从药物归经浅议“升麻、黄连、生地黄”角药论治放射性牙周炎

Analysis on treatment of radioactive periodontitis with jiaoyao “Rhizoma cimicifugae,Coptis chinensis and Rehmannia glutinosa” based on meridian tropism theory

关键词:  归经理论|角药|中医辨治|放射性牙周炎|牙宣|鼻咽癌

Key words:  meridian tropism theory|jiaoyao|traditional Chinese medicine syndrome differentiation and treatment|radioactive periodontitis|yaxuan|nasopharyngcul carcinoma

摘要:

颌面部肿瘤患者接受放射治疗后牙周结缔组织正常结构被放射线破坏，损伤了牙周弹力系统纤维及黏膜防御系统造成牙周炎反复发作，迁延不愈。西医对此类牙龈组织损伤以对症缓解为主。文章按中医“牙宣”辨治肿瘤放疗相关牙周炎，认为虽病位在齿、龈，但与大肠、肾、脾胃等多个脏腑机能密切相关。以解毒清热、抗癌护龈为主法，通过定位、定性辨病辨证使处方用药与病变所在脏腑、相关经络联系，将清胃散中“升麻、黄连、生地黄”3味药合用作为角药，理解为中医归经理论应用的拓展，取各药性之长，各归其经，药有专司，组方力宏，保证后续治疗的如期顺利。

Abstract:

Thenormal structure of periodontal connective tissue in patients with maxillofacial tumor will be damaged by radiation after radiotherapy which damaged the defense system of periodontal mucosa and the fibers of elastic system,resulting in recurrent periodontitis and prolonged periodontitis. Western medicines therapeutic strategy on gingival tissue damage is mainly symptomatic treatment. According to the "yaxuan" of traditional Chinese medicine,we believe that disease location is gingiva,and it had close association with the function of large intestine,kidney,spleen and stomach. Treatments according to syndrome differentiation can make the prescription associate with zangfu organs and meridians by taking clearing heat and toxic and anti cancer and gingival protection as the main curative method. The application of the three drugs "Rhizoma cimicifugae,Coptis chinensis and Rehmannia glutinosa" as jiaoyao is understood as an expansion of the application of meridian tropism theory. What's more,it can ensure the smooth progress of subsequent treatment as scheduled.