国医大师严世芸运用膏方治疗慢性咽炎经验撷萃  

Summary of the Experience of National TCM Master Yan Shiyun in Treating Chronic Pharyngitis with Ointment Prescriptions

作　　者：李嫣然 杨艳卓 陈丽云 严世芸(指导) LI Yanran;YANG Yanzhuo;CHEN Liyun;YAN Shiyun(Instructor)(Institute of Science,Technology and Humanities,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学科技人文研究院,上海201203

出　　处：《中国中医药信息杂志》2025年第4期163-167,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家社会科学基金重大项目(21&ZD056);上海市进一步加快中医药传承创新发展三年行动计划(2021年-2023年)(ZY(2021-2023)-0214)。

摘　　要：总结国医大师严世芸教授运用膏方治疗慢性咽炎的临证经验。严世芸教授认为,慢性咽炎病因病机以虚火上炎为本,痰热蕴结为标,肝、胆、脾、胃、肺、肾等脏腑功能失调和风邪留滞亦是其重要病机。临证主张在藏象辨证基础上,整体把握患者病情,立足核心病机,以调理阴阳、清化痰热、调治脾胃、祛风利咽等为主要治疗方法,全面兼顾他证,采用复方杂方综合调治,疗效显著。常用药组为锦灯笼、西青果、牛蒡子。This articles summarized the clinical experience of national TCM master Professor Yan Shiyun in using ointment prescriptions to treat chronic pharyngitis.Professor Yan Shiyun believes that the etiology and pathogenesis of chronic pharyngitis are based on inflammation of the deficiency fire,with phlegm heat accumulation as the symptoms.Dysfunction of organs such as the liver,gallbladder,spleen and stomach,lungs and kidneys,as well as retention of wind pathogens,are also important pathological mechanisms.Based on the differentiation of Tibetan symptoms,the clinical approach advocates for a comprehensive understanding of the patients’condition,focusing on the core pathogenesis.The main treatment methods include regulating yin and yang,clearing phlegm and heat,regulating spleen and stomach,dispelling wind and clearing throat,and comprehensively considering other syndromes.The use of compound prescriptions for comprehensive treatment has shown significant therapeutic effects.The commonly used medicinal combination is Physalis Calyx Seu Fructus,Chebulae Fructus Immaturus and Arctii Fructus.

关 键 词：慢性咽炎 膏方 名医经验 严世芸 

分 类 号：R249[医药卫生—中医临床基础]