张诗芸　杨淑荣

【摘要】总结杨淑荣教授从气阴虚痰瘀滞辨治声带白斑的临床经验。杨淑荣教授认为声带白斑的病机为气阴耗伤、痰瘀壅滞于声户，治疗以益气养阴、散瘀化痰为法，随证加减，临证配伍。文章对临床典型医案进行整理分析，总结杨淑荣教授对声带白斑的治疗原则、内外兼治及遣方用药特点，为声带白斑临床治疗提供借鉴。

【关键词】声带白斑;气阴亏虚;痰瘀壅滞;辨证论治;杨淑荣

【中图分类号】R249.2/.7 【文献标志码】 A【文章編号】1007-8517（2021）23-0085-03

Summary of Yangshurong's Experience in Treating Vocal Cord Leukoplakia

ZHANGShiyun¹YANGShurong^2△

1.Jiangxi University of Chinese Medicine，Nanchang 330004，China;

2.Jiangxi Provincial Hospital of Traditional Chinese Medicine，Nanchang 330006，China

Abstract：The experience of Professor Yang shurong's experience in treating vocal cord leukoplakia was summarized. Professor Yang thinks the fundamental pathogenesis of vocal cord leukoplakia is Qi and Yin Deficiencies， Phlegm and Stasis.The therapeutic principle for vocal cord leukoplakia is benefit vital energy and nourish Yin，and removing blood stasis and resolving phlegm，to restore voice. Professor Yang add or subtract according to the evidence， and match at the time of diagnosis. This article  analyzes classic clinical medical cases to summarize Professor Yang Shu-Rong's views on the treatment principles and the characteristics of prescription and medication for vocal cord leukoplakia.This article offers lessons for clinical treatment of vocal cord leukoplakia.

Key words：Vocal Cord Leukoplakia; Qi and Yin Deficiencies; Phlegm and Stasis; Holistic Diagnosis and Treatment ;YangShurong

声带白斑是声带黏膜上皮增生和异常角化所发生的白色斑片样表现，发病与吸烟、嗜酒、吸入刺激性物质、胃咽反流等造成的黏膜慢性炎症刺激有关，该病多见于40岁以上男性^[1]。患者以声嘶、咽干、咽异物感明显等不适为主要症状，在中医属“慢喉喑”的范畴。

吾师杨淑荣师承于国家名老中医谢强教授，为谢氏五官科第七代传人，全国第二批优秀中医临床人才，江西省名中医，多年的临证工作中，杨淑荣教授认为该病多由气阴耗伤，痰瘀壅滞于喉窍，法以益气养阴、散瘀化痰治疗，在临床上疗效显著，现将杨淑荣教授治疗原则及遣方用药特点总结如下。

1 现代医学认识

声带白斑是指声带表面或边缘附着由黏膜上皮增生和异常角化所致的白色斑片样物，块状隆起，咯吐不去，常伴声带黏膜水肿或充血^[1]。其病理改变包括黏膜的急慢性炎症增生、鳞状细胞增生和轻、中、重度非典型异型增生。声带白斑并非都属于癌前病变，大多数为良性或炎性病理改变，如声带黏膜的急慢性炎症增生和鳞状细胞增生^[2]。……