高树中运用调气法治疗咽喉病经验撷菁

GAO Shuzhong’s Experience in Treating Throat Diseases by Method of Regulating Qi

高树中教授认为咽喉病多由气在咽喉部运行失常所致,风、火、痰是其重要致病因素。临床从气机角度展开,首辨外感与内伤:外感邪气阻遏咽喉气机,与肺卫有关;内伤多由情志致病,病机根于脏腑气机失衡,尤与肺、胃、肝、肾密切相关。治疗上,谨守病机,运用调气之法,外感以宣散为要,内伤以升降为主,配合疏风、清热化痰、滋阴降火等治法。提出了脏腑气机“三升三降”理论及“颈关”学说,主张针药并用,擅用阙上等经验穴,灵活运用经方,重视药物升降特性,尤重煎服法,综合刺营血、足心贴敷等多种疗法。附验案1则。

Professor GAO Shuzhong believes that throat diseases are mostly caused by the abnormal movement of qi in the throat,with wind,fire,and phlegm being the important pathogenic factors.Clinically,from the perspective of qi movement,Professor GAO first distinguishes external infections from internal injuries.External pathogenic factors obstruct the qi movement in the throat and are related to the defensive qi of the lung.Internal injuries are mostly caused by emotional factors,with the pathogenesis rooted in the imbalance of qi movement in the zang-fu organs,particularly related to the lung,stomach,liver,and kidney.In the treat⁃ment,Professor GAO adheres to the pathogenesis and uses the method of regulating qi,treating external infections by spreading and dispersing,and treating internal injuries by ascending and descending,in combination with methods such as dispelling wind,clearing heat and resolving phlegm,nourishing yin to lower fire,etc.He puts forward the theory of“three ascents and three descents”of qi move⁃ment in the zang-fu organs and the theory of“Jingguan”,advocating the combination of acupuncture and medicine,making good use of empirical acupoints such as Queshang,flexibly using classical prescriptions,paying attention to the ascending and descending characteristics of medicinals,particularly valuing the decocting and taking method,and comprehensively using various therapies including pricking Yingxue and applying plasters to the soles of the feet.A proved medical case is attached.