【摘要】：本文主要以《黃帝內(nèi)經(jīng)》(不含素問兩遺篇)中口、齒、唇、舌、咽、喉的生理和相關(guān)病癥為研究對象,采用文獻(xiàn)研究與理論研究相結(jié)合的方法,根據(jù)其時代背景闡明其具體內(nèi)涵,把握經(jīng)中所載的病因病機及其治療原則和方法,希望為中醫(yī)口腔咽喉科學(xué)的理論和臨床應(yīng)用提供理論依據(jù)。全文主要分為兩大部分:第一部分是對《黃帝內(nèi)經(jīng)》中口齒唇舌咽喉的解剖、生理、經(jīng)絡(luò)循行的整體闡述,大致了解相關(guān)的理論記載,有助于對其含義、病因病機及治療的把握。第二部分是對口齒唇舌咽喉病癥的整理,其中口的病癥名15個,包括口瘡、口瘍、口糜(口麋)、口干、口中干、口燥、口熱、口中熱、口苦、口甘、口爽、口?、卒口僻、口目為噼、口目動作;齒的病癥名12個,包括齒痛、齒唇寒痛、齒槁、齒長、齒寒、上齒寒、齲、齲齒痛、齒齲、下齒齲、上齒齲、齒干;唇的病癥名7個,包括唇胗、唇揭、唇槁、唇槁臘、唇反、唇青、唇黃;舌的病癥名13個,包括舌干、舌本干、舌焦、舌卷、舌卷短、舌卷卵上縮、舌痿、舌縱、重舌、舌上黃、舌本強、舌本痛、舌本爛;喉的病癥名6個,包括喉痹、喉塞、喉T$、喉嗌中鳴、喉咽干燥、v;咽的病癥名9個,包括咽腫、嗌腫、嗌中腫、嗌干、嗌燥、嗌痛、嗌塞、陷咽、猛疽。對經(jīng)文所載的相關(guān)病癥進行探究,以期得到更深一層的認(rèn)識。理論研究的主要相關(guān)結(jié)論:1.口糜較口瘡、口瘍病變范圍廣、病情重,三者均類似現(xiàn)代醫(yī)學(xué)的口腔潰瘍一病;口干、口燥、口熱、口苦、口甘均非獨立疾病,其發(fā)生與熱密切相關(guān);口爽乃口中味覺失常的病癥;口?、卒口僻、口目為噼屬風(fēng)病的范疇。2.《內(nèi)經(jīng)》中所記載牙齒的病癥均用齒字。其所提出的陽明經(jīng)氣不利、熱邪、外寒、腎虛致齒痛為后世治療本病的立論產(chǎn)生了深遠(yuǎn)的影響;齒槁、齒長屬牙宣病的范疇;齒寒為清淺小疾,多歸屬于牙齒敏感的范疇;齲病的發(fā)生與陽明經(jīng)密切相關(guān)。3.唇胗、唇揭、唇槁、唇槁臘均歸屬于現(xiàn)代唇風(fēng)病的范疇;唇反和舌萎為足太陰脈氣將絕的外候;唇青為足厥陰脈氣將絕的外候;唇黃為脾經(jīng)外候。4.舌干、舌本干、舌焦的發(fā)生與火熱、咸耗傷津液密切相關(guān);舌卷、舌卷短、舌卷卵縮、舌縱的發(fā)生與心、肝、腎關(guān)系密切;5.嗌在《內(nèi)經(jīng)》中指病癥時其含義與咽相同�！秲�(nèi)經(jīng)》中咽、喉的解剖位置大多數(shù)情況下已經(jīng)做出明確區(qū)分,同現(xiàn)代解剖學(xué)所指的咽喉極其類似,與大多數(shù)古醫(yī)籍咽喉所指含義模糊不清不同。
[Abstract]:In this paper, the physiological and related diseases of mouth, teeth, lip, tongue, pharynx and larynx in Huangdi Neijing (excluding the two articles) were taken as the research objects, and the method of combining literature research with theoretical research was adopted. According to the background of the times, this paper expounds its concrete connotation, grasps the etiology and pathogenesis contained in the meridians and its treatment principles and methods, and hopes to provide theoretical basis for the theory and clinical application of oral pharyngology in traditional Chinese medicine. The full text is mainly divided into two parts: the first part is the anatomy, physiology and meridians of mouth, tongue, throat and throat in Huangdi Internal Classic, and a general understanding of the relevant theoretical records, which is helpful to its meaning. Grasp the etiology, pathogenesis and treatment. The second part is the collation of mouth, tongue, throat and throat diseases, in which the name of the mouth is 15, including mouth sore, mouth selection, choral moose (moose), dry mouth, hot mouth, bitter mouth, sweet mouth, good mouth, remote mouth, dry mouth, hot mouth, bitter mouth, sweet mouth, good mouth, mouth. Mouth for the beep, mouth movement; The name of teeth is 12, including toothache, lip cold pain, haggard teeth, long teeth, cold teeth, upper teeth cold, caries pain, teeth caries, lower teeth caries, upper teeth caries, dry teeth. Lip disease name 7, including lip gizzard, lip open, lip wax, lip reverse, lip green, lip yellow; There are 13 names of tongue diseases, including dry tongue, focal tongue, short curl of tongue, contraction of egg of tongue roll, impotence of tongue, longitudinal tongue, heavy tongue, yellow tongue, strong tongue, pain of tongue and rotten tongue. There are 6 names of laryngeal diseases, including laryngeal arthralgia, laryngeal plugs, larynx, throat, dry throat, 9 throat diseases, including pharynx swelling, moderate swelling, dry throat, dryness, pain, obstruction, trapping pharynx, and gangrene. The name of pharynx is dry, dry. Explore the related symptoms contained in the scriptures in order to get a deeper understanding. The main conclusions of theoretical research are as follows: 1. Compared with mouth sore, mouth ulcer has a wide range of lesions and serious illness, all of which are similar to one disease of oral ulcer in modern medicine, and dry mouth, hot mouth, bitter mouth and sweet mouth are not independent diseases, the occurrence of which is closely related to heat. Mouth cool is a disorder of taste in the mouth; mouth is remote and the mouth is crackling in the category of wind disease. 2. Tooth characters are used in the teeth recorded in the Internal Classic. The theory that Yangming meridians and qi are disadvantageous, heat evil, external cold and toothache caused by kidney deficiency has a profound influence on the treatment of this disease in later generations, the haggard teeth and the tooth length belong to the category of tooth propaganda disease, and the tooth cold belongs to the category of tooth sensitivity, and the tooth cold belongs to the category of tooth sensitivity, which belongs to the category of tooth sensitivity, which belongs to the category of tooth sensitivity, and the tooth cold belongs to the category of tooth sensitivity. The occurrence of caries is closely related to Yangming Meridian. Lip gizzard, lip open, lip wax all belong to the category of modern lip wind disease; lip reverse and tongue wilting are the external symptoms of foot Taiyin pulse qi will be cut off; lip green is the external symptom of foot syncope yin pulse qi; lip yellow is spleen meridians external syndrome. 4. The occurrence of dry tongue, dry tongue and focal tongue is closely related to heat and salty consumption of body fluid; tongue roll, tongue curl is short, tongue curl egg contraction, tongue longitudinal occurrence is closely related to heart, liver and kidney; 5. In the Internal Classic, the meaning of the middle finger disease is the same as that of the pharynx. In the Internal Classic, the anatomical position of the pharynx and larynx has been clearly distinguished, which is very similar to that of the pharynx and larynx referred to in modern anatomy. The meaning of throat is different from that of most ancient medical books.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R221

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 韋雙雙;李海昌;錢俊華;溫成平;謝志軍;范永升;;基于“脾胃伏火”論治口瘡[J];中華中醫(yī)藥學(xué)刊;2015年12期

2 燕東;姬航宇;劉慧敏;;基于“絡(luò)病理論”分期辨治復(fù)發(fā)性口瘡[J];中國中醫(yī)藥信息雜志;2015年11期

3 張嘉玲;李求實;;基于文獻(xiàn)計量學(xué)分析復(fù)發(fā)性口腔潰瘍針灸處方初探[J];中國中醫(yī)基礎(chǔ)醫(yī)學(xué)雜志;2015年10期

4 崔妮;王鵬遠(yuǎn);王勤濤;李曉琳;王曉娟;;口潰清含片治療復(fù)發(fā)性口瘡的臨床試驗[J];中國臨床藥理學(xué)雜志;2013年10期

5 任成華;廖小艷;;針刺治療口腔潰瘍疼痛63例[J];河南中醫(yī);2013年03期

6 呂安定;;自擬藿佩湯治療濕熱中阻型糖尿病30例臨床觀察[J];北京中醫(yī)藥;2012年10期

7 王勤勇;;艾灸治療脾腎陽虛型復(fù)發(fā)性口瘡28例臨床觀察[J];貴州醫(yī)藥;2012年09期

8 劉慧敏;;足三里穴位注射治療復(fù)發(fā)性口腔潰瘍50例療效觀察[J];時珍國醫(yī)國藥;2012年08期

9 郭利軍;;甘溫除熱法治療復(fù)發(fā)性口瘡療效觀察[J];實用中醫(yī)內(nèi)科雜志;2011年02期

10 趙建欣;陳桂霞;;淺談復(fù)發(fā)性口瘡的辨證治療[J];光明中醫(yī);2010年08期

相關(guān)會議論文 前2條

1 王干一;;口瘡的針灸辨證論治[A];甘肅省中醫(yī)藥學(xué)會2009年學(xué)術(shù)研討會論文專輯[C];2009年

2 任祥保;;復(fù)發(fā)性口瘡的中醫(yī)辯證分型[A];中華口腔醫(yī)學(xué)會全科口腔醫(yī)學(xué)專業(yè)委員會第一次學(xué)術(shù)年會會議論文集[C];2009年

相關(guān)重要報紙文章 前2條

1 伏新順;;反復(fù)口瘡之中醫(yī)辨治[N];中國中醫(yī)藥報;2007年

2 胡松;李萍;;復(fù)發(fā)性口瘡的中醫(yī)辨證論治[N];中國中醫(yī)藥報;2002年

相關(guān)碩士學(xué)位論文 前6條

1 史原華;口瘡清治療復(fù)發(fā)性口腔潰瘍濕熱內(nèi)盛兼陰虛火旺證的臨床療效觀察[D];云南中醫(yī)學(xué)院;2016年

2 臧玲玲;舌下刺血結(jié)合溫針治療氣虛質(zhì)復(fù)發(fā)性口腔潰瘍的臨床研究[D];廣州中醫(yī)藥大學(xué);2015年

3 張志燕;中醫(yī)辨證結(jié)合耳穴壓豆治療復(fù)發(fā)性阿弗它潰瘍的臨床研究[D];廣州中醫(yī)藥大學(xué);2014年

4 馬海麗;加味六君子湯治療復(fù)發(fā)性口瘡（脾胃氣虛證）的臨床觀察[D];湖南中醫(yī)藥大學(xué);2013年

5 王艷宏;參苓白術(shù)散加味治療復(fù)發(fā)性口瘡的臨床觀察[D];黑龍江中醫(yī)藥大學(xué);2010年

6 王瓊;口瘡Ⅰ號治療復(fù)發(fā)性口瘡（心脾積熱證）的臨床研究[D];湖北中醫(yī)學(xué)院;2008年

，

本文編號：2488652