从阳明不降理论探讨治疗鼻衄经验

Exploring the Experience of Treating Nasal Epistaxis from the Theory of Yang Ming Not Descending

摘要: 鼻出血是耳鼻喉科的常见的急症之一，黄元御认为该病的病位在肺、在胃，病机在于肺胃不降、火炎金伤、腑气不通，根源在于胃气不降，将其总结为阳明不降，结合吾师田理教授从肺、胃两脏入手治疗鼻衄的临床经验，运用清降阳明之法，选方玉女煎加减，临床疗效甚佳。

Abstract: Nasal bleeding is one of the common emergencies in otorhinolaryngology. Huang Yuanyu believes that the disease is located in the lungs and stomach, and the pathogenesis lies in the inability to lower the lung and stomach, the golden injury caused by fire, and the obstruction of qi in the organs. The root cause is the inability to lower the stomach qi. It is summarized as the inability to lower the yang ming. Based on the clinical experience of Professor Tian Li, our teacher, in treating epistaxis from the lungs and stomach, the method of clearing and lowering the yang ming is used, and the formula of Yunu decoction is selected for addition and subtraction, with excellent clinical efficacy.