牛兴宇 吴洪波

【摘 要】 文章旨在浅析吴洪波教授关于肺气阴虚型慢喉痹的中医治疗经验，认为肺气阴虚型慢喉痹的主要病机一为久病肺气亏虚，气不化津，津聚成痰，痰气交阻于喉;二为久病肺阴亏虚致虚火上浮于喉。针对这类病症，吴洪波教授自拟舒喉方联合玄冬茶治予补肺气、理气祛痰、滋肺阴、潜虚火，药效甚喜，为临床应用中医药治疗肺气阴虚型慢喉痹提供一种新思路。

【关键词】 慢喉痹;肺气阴虚型;舒喉方;玄冬茶;内服外用法

【中图分类号】R249.2/.7   【文献标志码】 A    【文章编号】1007-8517（2021）11-0097-03

Abstract：The purpose of this paper is to analyze Professor Wu Hongbos experience in the treatment of chronic laryngitis of Lung Qi Yin deficiency type. It is believed that the main pathogenesis of chronic laryngitis of lung qi deficiency type is lung qi deficiency， Qi does not transform fluid， and fluid accumulates into phlegm， and phlegm and Qi are blocked in the throat; the other is that deficiency of lung yin causes fire to float up in the throat. In view of this kind of disease， Professor Wu Hongbos self-made Shuhou Recipe Combined with Xuandong tea is very effective in reinforcing lung qi， regulating qi and eliminating phlegm， nourishing lung yin and latent deficiency fire. It provides a new idea for clinical application of traditional Chinese medicine in the treatment of chronic laryngitis with deficiency of lung qi and Yin.

Keywords：Keywords Manhoubi;Lung Qi Yin Deficiency Type; Shuhou Recipe; Xuandong Tea; Oral and External Use

慢喉痹，現代医学又称”慢性咽炎”，古人常言“十人九咽”，指出此病的发病率很高[1]。据相关调查[2]显示，该病发病率正逐年年轻化。此病的临床表现主要为咽部异物感、疼痛感、干燥感、痒感、胀紧感、萎缩感等症状，这些症状不仅病程长、病情时轻时重，且易因某些刺激性因素诱发反复，故而严重影响着患者的生活质量，目前西药治疗方面还存在一定局限性。昆明市中医医院肺病科主任医师吴洪波教授认为慢喉痹中慢字有病程长之义，病久易耗气伤津，损伤肺之气阴，故多将慢喉痹辨证为肺气阴虚型，根据肺气阴虚型慢喉痹的病因病机及发病特点自拟舒喉方联合玄冬茶。主要从补益肺气、滋养肺阴这两方面入手进行辨证论治，疗效较佳，该方药可供借鉴，现作浅介如下。

1 病因病机

古代医学典籍中暂未查出具体关于慢喉痹病名的记载，《五十二病方》是最早出现介绍喉痹病名之典籍[3]。……