摘要
复发性阿弗他溃疡(RAU)属于中医口糜范畴,为临床常见的口腔黏膜病。由于其病因复杂、发病机制尚不明确,疾病表现有周期性和反复性的特点,临床治疗颇为棘手,严重影响患者的生命质量。国医大师李佃贵教授在总结前人经验的基础上结合个人临床实践,认为口糜病位虽在脾胃,但与五脏六腑均有关联,主要病理因素为浊毒,由于外感浊邪或浊毒蕴久,蒸腾上炎,导致该病发生,故临证时重视浊毒之因,以化浊解毒为治疗要则,临床辨证分为“浊毒在心,心火炽热”“浊毒在脾,胃火炽盛”“浊毒在肝,肝火上炎”“浊毒在肺,火热内郁”“浊毒在肾,相火伤阴”5种证型进行治疗,取得了较好的疗效。
Recurrent aphthous ulcer(RAU),a common oral mucosal disease in clinical practice,is a disease of aphtha in traditional Chinese medicine(TCM).Because of the complex etiology,unclear pathogenesis,and periodic and repetitive manifestations,this disease is refractory,which seriously affects the patients′quality of life.By summarizing the experience of predecessors and his clinical practice experience,Professor Li Diangui believes that the location of disease mainly lies in the spleen and stomach and is associated with zang-fu organs.The main pathological factor of this disease is turbid toxin,which is caused by the invasion of external turbid toxin or the long-term accumulation of internal turbid toxin.Such toxin causes inflammation and further the onset of RAU.Therefore,the clinical treatment should focus on turbid toxin and adopt the method of removing turbid toxin.The specific treatment schemes should be selected based on the differentiation of five syndromes:burning of heart fire caused by the accumulation of turbid toxin in the heart,burning of stomach fire caused by the accumulation of turbid toxin in the spleen,up-flaming of liver fire caused by the accumulation of turbid toxin in the liver,stagnation of hire and heat caused by the accumulation of turbid toxin in the lung,and consumption of yin caused by the accumulation of turbid toxin in the kidney.Such treatment principle has achieved definite clinical effects and is worth popularizing.
作者
林国清
郭建生
刘小发
单宝枝
向云亚
范怀玲
李绵绵
李佃贵
LIN Guoqing;GUO Jiansheng;LIU Xiaofa;SHAN Baozhi;XIANG Yunya;FAN Huailing;LI Mianmian;LI Diangui(Department of Clinical Medicine,Xiamen Medical College,Xiamen 361023,China;The 2nd Rehabilitation Section,Hangzhou Air Force Special Health Care Centre,Hangzhou 310007,China;Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,China;Jiangxi University of Chinese Medicine,Nanchang 330004,China;Department of Pharmacy,Xiamen Medical College,Xiamen 361023,China)
出处
《世界中医药》
CAS
2023年第13期1908-1911,共4页
World Chinese Medicine
基金
国家自然科学基金项目(82104741)
福建省高校人文社会科学研究基地“传统本草文化传承研究中心”建设项目(闽教科[2019]28号)。
关键词
复发性阿弗他溃疡
国医大师
名家经验
浊毒理论
五脏论治
@李佃贵
临床应用
Recurrent aphthous ulcer
Master of traditional Chinese medicine
Experience of famous doctors
Theory of turbid toxin
Syndrome differentiation from five zang organs
@Li Diangui
Clinical application
