孙海波教授治疗慢性鼻-鼻窦炎经验
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摘要
慢性鼻-鼻窦炎是耳鼻喉科常见病、多发病。孙海波教授认为本病为"气失宣和、窍道闭阻"所致,临证重视局部四诊辨证,治以"升清荡浊、调肝理脾、宣通肺气"之法。
Chronic rhinosinusitis is one of the most common diseases encountered in patients in the otorhinolaryngology department.This paper summarizes the clinical experiences of Professor SUN Haibo in the treatment of chronic rhinosinusitis. Professor SUN Haibo points out that the underlying basis of the pathogenesis of chronic rhinosinusitis is a disorder of the movement of qi and obstruction of the orifices. Further,he emphasizes the importance of the four local methods of diagnosis in clinical practice and treatment by elevating qi and clearing turbid; regulating liver and spleen; and ventilating lung qi.
Chronic rhinosinusitis is one of the most common diseases encountered in patients in the otorhinolaryngology department.This paper summarizes the clinical experiences of Professor SUN Haibo in the treatment of chronic rhinosinusitis. Professor SUN Haibo points out that the underlying basis of the pathogenesis of chronic rhinosinusitis is a disorder of the movement of qi and obstruction of the orifices. Further,he emphasizes the importance of the four local methods of diagnosis in clinical practice and treatment by elevating qi and clearing turbid; regulating liver and spleen; and ventilating lung qi.
引文
[1]中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组.慢性鼻-鼻窦炎诊断和治疗指南(2012年,昆明)[J].中华耳鼻咽喉头颈外科杂志,2013,48(2):92-94.
[2]刘巨波,刘丽亚,鲁翔,等.长期小剂量克拉霉素联合鼻用激素治疗慢性鼻-鼻窦炎的初步观察[J].临床耳鼻咽喉头颈外科杂志,2011,25(8):360-363.LIU Jubo,LIU Liya,LU Xiang,et al.Clinical observation of Clarithromycin combines w ith aasal sterid treatment for chronic rhinosinusitis[J].J Clin Otorhinolaryngol Head Neck Surg,2011,25(8):360-363.
[3]Fokkens WJ,Lund VJ,Mullol J,et al.European position paper on rhinosinusitis and nasal polyps 2012[J].Rhinology,2012(50):1-299.
[4]沙弘千,孙海波.菊花通圣汤治疗慢性鼻窦炎临床观察[J].辽宁中医药大学学报,2013,15(3):190-191.SHA Hongqian,SUN Haibo.Juhua Tongsheng Decoction in treating patients w ith chronic sinusitis[J].J Liaoning Univ Trad Chin M ed,2013,15(3):190-191.
[5]王键.中医基础理论[M].北京:中国中医药出版社,2016:9.
[6]王德鉴,张述清.鼻科的辨证治疗[J].新中医,1973(4):47-49.
[7]靳枫,朱龙.从四诊合参谈望诊[J].中医药通报,2017,16(3):31-33.
[8]陈志强,吕立国.整体辨证、局部辨证与微观辨证——对现代中医辨证论治体系的思考[J].中国中西医结合杂志,2006(12):1126-1127.CHEN Zhiqiang,L¨U Liguo.Integral syndrome differentiation,local syndrome differentiation and microcosmic syndrome differentiation—thinking on the modern TCM system of syndrome differentiation dependent treatment[J].Chin J Integr Trad Western M ed,2006(12):1126-1127.
[2]刘巨波,刘丽亚,鲁翔,等.长期小剂量克拉霉素联合鼻用激素治疗慢性鼻-鼻窦炎的初步观察[J].临床耳鼻咽喉头颈外科杂志,2011,25(8):360-363.LIU Jubo,LIU Liya,LU Xiang,et al.Clinical observation of Clarithromycin combines w ith aasal sterid treatment for chronic rhinosinusitis[J].J Clin Otorhinolaryngol Head Neck Surg,2011,25(8):360-363.
[3]Fokkens WJ,Lund VJ,Mullol J,et al.European position paper on rhinosinusitis and nasal polyps 2012[J].Rhinology,2012(50):1-299.
[4]沙弘千,孙海波.菊花通圣汤治疗慢性鼻窦炎临床观察[J].辽宁中医药大学学报,2013,15(3):190-191.SHA Hongqian,SUN Haibo.Juhua Tongsheng Decoction in treating patients w ith chronic sinusitis[J].J Liaoning Univ Trad Chin M ed,2013,15(3):190-191.
[5]王键.中医基础理论[M].北京:中国中医药出版社,2016:9.
[6]王德鉴,张述清.鼻科的辨证治疗[J].新中医,1973(4):47-49.
[7]靳枫,朱龙.从四诊合参谈望诊[J].中医药通报,2017,16(3):31-33.
[8]陈志强,吕立国.整体辨证、局部辨证与微观辨证——对现代中医辨证论治体系的思考[J].中国中西医结合杂志,2006(12):1126-1127.CHEN Zhiqiang,L¨U Liguo.Integral syndrome differentiation,local syndrome differentiation and microcosmic syndrome differentiation—thinking on the modern TCM system of syndrome differentiation dependent treatment[J].Chin J Integr Trad Western M ed,2006(12):1126-1127.