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本科论文:脾肾同治唾液腺分泌增多症验案举隅

  摘要:唾液腺分泌增多症的根本病因在于脾肾亏虚,水液运化失司,摄纳失调,临床分为多涎症与多唾症两种不同表现。辨证应从脾肾两脏着手,以温阳化饮、健脾益肾为治法。本文列举唾液腺分泌增多症验案2则,以理中汤、苓桂术甘汤温阳化饮为基础方,加用益肾摄涎之品,疗效显著。 
  关键词:脾肾同治;唾液腺分泌增多症;多涎症;多唾症;验案 
  DOI:10.3969/j.issn.1005-5304.2017.08.023 
  中图分类号:R276.817 文献标识码:A 文章编号:1005-5304(2017)08-0104-02 
  Exemplification of Medical Cases of Treatment for Hypersalivation Syndrome Through Common Therapy on Spleen and Kidney SHI Bin, LIU Nan-yang, BI Hong-yan, LI Zhen-hua (Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China) 
  Abstract: The basic pathogenesis of hypersalivation syndrome is the deficiency of spleen and kidney, which results in the imbalance of water metabolism and intake disorder. There are two different characters included in polysialia and profuse spittle. Therefore, dialectics should start from the spleen and kidney, and warming yang and resolving dampness, strengthening spleen and reinforcing kidney should be the treatment. Two medical cases for the treatment of hypersalivation syndrome were illustrated in this article. Lizhong Decoction and Linggui Zhugan Decoction were the basic prescriptions, and combined with the Chinese materia medica with the function of reinforcing kidney andintaking the saliva, with obvious efficacy. 
  Key words: common therapy on spleen and kidney; hypersalivation syndrome; polysialia; profuse spittle; medical case 
  唾液腺分泌增多癥是指口腔内唾液分泌过多,频繁吞吐,不分白昼,可归属于中医学“多涎症”“多唾症”“痰饮”范畴。一般而言,“多涎症”病机为脾虚湿盛,多从脾论治;“多唾症”乃肾虚不摄,多从肾论治。但脾肾分治疗效多不尽如人意。笔者认为“多涎症”与“多唾症”虽临床表现各有侧重,但总属唾液分泌增多,从脾肾两脏着手论治,临床可取得满意疗效。兹结合案例介绍如下。 
  1 典型病例 
  1.1 多涎症 
  案例1:患者,男,54岁,工人,2014年10月 

 
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