李乾构从“阳化气,阴成形”论治咽喉反流性疾病经验  

Experiences of LI Qiangou in Treating Laryngopharyngeal Reflux based on the Theory of"Yang Transforming Qi While Yin Constituting Form"

作　　者：张天麒[1] 陶琳[1] 王瑞昕 孟梦[1] 王帅[1] 李乾构(指导)[1] ZHANG Tianqi;TAO Lin;WANG Ruixin;MENG Meng;WANG Shuai(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing,100010)

机构地区：[1]首都医科大学附属北京中医医院,北京市100010

出　　处：《中医杂志》2024年第24期2544-2548,共5页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(82374372);全国名中医传承工作室建设项目;北京市属医院科研培育计划项目(PZ2021024);第六批北京市级中医药专家学术经验继承工作项目。

摘　　要：总结李乾构教授基于“阳化气,阴成形”理论治疗咽喉反流性疾病的临证经验。认为“阳化气不足、阴成形太过”是咽喉反流性疾病的关键病机,其中肺、脾、肾三脏阳虚是引起“阳化气”不足的重要因素,痰饮、湿浊等有形之阴浊是“阴成形”太过的病理产物。治疗以扶阳气、祛阴浊为基本治则,从调理三焦气化功能入手,针对上焦肺阳不足、痰浊壅盛,中焦脾阳不升、湿浊内蕴,下焦肾阳虚衰、痰饮内停的不同病机,分别运用苏子降气汤、升阳除湿汤、金匮肾气丸进行加减治疗;同时辨病配伍半夏厚朴汤化痰利咽、理气降逆。To summarize LI Qiangou's clinical experience in treating laryngopharyngeal reflux disease(LPRD)based on the theory of"yang transforming qi while yin constituting form".It is believed that"insufficiency of yang transforming qi and excess of yin constituting form"is the key mechanism of LPRD,in which yang deficiency of the lungs,spleen and kidneys is an important factor causing"insufficiency of yang transforming qi",while phlegm,damp⁃ness and other tangible yin turbidities are the pathological products of"excess of yin constituting form".The key treat⁃ment principle is to reinforce yang qi and dispel yin turbidity.Starting from regulating the qi transformation of the sanjiao,the treatment is based on the different pathologies of lung yang insufficiency and phlegm congestion in the upper jiao,spleen yang failing to ascend and dampness accumulation in the middle jiao,and kidney yang deficiency and phlegm-fluid retention in the lower jiao,prescribed by modified Suzi Jiangqi Decoction(苏子降气汤),Shengyang Chushi Decoction(升阳除湿汤),and Jingui Shenqi Pill(金匮肾气丸),the prescriptions could also combine with Banxia Houpo Decoction(半夏厚朴汤)to dissolve phlegm and relieve pharyngeal pains,and regulate qi to direct counterflow downward.

关 键 词：咽喉反流性疾病 阳化气 阴成形 名医经验 李乾构 

分 类 号：R249[医药卫生—中医临床基础] R276.1[医药卫生—中医学]