Comprehensive Treatment Protocol of Traditional Chinese Medicine for Voice Disorders

SHANG Yanhua; MEI Xiangsheng; GAO Xiyan; WANG Bing; LIU Yuanyuan; ZHAO Dandan; WANG Ruixue; JIA Li; XIONG Dandan; MA Xiaoyao

doi:10.13288/j.11-2166/r.2022.23.006

您当前的位置：

首页 >

文章列表页 >

Comprehensive Treatment Protocol of Traditional Chinese Medicine for Voice Disorders

更新时间：2022-11-28

- Comprehensive Treatment Protocol of Traditional Chinese Medicine for Voice Disorders
- Journal of Traditional Chinese Medicine Vol. 63, Issue 23, Pages: 2227-2233(2022)
- 作者机构：
  
  1.河南中医药大学第一附属医院，河南省郑州市金水区人民路19号，450099
  2.河南中医药大学第三附属医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2022.23.006
  CLC：
- Received：05 May 2022，
  
  Revised：2022-08-13，
  
  Published：02 December 2022
- 稿件说明：
移动端阅览
尚艳华,梅祥胜,高希言等.嗓音疾病的中医综合治疗方案[J].中医杂志,2022,63(23):2227-2233.

SHANG Yanhua,MEI Xiangsheng,GAO Xiyan,et al.Comprehensive Treatment Protocol of Traditional Chinese Medicine for Voice Disorders[J].Journal of Traditional Chinese Medicine,2022,63(23):2227-2233.
尚艳华,梅祥胜,高希言等.嗓音疾病的中医综合治疗方案[J].中医杂志,2022,63(23):2227-2233. DOI： 10.13288/j.11-2166/r.2022.23.006.

SHANG Yanhua,MEI Xiangsheng,GAO Xiyan,et al.Comprehensive Treatment Protocol of Traditional Chinese Medicine for Voice Disorders[J].Journal of Traditional Chinese Medicine,2022,63(23):2227-2233. DOI： 10.13288/j.11-2166/r.2022.23.006.

摘要

嗓音疾病病位在喉，病因繁多，是多因素共同作用导致的，基本病机为喉部津血瘀滞、气机不畅、喉窍不利。以“三因学说”指导病因分类，将其分为外因（外邪侵袭）、内因（脏腑虚损、功能失调）、不内外因（包括嗓音滥用、暴咳久咳、手术或外伤、情志刺激等）。提出病位为主、整体为辅、防治并重的诊治思路，以消除喉部瘀滞、疏利喉部气机、通利喉窍、开喉亮音为主要治则，借鉴“君、臣、佐、使”的配伍思路，制定出针刺为君、推拿为臣、中药内服为佐、发声矫治训练为使的中医综合治疗方案。

Abstract

Voice disorder is located in the larynx， and caused by the combined action of multiple factors. The basic pathogenesis is stagnation of body fluids and blood stasis in the larynx， disordered

movement， and dysfunction of throat orifices. According to the “theory of three types of disease causes”， the causes of voice disorder are divided into external causes （invasion of external pathogens）， internal causes ［

zang

（脏腑） organs depletion， dysfunction］， and causes that are neither internal nor externa， such as vocal irregulare use， protracted cough， surgery or trauma， emotional stimulus. It is advocated to put focus on the disease location， treat the whole as a supplement， and attach importance on both prevention and treatment. The main treatment principles are eliminating stagnation and unblocking

movement in the throat， clearing the throat orifice， and opening the throat to brighten the sound. Adopting the combination idea of medicinals from “chief， deputy， assistant and envoy”， a comprehensive treatment protocol for voice disorder has been made by taking acupuncture as chief， tuina as deputy， oral herbal medicine as assistant and phonation correction training as envoy.

关键词

Keywords

references

于萍，王荣光 . 嗓音疾病与嗓音外科学［M］. 北京：人民军医出版社， 2009 ： 43 .

BHATTACHARYYA N . The prevalence of voice problems among adults in the United States ［J］. Laryngoscope ， 2014 ， 124 （ 10 ）： 2359 - 2362 .

BRISSON V ， FOURNIER C ， PELLETIER A ， et al . Vocal health and vocal health knowledge among occupational voice users in the province of Quebec ［J］. J Voice ， 2022 ，S0892- 1997 （ 21）00447 - 1 . doi： 10.1016/j.jvoice. 2021. 12.016 http://dx.doi.org/10.1016/j.jvoice.2021.12.016 .

PESTANA PM ， VAZ-FREITAS S ， MANSO MC . Prevalence of voice disorders in singers： systematic review and meta-analysis ［J］. J Voice ， 2017 ， 31 （ 6 ）： 722 - 727 .

郑宏良，陈东辉 . 嗓音外科进展［J］. 中国医学文摘（耳鼻咽喉科学）， 2011 ， 26 （ 6 ）： 294 - 297 .

熊大经 . 中医耳鼻咽喉科学［M］. 上海：上海世纪出版股份有限公司， 2017 ： 160 - 165 .

干祖望，申斌 . 浅谈“五脏之病皆能为喑”及其在临床的意义［J］. 黑龙江中医药， 1986 ， 15 （ 2 ）： 13 - 14 .

田鸿芳，韩德雄，刘婧，等 . 以“辨病位”为核心构建针灸临床诊疗体系的思考：以《针灸学》治疗篇为例［J］. 中国针灸， 2022 ， 42 （ 3 ）： 345 - 349 .

梁繁荣 . 针灸学［M］. 北京：中国中医药出版社， 2015 ： 395 - 401 .

刘晓亭，于睿，张欢 . 肌肉衰减综合征的研究进展［J］. 中华中医药学刊， 2016 ， 34 （ 3 ）： 651 - 653 .

陈静 . 针刺治疗声带疾患74例疗效观察［J］. 中医杂志， 1987 ， 28 （ 5 ）： 47 - 48 .

顾立德，范连娣 . 推拿治疗歌喉声门闭合不全16例观察［J］. 中医杂志， 1980 ， 21 （ 6 ）： 40 .

梅祥胜 . 科学发声矫治法治疗嗓音疾病的临床研究［J］. 医药论坛杂志， 2008 ， 29 （ 3 ）： 43 - 44 .

张家山二四七号汉墓竹简整理小组 . 张家山汉墓竹简（二四七号墓）［M］. 北京：文物出版社， 2001 ： 298 .

梁发雅，杨金珊，蔡谦，等 . 嗓音训练前后对女性肌紧张性发声障碍患者发声空气动力学结果分析［J］. 听力学及言语疾病杂志， 2014 ， 22 （ 4 ）： 371 - 374 .

张颂 . 播音创作基础［M］. 北京：中国传媒大学出版社， 2011 ： 137 .

韩梅 . “丹田气息”发声理论的历史梳理与现实思考［J］. 现代传播（中国传媒大学学报）， 2017 ， 39 （ 7 ）： 96 - 98 .

吴选辉，章文春 . 《诸病源候论》卒被损瘀血候养生方导引法探析［J］. 江西中医药， 2017 ， 48 （ 7 ）： 12 - 13 .

李红艳，徐文，胡蓉，等 . 嗓音障碍指数量表简化中文版的研究［J］. 听力学及言语疾病杂志， 2010 ， 18 （ 6 ）： 566 - 570 .

赖丹，黄毅岚，蒲俊梅 . 嗓音声学分析评估不同中医证型慢性喉炎患者的疗效［J］. 听力学及言语疾病杂志， 2016 ， 24 （ 5 ）： 461 - 464 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Exploring the Scientific Connotation and Extension of Deqi （得气） in Acupuncture：Based on Acupoint Sensitization

Imaging Measurement of the Safe Distances of Acupuncture at Fengfu （GV 16） in Children Aged 4 to 8 Based on CT Three-Dimensional Reconstruction

Acupuncture Treatment for Diarrhea-Predominant Irritable Bowel Syndrome Based on the Theory of "Simultaneous Regulation of Body and Spirit"

Overview of Physical Biological Research on the Activation of Acupoint Effects by Acupuncture

Acupuncture Combined with Resistance Training for the Treatment of Upper Crossed Syndrome Based on the Muscle-Bone Balance Theory

Related Author

LIANG Shiyun

WANG Wenyan

LI Kun

WANG Tianyi

WANG Xing

LI Zhijun

WU Peng

YANG Yang

Related Institution

School of Medicine，Jianghan University

Wuhan Hospital of Chinese Medicine

School of Basic Medicine，Inner Mongolia Medical University

School of Chinese Medicine，Beijing University of Chinese Medicine

First Clinical Medical School，Inner Mongolia Medical University

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰