北京中医药大学东直门医院 北京 100700
丁倩,女,在读硕士生
# 刘巧平,女,硕士,主任医师、教授,硕士生导师,E-mail:1599278954@qq.com
纸质出版日期:2022-03-30,
收稿日期:2021-06-28,
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丁倩, 刘莉莉, 闫占峰, 等. “一气周流”理论在声带白斑诊治中的应用[J]. 现代中医临床, 2022,29(2):43-47.
Qian DING, Lili LIU, Zhanfeng YAN, et al. Application of "One Qi Circumfluence" theory to vocal cord leukoplakia[J]. Modern Chinese Clinical Medicine, 2022,29(2):43-47.
丁倩, 刘莉莉, 闫占峰, 等. “一气周流”理论在声带白斑诊治中的应用[J]. 现代中医临床, 2022,29(2):43-47. DOI: 10.3969/j.issn.2095-6606.2022.02.010.
Qian DING, Lili LIU, Zhanfeng YAN, et al. Application of "One Qi Circumfluence" theory to vocal cord leukoplakia[J]. Modern Chinese Clinical Medicine, 2022,29(2):43-47. DOI: 10.3969/j.issn.2095-6606.2022.02.010.
“一气周流”理论可概括为“一气周流,土枢四象”,“一气”指中气,“四象”指木、金、火、水四脏。“一气周流”理论主要阐释在中气斡旋作用下,左路肝木升发,右路肺金敛降,从而形成人体内气机“如环无端,周流不息”的状态。声带白斑为声带黏膜上皮角化增生或过度角化形成的白色斑块,属于中医“慢喉喑”的范畴,气的升降出入失常贯穿其发病过程的始终,中气斡旋失常为发病之源,同时肝肺升降气机失职为重要病因。治疗声带白斑时强调恢复气机升降,在“一气周流”理论指导下恢复中气以斡旋气机运转,兼以调节肝肺气机升降,促进全身气机周流状态是治疗声带白斑的根本。用“一气周流”理论指导声带白斑的遣药组方,以提高临床疗效。结合临床典型案例进行阐述。
The "One Qi Circumfluence" theory can be summarized as "One Qi circumfluence
the earth pivot and four images" . "One Qi" here refers to
zhong Qi
(middle Qi)
and "four images" refer to wood
metal
fire and water organs(i.e.
the liver
lungs
heart and kidneys). According to the "One Qi Circumfluence" theory
under the effects of
zhong Qi
the liver on the left ascends and the lungs on the right descend
forming an "endless circulation" of the Qi activities in the human body. Vocal cord leukoplakia is a white plaque formed by keratinized hyperplasia or excessive keratinization of vocal cord mucosal epithelium. It belongs to the category of "slow throat silence" in traditional Chinese medicine. The abnormal rise and fall of Qi runs through its pathogenesis. The abnormal mediation of Qi is the source of the disease
and the dereliction of the liver and lung Qi activities is an important cause. In the treatment of vocal cord leukoplakia
it is emphasized to restore the rise and fall of Qi activities. Under the guidance of "One Qi Circumfluence" theory
restoring the
zhong Qi
to mediate the operation of Qi activities
regulating the rise and fall of liver and lung Qi activities and promoting the circulation of Qi of the whole body is a fundamental way to treat vocal cord leukoplakia. The "One Qi Circumfluence" theory is used to guide the prescriptions for vocal cord leukoplakia
so as to improve the clinical curative effect. It is presented in this paper with typical clinical cases.
中气声带白斑气机一气周流
zhong Qivocal cord leukoplakiaQi activitiesOne Qi Circumfluence
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