邱宝珊健脾化痰祛瘀治疗慢喉喑经验

Experience of QIU Bao-Shan in Treating Chronic Aphonia by Therapy of Invigorating Spleen,Resolving Phlegm and Eliminating Stasis

总结邱宝珊教授采用健脾化痰祛瘀疗法治疗慢喉喑的经验。邱宝珊教授秉承传统中医对慢喉喑的病因病机的认识,从整体观念出发,确立局部辨证和整体辨证相结合的治疗原则,结合岭南人多痰湿的特点,重视顾护中焦脾胃,兼以行气、化痰、祛瘀、清热,擅用岭南本草与膏方,采用内外兼治的思路治疗慢喉喑,疗效较显著。其内治疗法有汤剂、膏方等剂型,常用方为六君子汤、半夏厚朴汤、会厌逐瘀汤、小柴胡汤、贝母瓜蒌散等。外治疗法有中药雾化喷喉、耳穴压豆、穴位贴敷、针灸疗法、颈三线按摩法、嗓音训练法等。除药物治疗之外,还重视对患者进行嗓音卫生宣教,指导患者合理用嗓,以巩固疗效及预防复发。

The experience of Professor QIU Bao-Shan in treating chronic aphonia by using the therapy of invigorating spleen,resolving phlegm and eliminating stasis was summarized. Professor QIU Bao-Shan inherits the acquaintance of etiology and pathogenesis about chronic aphonia in the field of traditional Chinese medicine,and establishes the therapeutic principles of local syndrome differentiation combined with the holistic syndrome differentiation on the basis of holistic concept. For the treatment of chronic aphonia patients in Lingnan area,Professor QIU Bao-Shan addresses the importance of protecting middle energizer of spleen and stomach to accord with the predominant phlegm-damp constitution of the Lingnan native, and supplements with the therapies of regulating qi,resolving phlegm,eliminating stasis,and clearing heat. Moreover,Professor QIU Bao-Shan is good at using Lingnan herbs and soft extract, and adopts both of internal therapy and external therapy for the treatment of chronic aphonia,which results into significant therapeutic effect. The internal therapy involves the utilization of decoction and soft extract,covering the formulae of Liujunzi Decoction, Banxia Houpo Decoction,Huiyan Zhuyu Decoction, Xiao Chaihu Decoction, Beimu Gualou Powder. The external therapy involves the utilization of translaryngeal atomized spray with Chinese medicine, auricular point seed-pressing therapy,acupoint application, acupuncture and moxibustion therapy, neck three-line massage therapy, voice training method, etc.. Besides the medical intervention, guidance for the health of voice is also stressed through education,so as to strengthen the efficacy and prevent the occurrence.