喉痹
Alias慢性咽炎
Traditional Chinese Medicine Definition
In traditional Chinese medicine, "Glossopyrosis" is also known as chronic pharyngitis, which falls under the category of diseases in the department of otorhinolaryngology. According to the records in "Internal Medicine of Traditional Chinese Medicine," glossopyrosis refers to chronic inflammation of the mucous membrane in the throat, characterized by symptoms such as discomfort, pain, dryness, and a sensation of foreign body in the throat. The etiology and pathogenesis are often related to factors such as invasion by wind-heat, deficiency of lung and kidney yin, and stagnation of qi and blood.
In clinical practice of traditional Chinese medicine, the core pathogenesis of glossopyrosis is the deficiency of lung and kidney yin. Common precipitating factors include external attack by wind-heat, irregular diet, and emotional disorders. During the process of differentiation, attention should be paid to the following key points: the wind-heat invasion syndrome manifests as throat pain, dryness and burning sensation in the throat, fever, and aversion to wind, with the treatment approach focusing on dispelling wind and clearing heat, and reducing swelling to relieve the throat; the lung and kidney yin deficiency syndrome is characterized by slight throat pain, worsening in the afternoon, and hot sensation in the palms and soles, with the treatment approach focusing on nourishing the lung and kidney, and reducing fire to relieve the throat. The overall direction of treatment suggests that attention should be paid to harmonizing yin and yang, and reinforcing the lung and kidney, while combining methods such as dispelling wind and clearing heat, and promoting blood circulation to remove blood stasis, in order to alleviate symptoms and improve discomfort in the throat.
Common Syndrome Types and Key Points of Differentiation
风热外袭证
Main Manifestations：咽喉疼痛，咽干灼热，发热恶风
Management Approach：疏风清热，消肿利咽
肺肾阴虚证
Main Manifestations：咽干微痛，午后加重，手足心热
Management Approach：滋养肺肾，降火利咽
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
In clinical practice, patients with glossopyrosis often feel a sensation of foreign body in the throat. Observation of their red tongue and yellow coating often indicates internal heat.
— 柴夏阳 中医执业医师
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参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)