从本虚标实论治颈部淋巴结结核

文章回顾中医古籍有关病机理论的论述,结合流行病学证据展开分析,提出"肝郁脾肾两虚是根本,痨瘵邪毒侵淫是诱因,痰浊结块是标象"的颈部淋巴结结核病机理论新观点。倡导颈部淋巴结结核中药治疗应"化痰杀毒治其标,疏肝健脾固肾治其本",将缩短疗程、减少结核药物不良反应及降低复发率作为中医治疗的切入点。

Exploration of treatment of cervical lymph node tuberculosis from deficiency in origin and excess in superficiality

Reviewing the discussion of pathogenesis theory in ancient Chinese medicine books, combining with the analysis of epidemiological evidence, this paper put forward new ideas for pathogenesis theory of cervical lymph node tuberculous, which is ’stagnation of liver qi and deficiency of spleen and kidney are the basis, tuberculosis and toxin invasion is the inducement, while the symptoms are phlegm and turbid mass’. It is suggested that Chinese medicine treatment of cervical lymph node tuberculous should ’treat the symptoms from phlegm retention and toxin, treat the prigin from dispersing the stagnated liver-qi and invigorating the spleen and kidney’. Reducing the course of treatment, reduce the side effects of tuberculosis drugs and reduce the recurrence rate are taken as the entry point in Chinese medicine treatment.