG Quan(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053;Beijing University of Chinese Medicine Third Affiliated Hospital)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学第三附属医院

出　　处：《现代中医临床》2024年第5期103-107,共5页Modern Chinese Clinical Medicine

基　　金：中央高水平中医医院临床研究和成果转化能力提升项目——传承名老中医药专家学术经验专项(No.HLCMHPP2023014);国家中医药管理局第七批全国老中医药专家学术经验继承工作(No.药人教函[2022]76号);北京市中医管理局-北京市重大疑难疾病中西医协同攻关项目(No.2023BJSZDYNJBXTGG-003)。

摘　　要：吞咽障碍是风湿免疫病的常见症状和治疗难点,也是影响患者生活质量和疾病预后的关键点。传统的治疗思路和方法疗效欠佳,姜泉教授临证实践总结出“痹病必挟瘀”,认为风湿免疫病之吞咽障碍的核心病机为气滞血瘀,治疗重点在于调畅咽喉阴阳枢机、活血化瘀,但风湿免疫病具有病情复杂、症状繁多、缠绵难愈的特点,需树立中医整体治疗观、病证结合、调理兼夹证,运用会厌逐瘀汤加减治疗吞咽障碍,同时兼顾健脾益气、温经散寒、祛湿泻浊、化痰散结。Swallowing difficulties are common and challenging symptoms in rheumatic immune diseases,which is critical factors affecting patients' quality of life and disease prognosis.Conventional approaches to treatment have proven inadequate.Professor Jiang Quan,through extensive clinical practice,has identified that the “impediment diseases must be accompanied with blood stasis”,suggesting that the core pathogenesis of autoimmune swallowing disorders in rheumatic immune disease lies in qi stagnation and blood stasis.The focus of treatment should be on regulating the yin-yang pivot of the throat,promoting blood circulation and eliminating blood stasis.However,given the complexity of rheumatic immune diseases,which often present with a variety of persistent and recurrent symptoms,It is crucial to adopt a holistic view of traditional Chinese medicine,and the combiningdisease diagnosis with syndrome differentiation,and addressing concurrent conditions.The Huiyan Zhuyu Decoction(Epiglottis Stasis Expelling Decoction) is used for treating autoimmune swallowing disorders,while concurrently reinforcing the spleen and qi,warming the meridians to dispel cold,eliminating dampness and purging turbidity,and resolving phlegm and dissolving nodules.

关 键 词：风湿免疫病 吞咽障碍 会厌逐瘀汤 名医经验 姜泉 

分 类 号：R259[医药卫生—中西医结合]