辨证分型治疗慢性咽炎130例临床观察

Clinical Observation on 130 Cases of Chronic Pharyngitis Treated According to Syndrome Differentiation

[目的]观察辨证分型治疗慢性咽炎疗效。[方法]对130例慢性咽炎住院患者辨证分型,肺肾阴虚型64例,知母9g,牡丹皮6g,加水500mL浸泡30min,大火煮沸,小火煎煮至300mL,将药液倒出,再加水300mL,小火煎至200mL,将药液倒出,药液混合后取250mL饮用,剩余250mL冷藏保存,12h左右加热饮用。肺肾阳虚型6例,知母、熟地、山萸肉、枸杞子各12g,以及桔梗、生甘草、黄柏、丹皮各9g,1剂/d,水煎250mL,早晚服用。痰瘀郁结型45例,补脾益气,党参、白术、黄芪、花粉、扁豆、麦冬、桔梗和柴胡各9g,1剂/d,水煎250mL,早晚服用。气滞血瘀型15例,化痰活血,舒利咽窍,丹参、瓜蒌、玄参、赤芍、生地和牡蛎各12g,贝母、麦冬各9g,1剂/d,水煎250mL,早晚服用。连续治疗5d为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]痊愈67例,好转46例,无效17例,总有效率87.00%。[结论]辨证分型治疗慢性咽炎效果显著,疗效可靠,值得推广。

[Objective]Observe the dialectical treatment of chronic pharyngitis.[Methods]on 130 cases of hospitalized patients with chronic pharyngitis syndrome type treatment,lung-kidney,Zhimu 9g,Mudanpi 6g,500mL water soak 30min,boil,boil gently for small 300mL,the liquid poured out,add water 300mL,by the above method fry 200mL,the liquid decanted liquid mixture taken after drinking 250mL,250mL remaining refrigerated,12h heated at about drinking.Lung and kidney yang,Zhimu,Shudi,Shanyurou,Gouqizi each 12g,as well as Jugeng,Shenggancao,Huangbai,Danpi each 9g,1 does / d,decoction 250mL,sooner or later take.Phlegm stagnation,Expelling Spleen Qi,Dangshen,Baishu,Huangqi,Huafen,Biandou,Maidong,Jugeng and Chaihu each 9g,1 does / d,decoction 250mL,sooner or later take.Qi stagnation type,Expelling phlegm and blood,Shulgin pharyngeal orifices,Danshen,Guawei,Xuanshen,Chishao,Shengdi and Muli each 12g,Beimu,Maidong 9g,1 does / d,decoction 250mL,morning and evening meals.5d is a continuous course of treatment.Observation of clinical symptoms and adverse reactions.2 courses of continuous treatment,to determine efficacy.[Results]67 cases cured,improved in 46 cases,ineffective in 17 cases,total effective rate 87.00%.[Conclusion]Differential Treatment of chronic pharyngitis effect is significant,effective and reliable,worthy of promotion.