喉痹概念的沿革及现代教材中喉痹的内涵

The Historical Origin of the Concept and Connotation of the Throat Obstruction in Modern Teaching Book

论述了从《内经》以来对喉痹含义的认识,指出《内经》中咽部、喉部的解剖概念与现代的咽部、喉部相近,称咽为"咽""咽喉",称喉为"喉""喉咙";病名喉痹的病位偏向于喉,不是咽,但不能判断喉痹到底是什么疾病。后世医家所论喉痹有三层的含义,分别为:一是咽痛,二是发病急、进展快、病情险恶、出现咽喉梗阻的危重证,三是咽喉牙舌诸病症、其中包含现代的咽炎。建国以后的教材为规范病名,喉痹即类似于现代医学的急慢性咽炎。理清喉痹历史源流和演变,有助于更好地理解典籍,指导临床。

This paper discussed the understanding of the meaning of throat obstruction since Neijing, pointed out that the anatomy of pharynx, larynx concept in Neijing is similar to modern pharynx, larynx, called pharynx as ＂ gullet＂, called larynx as the ＂ throat＂.The name of disease throat obstruction tends to larynx, not pharynx. But which disease throat obstruction is could not be determined.The later doctors have three meanings of throat obstruction as followe： the first is sore throat, the second is critical syndrome mani-fested by acute, rapid progress, dangerous, throat obstruction, and the third is the throat teeth and tongue disorders, including pharyngitis. The throat obstruction is equals to acute and chronic pharyngitis, in order to specify the name of disease after the found-ing. Sorting out the historical origin and evolution of throat obstruction can understand classics better, and guide the clinical medicine.