| 张仕杰,陈佳君,吴登宠,等.藿佩二术饮治疗中风后吞咽功能障碍口臭经验探析及应用[J].浙江中医药大学学报,2022,46(12):1383-1385, 1391. |
| 藿佩二术饮治疗中风后吞咽功能障碍口臭经验探析及应用 |
| Experience and Application of Huopei Erzhu Drink in Treating Halitosis Due to Dysphagia after Stroke |
| DOI：10.16466/j.issn1005-5509.2022.12.015 |
| 中文关键词: 中风后吞咽功能障碍 口臭 芳香药 藿佩二术饮 藿香 佩兰 |
| 英文关键词: dysphagia after stroke halitosis aromatic medicine Huopei Erzhu Drink Pogostemon cablin Eupatorium fortunei |
| 基金项目:温州市基础性科研项目(Y2020558) |
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| 中文摘要: |
| [目的] 解析温州市中医院治疗中风后吞咽功能障碍口臭专方藿佩二术饮的中医内涵。 [方法] 基于中医理论，分析中风后吞咽功能障碍口臭的病机及藿佩二术饮的方义，并以验案佐证藿佩二术饮治疗中风后吞咽功能障碍口臭的疗效。 [结果] 脾虚湿盛，湿郁化秽是中风后吞咽功能障碍口臭的重要病机。藿佩二术饮以藿香、佩兰为君，芳香逐臭；白术、苍术二药为臣，健脾祛湿；陈皮为佐，增强健脾除臭之用；薄荷为使，诸药合用，共奏芳香除臭、健脾去浊之功。所举病案两则，皆为脾虚湿聚型口臭，治以健脾化痰、去秽除臭，予藿佩二术饮治疗，其中小便不利者合用白茅根、芦根利尿祛湿，以达到湿去臭除的效果。 [结论] 温州市中医院康复科从脾虚湿聚论治中风后吞咽功能障碍口臭，治以专方藿佩二术饮，临床疗效确切，值得推广应用。 |
| 英文摘要: |
| [Objective] To analyze the traditional Chinese medicine(TCM) connotation of Huopei Erzhu Drink， a special prescription for treating halitosis due to dysphagia after stroke in Wenzhou Traditional Chinese Medicine Hospital. [Methods] Based on the theory of TCM， this paper analyzed the pathogenesis of halitosis due to dysphagia after stroke and the prescription of Huopei Erzhu Drink， and the curative effect of Huopei Erzhu Drink on halitosis due to dysphagia after stroke was proved by cases. [Results] Spleen deficiency and dampness excess， dampness stagnation turning into filth are the important pathogenesis of halitosis due to dysphagia after stroke. Huopei Erzhu Drink is based on Pogostemon cablin and Eupatorium fortunei， which is fragrant and deodoring； taking Atractylodes macrocephala and Atractylodes lancea as ministers to strengthen the spleen and eliminate dampness； Pericarpium Citri tangerinae is used for supporting， strengthening the spleen and deodorizing； Mentha haplocalyx is used to guide other drugs to exert their efficacy. All the drugs are used together to play the role of aromatic deodorization， spleen strengthening and turbidity removing. The cases cited were all halitosis of spleen deficiency and dampness accumulation type， which should be treated by strengthening the spleen， eliminating phlegm， removing filth and deodorizing. Therefore， Huopei Erzhu Drink was used to treat. Among them， those with dysuria were treated with Rhizoma Imperatae and Phragmitis Rhizoma to diuresis and eliminate dampness， so as to achieve the effect of eliminating dampness and deodorizing. [Conclusion] The Rehabilitation Department of Wenzhou Traditional Chinese Medicine Hospital treats halitosis due to dysphagia after stroke from spleen deficiency and dampness accumulation， and constitutes a special prescription， Huopei Erzhu Drink， which has definite clinical effect and is worthy of popularization and application. |
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