基于方证信息采集探索李云英教授治疗慢性咽炎经验的研究

摘要

目的:探索李云英教授治疗慢性咽炎的经验.方法:随机抽取李云英教授门诊确诊为慢性咽炎的患者102例,调查慢性咽炎的基本证型、年龄分布及基本用药分布频率.结果:102例患者中男50例,女52例,两者比较,差异无统计学意义(P>0.05);年龄最大者70岁,最小者3岁,主要分布在21~40岁;痰火郁结型57例(55.89%),肺阴虚损型36例(35.29%),肝肾阴虚型6例(5.88%),脾肾阳虚型3例(2.94%);出现频率最高的10味中药分别是法半夏、僵蚕、陈皮、黄芩、桔梗、柴胡、猫爪草、浙贝母、玄参、紫菀等.结论:李云英教授认为慢性咽炎以实证为主,痰瘀、虚火、阴虚多交互错杂,阳虚者较少见,治疗时应强调化痰理气.%Objective: To explore Professor Li Yunying′s experience of treating chronic pharyngitis. Methods: All 102 patients with chronic pharyngitis who visited Professor Li Yunying′s outpatient were randomly chosen to investigate basic syndromes, age distribution and basic drug distribution laws of the patients with chronic pharyngitis. Results: There were 50 males and 52 females among 102 patients, the difference had no statistical meaning in the comparison (P>0.05); the oldest patient aged 70 years and the youngest one three years old, the patients mainly aged from 21 to 40 years; 57 patients of phlegm-fire stagnation syndrome (55.89%), 36 cases of lung-Yin deficiency syndrome (35.29%), six cases of liver-kidney Yin-deficiency syndrome(5.88%), and three cases of spleen-kidney Yang deficiency syndrome(2.94%); the top ten kinds of drugs in the highest frequency were processed BanXia (Rhizoma Pinelliae), Jiang Can (bombyx batryticatus);ChenPi (Citrus reticulata Blanco), HuangQin (Scutellaria baicalensis Georgi).JieGeng(Platycodon grandiflorum),ChaiHu(radix bupleuri);MaoZhuaCao(buttercup root);ZheBeiMu(Fritillaria thunbergii);XuanShen(radix scrophulariae),ZiWan(Aster tataricus L.f.) and others. Conclusion: Professor Li Yunying believes that chronic pharyngitis is of excess syndrome mainly, phlegm-stasis, deficiency-fire mixed with Y indeficiency mutually, and Yang deficiency rare to see, she pays attention to resolving phlegm and regulating Qi in the treatment.