[1]江 坚,周 雪△.从痰饮论治慢性分泌性中耳炎*[J].陕西中医,2020,(10):1458-1460.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.033]
 JIANG Jian,ZHOU Xue..Treat chronic secretory otitis media from the phlegm and retained fluid theory[J].,2020,(10):1458-1460.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.033]
点击复制

从痰饮论治慢性分泌性中耳炎*
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年10期
页码:
1458-1460
栏目:
学术探讨
出版日期:
2020-10-05

文章信息/Info

Title:
Treat chronic secretory otitis media from the phlegm and retained fluid theory
作者:
江 坚周 雪
广州医科大学附属中医医院耳鼻喉科(广州 510130)
Author(s):
JIANG JianZHOU Xue.
Department of Otorhinolaryngology,The Affiliated TCM Hospital of Guangzhou Medical University(Guangzhou 510130)
关键词:
慢性分泌性中耳炎 耳闭 痰饮 从痰饮论治 温肺化饮 温补肾阳
Keywords:
Chronic secretory otitis media Ear closed Phlegm and fluid retention The theoretical basis from phlegm and fluid retention Warming lung and eliminating phlegm Warming kidney's Yang
分类号:
R764.21
DOI:
DOI:10.3969/j.issn.1000-7369.2020.10.033
文献标志码:
A
摘要:
慢性分泌性中耳炎属于祖国医学的“耳闭”范畴,是鼓室内被痰饮之物积潴所致,故也属于“痰饮”范畴,其虽为局部水液潴积,但究其根源,乃体内津液运行失衡,与肺的宣发肃降、脾的运化、肾的温煦作用密切相关。临床上以痰饮为切入点,以温肺化饮、健脾温阳化饮、温补肾阳为治法,选用温阳化饮的方药对OMSC进行治疗,取得良好的疗效,减少鼓膜穿刺次数,降低复发率。故从痰饮论治慢性分泌性中耳炎理论基础坚实可靠,对临床实践有指导意义。
Abstract:
Chronic secretory otitis media belongs to the category of traditional Chinese Medicine's “ear closed”,which is caused by accumulation of “phlegm and retained fluid” in the tympanic cavity.Therefore,it also belongs to the category of “phlegm and fluid retention”.Although it is localized accumulation of fluid and sputum,the root cause is the imbalance of body fluid in the body,which is closely related to the promotion of the dispersing and deseending functions of the lungs,transport and tranform functions of the spleen,and warming functions of the kidneys.Clinically,“phlegm and fluid retention” was used as the starting point,and warming lung and eliminating phlegm,and strengthening spleen and warming Yang to resolve phlegm,and warming kidney's Yang were used as the treatment method.The prescription of strengthening spleen and warming Yang to resolve phlegm was used to treat chronic secretory otitis media,which achieved good results and reduced the number of puncture of the tympanic membrane,and reduces the recurrence rate.Therefore,the theoretical basis for treating chronic secretory otitis media from “phlegm and fluid retention” is solid and reliable,which has guiding significance for clinical practice.

参考文献/References:

[1] 詹红星,侯 薇,张 青,等.中耳炎性渗出液的产生及其病理影响[J].陕西医学杂志,2012,41(2):102-103.
[2] 干祖望.干氏耳鼻咽喉口腔科学[M].南京:江苏科学技术出版社,1999:117.
[3] 吴秋红,石伟荣,王 苹.浅析“病痰饮者,当以温药和之”[J].福建中医药,2019,3(2):59.
[4] 赵 红.耳胀耳闭的中医治疗进展[J].国医论坛,2013,11(6):62.
[5] 韩 梅,王丽鸣,王新琪,等.浅析分泌性中耳炎[J].长春中医学院学报,2003,12(4):27.
[6] 张 哲,陈德溯.肺阳、阳虚饮停与小青龙汤刍议[J].安徽中医临床杂志,1999,11(1):51-52.
[7] 王秉权,申 琪.浅析通调水道与水通道蛋白结合论治分泌性中耳炎[J].中国中医药现代远程教育,2014,12(6):9-10.
[8] 韩 潮,高仁虎.宣肺通窍汤治疗急性分泌性中耳炎疗效观察[J].陕西中医,2013,34(4):440-441.
[9] 江 坚.脾温阳化饮结合水通道蛋白治疗分泌性中耳炎浅析[J].光明中医,2019,10(5):1586.
[10] 陈继婷,王俊霞.试述 《金匮要略 》“病痰饮者,当以温药和之”的内涵[J].河南中医,2010,30(9):839-840.
[11] 张东晓.健脾通窍方治疗慢性分泌性中耳炎脾气虚弱证临床观察[J].中医学报,2018,33(1):149-152.
[12] 林蔚达,蒋姨燕,黄炳锋,等.小青龙汤加减治疗分泌性中耳炎 30 例疗效观察[J].中国中医药科技,2014,21(5):516.
[13] 刘 谊.苓桂术甘汤加味治疗慢性分泌性中耳炎[J].中国民族民间医药杂志,2006,15(5):264-265.
[14] 孙青红,梁俊薇.分泌性中耳炎的研究进展[J].中国民族民间医药,2016,25(21):46-50.
[15] 林文森.补肾法在耳病中的应用[J].天津中医,1989,6(3):41-42.

备注/Memo

备注/Memo:
*广东省中医药局科研项目(20191246);广州市卫生健康委员会科技项目(20192A011005)
更新日期/Last Update: 2020-10-10