陈小宁治疗声带白斑经验探析

Experience of CHEN Xiaoning in Treating Vocal Cord Leukoplakia

陈小宁教授认为,声带白斑多由痰瘀互结、肝胃不和、气虚痰湿所致,治以化痰祛瘀、降逆和胃、健脾化痰等法。选用自拟化痰开音方、疏肝和胃汤、补中益气汤合四君子汤加减。用药多选植物类药物,以其质轻,可达咽喉病变所在;固护脾胃,忌用大苦大寒等力猛峻烈药物。其辨证诊疗思路灵活,强调药方宜精、选药宜轻、药量宜小,并注重术后养护,取得较好疗效。

Professor CHEN Xiaoning believes that vocal cord leukoplakia is mostly caused by mutual accumulation of phlegm and blood stasis,disharmony of liver and stomach,and qi deficiency and phlegm dampness.Therefore,he uses the following methods in treating the disease:resolving phlegm and eliminating blood stasis,dissipating mass and easing voice,descending adverse qi and harmonizing stomach,benefiting stomach and resolving phlegm,etc.Self-made Huatan Kaiyin Formula(化痰开音方),Shugan Hewei Decoction(疏肝和胃汤),and Buzhong Yiqi Decoction(补中益气汤)combined with Sijunzi Decoction(四君子汤)are the commonly used prescriptions.In choosing drugs,botanical drugs are preferred because its light property helps to reach the lesions of the throat,while fierce drugs with severe bitterness and cold are avoid for consolidating spleen and stomach.With flexible diagnosis and treatment based on syndrome differentiation,Professor CHEN stresses the importance of refined prescriptions,mild drugs,small dosage,and postoperative care,which has achieved good curative efficacy.