[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fDtqQivrt83WwcpjaDz0cSLxNT4u6jHRx1kIOJmXxbsY":8,"$fCodCJukUjgwaRSeuX-9w1sqbYHSv4IEp4r98O0yOSdw":59,"$fEAYxk6B40BaBOXaDYVpq8dfGEdx5eUd5om4MX4BS4hM":60,"$fOsPr4JcJEfxhBR8h4xswihc16aHDBpfMj-EBI3IP-4U":64},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":58},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":22,"videoTotal":23,"isConcern":7,"title":24,"coverVertical":25,"coverAcross":26,"directionMarker":22,"description":27,"vid":28,"time":29,"mediaType":30,"views":31,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":32,"seoTitle":33,"seoKeywords":34,"seoDescription":35,"shelvesTime":36,"menus":37,"menuId":39,"type":22,"quality":6,"commentCount":17,"isComment":30,"deviceType":56,"url":57},14111,864659,[],"https://ystcdn.venuertc.com/medical/ystApp/FxlZnOUN3KW7rPWOSDyMeWgbWxnXw7Op.png","沈燕",0,"急诊常见疾病的诊治及危重症患者的救治。急危重症诊治、急诊气道管理、器官功能支持、血流动力学监测、急危重症超声诊断技术、心肺脑复苏等，如休克、猝死、酒精中毒、多器官衰竭、急性心梗、脑梗死、消化道出血、流行性感冒、肺炎等。","上海市东方医院","急诊科","主治医师",2,6,"守气发声，养喉润音","","https://cdn.yishi-tong.com/console/3/em5FICHtVTNuNRqHQLDIE6WfyUs7IbA2.png","WEBVTT\n\n00:08.906 --> 00:10.857\n那么今天我们很开心啊，\n\n00:10.857 --> 00:15.607\n一起来讲讲这个手气发声养喉润音的这方面。\n\n00:15.757 --> 00:16.207\n那么，\n\n00:16.207 --> 00:19.056\n声音对我们每个人来说非常重要。\n\n00:19.256 --> 00:19.607\n嗯，\n\n00:19.607 --> 00:21.607\n如果自己有一个好的嗓子，\n\n00:21.607 --> 00:23.556\n也会每天都会精神焕发。\n\n00:23.556 --> 00:24.707\n如果嗓子不好，\n\n00:24.757 --> 00:26.107\n那么说话也不能说，\n\n00:26.107 --> 00:28.031\n然后咽东西啊，\n\n00:28.031 --> 00:28.482\n吃饭啊，\n\n00:28.482 --> 00:29.131\n都会疼痛。\n\n00:29.131 --> 00:31.556\n那么对我们生活是非常有影响的啊。\n\n00:33.228 --> 00:33.428\n嗯。\n\n00:41.972 --> 00:44.597\n那么我们看一下现象第一呢，\n\n00:44.597 --> 00:46.147\n是现象与本质啊，\n\n00:46.147 --> 00:47.873\n声音嘶哑的这个初探。\n\n00:48.073 --> 00:48.722\n第二呢，\n\n00:48.722 --> 00:52.772\n脏腑关联声音背后的身体是如何的。\n\n00:52.873 --> 00:53.897\n第二第三呢，\n\n00:53.897 --> 00:57.573\n是追源求追源求因伤身习惯的盘点。\n\n00:57.573 --> 00:58.222\n第四呢，\n\n00:58.222 --> 01:00.823\n内调外治中医防治的宝库，\n\n01:01.022 --> 01:04.123\n生活管理科学用生与调护。\n\n01:04.322 --> 01:07.222\n那么第六点就是警钟如何，\n\n01:07.422 --> 01:10.072\n就是就医和那个。\n\n01:13.364 --> 01:14.165\n行动纲领，\n\n01:14.464 --> 01:15.339\n那么第一呢，\n\n01:15.339 --> 01:18.964\n我们可以看看现象与本质声音嘶哑的这个初探。\n\n01:19.464 --> 01:20.114\n第一呢，\n\n01:20.114 --> 01:21.440\n我们看到现代呢，\n\n01:21.440 --> 01:23.764\n医学视角下的声音嘶哑的这个定义，\n\n01:23.764 --> 01:25.714\n首先是声带振动的异常。\n\n01:26.165 --> 01:26.540\n那么，\n\n01:26.540 --> 01:32.665\n声音嘶哑在现代医学中主要有声带振动异常引起正常声带振动的时候，\n\n01:32.665 --> 01:36.364\n声带紧闭闭合规律震动发出清晰声音。\n\n01:36.364 --> 01:42.014\n一旦声音音声带因炎症、息肉等原因闭合不全或者震动不规律，\n\n01:42.014 --> 01:43.514\n就会出现音质改变。\n\n01:43.632 --> 01:44.632\n导致声音嘶哑，\n\n01:44.882 --> 01:46.632\n那么中医病因机制呢？\n\n01:46.632 --> 01:47.781\n从中医角度讲，\n\n01:47.931 --> 01:50.306\n声音嘶哑并非单纯的局部病变。\n\n01:50.306 --> 01:52.056\n中医有金石不明，\n\n01:52.056 --> 01:53.431\n精魄不明的说法，\n\n01:53.582 --> 01:56.281\n形象的比喻了声音嘶哑的两种情况，\n\n01:56.482 --> 01:59.681\n外邪侵袭气机闭阻为金石不明，\n\n01:59.781 --> 02:00.857\n脏腑亏虚，\n\n02:00.857 --> 02:02.931\n喉失濡养为精魄不明。\n\n02:02.931 --> 02:07.832\n提示我们需要从整体的这个脏腑功能失调来理解嘶哑，\n\n02:08.182 --> 02:09.132\n那么。\n\n02:10.675 --> 02:12.901\n中医上的这个金石不明呢，\n\n02:12.901 --> 02:15.175\n主要是指外邪壅肺，\n\n02:15.175 --> 02:16.100\n气机闭阻，\n\n02:16.100 --> 02:17.076\n声门失宣。\n\n02:17.276 --> 02:17.800\n例如，\n\n02:17.800 --> 02:18.951\n风热犯肺，\n\n02:18.951 --> 02:21.925\n热邪上扰咽喉和声音嘶哑呢，\n\n02:21.975 --> 02:24.576\n常常伴有咳嗽痰黄，\n\n02:24.576 --> 02:25.876\n喉咙痛等等。\n\n02:25.975 --> 02:26.401\n那么，\n\n02:26.401 --> 02:27.725\n痰红舌红，\n\n02:27.725 --> 02:29.126\n痰黄脉浮数。\n\n02:29.425 --> 02:29.826\n那么，\n\n02:29.826 --> 02:30.276\n第二呢，\n\n02:30.276 --> 02:31.100\n经魄不明，\n\n02:31.100 --> 02:31.826\n精魄不明，\n\n02:31.826 --> 02:34.376\n多因是肺肾阴虚，\n\n02:34.376 --> 02:35.526\n气精两伤。\n\n02:35.725 --> 02:36.076\n嗯，\n\n02:36.076 --> 02:37.050\n喉实濡养，\n\n02:37.050 --> 02:38.475\n长期用声过度，\n\n02:38.475 --> 02:40.776\n或者是久病的伤阴是。\n\n02:40.888 --> 02:44.738\n指可以使肺肾阴液亏虚，\n\n02:44.988 --> 02:46.138\n虚火上炎，\n\n02:46.337 --> 02:47.337\n灼烧喉部。\n\n02:47.438 --> 02:47.863\n那么，\n\n02:47.863 --> 02:50.412\n神经是日日久天长之后，\n\n02:50.412 --> 02:51.813\n可以导致声音嘶哑，\n\n02:51.813 --> 02:54.337\n日久那么喉干灼热，\n\n02:54.438 --> 02:55.488\n干痰少，\n\n02:55.837 --> 02:57.587\n干咳少痰，\n\n02:57.587 --> 02:58.587\n舌红少苔，\n\n02:58.587 --> 03:00.087\n脉细数等等。\n\n03:00.138 --> 03:00.688\n那么，\n\n03:00.688 --> 03:01.863\n辨证论治呢，\n\n03:01.863 --> 03:03.313\n在中医上非常重要。\n\n03:03.313 --> 03:05.063\n中医是强调辨证论治，\n\n03:05.063 --> 03:06.438\n金石与精魄呢，\n\n03:06.587 --> 03:09.462\n是两种不同的这个病机，\n\n03:09.462 --> 03:10.638\n金石不明呢。\n\n03:10.897 --> 03:12.147\n需祛邪宣肺，\n\n03:12.298 --> 03:13.447\n经魄不明呢，\n\n03:13.447 --> 03:14.772\n则要滋阴润肺。\n\n03:14.772 --> 03:17.272\n只有正确正确的这个辨证，\n\n03:17.272 --> 03:19.447\n才能定制个性化的这个治疗方案，\n\n03:19.548 --> 03:21.848\n有效缓解这个声音的嘶哑。\n\n03:25.738 --> 03:26.139\n那么，\n\n03:26.139 --> 03:26.664\n第二呢，\n\n03:26.664 --> 03:30.688\n我们可以看看通过声音来可以观察你整个身体的情况。\n\n03:30.889 --> 03:31.289\n那么，\n\n03:31.289 --> 03:33.289\n也就所谓的脏腑关联。\n\n03:33.539 --> 03:33.863\n嗯，\n\n03:33.863 --> 03:37.639\n通过肺肾脾脏与发生的关系，\n\n03:37.889 --> 03:38.264\n嗯，\n\n03:38.264 --> 03:42.139\n可以看到通过肺主气，\n\n03:42.139 --> 03:42.938\n司呼吸，\n\n03:43.139 --> 03:44.389\n肺主气啊，\n\n03:44.389 --> 03:46.188\n司呼吸为声音之门。\n\n03:46.339 --> 03:47.339\n肺气充沛，\n\n03:47.339 --> 03:49.339\n机气的气机通畅，\n\n03:49.339 --> 03:51.589\n声音才有洪亮有力，\n\n03:51.688 --> 03:52.889\n或肺气不足，\n\n03:52.889 --> 03:55.938\n或者是肺失宣降气机不。\n\n03:56.080 --> 03:58.130\n声音就会变得低沉或嘶哑，\n\n03:58.330 --> 03:59.505\n例如感冒之后，\n\n03:59.505 --> 04:00.356\n肺气被郁，\n\n04:00.356 --> 04:02.930\n常会出现短暂的这个声音嘶哑。\n\n04:03.031 --> 04:06.255\n那么肾藏精纳气，\n\n04:06.255 --> 04:08.830\n肾藏精纳气为肾阴之根，\n\n04:08.830 --> 04:10.080\n肾精充足呢，\n\n04:10.080 --> 04:14.281\n纳气功能正常才能保证肺气的稳定。\n\n04:14.281 --> 04:15.281\n肾精亏虚，\n\n04:15.281 --> 04:16.281\n纳气无权，\n\n04:16.480 --> 04:17.430\n肺气浮散，\n\n04:17.430 --> 04:21.055\n声音就会逐渐变得声音嘶哑和低沉，\n\n04:21.055 --> 04:23.580\n甚至于出现气短、懒言等状况。\n\n04:23.930 --> 04:24.355\n那么，\n\n04:24.355 --> 04:25.730\n脾为后天之本。\n\n04:25.989 --> 04:28.213\n生气血为生阴之本，\n\n04:28.213 --> 04:30.688\n脾运化水谷精微，\n\n04:30.938 --> 04:32.039\n化生气血，\n\n04:32.039 --> 04:33.139\n濡养喉窍。\n\n04:33.338 --> 04:34.851\n如脾虚湿运，\n\n04:34.851 --> 04:38.164\n气血生化烦原喉部失去滋养，\n\n04:38.164 --> 04:40.088\n声音也会变得嘶哑无力。\n\n04:40.960 --> 04:42.661\n那么还有就是。\n\n04:44.325 --> 04:44.575\n嗯。\n\n04:47.971 --> 04:48.321\n第四点，\n\n04:48.321 --> 04:51.221\n我们看一下是肝调气机啊，\n\n04:51.221 --> 04:53.247\n肺主疏泄调畅，\n\n04:53.247 --> 04:54.872\n气机为生阴之躯。\n\n04:55.122 --> 04:56.071\n肝气郁结，\n\n04:56.071 --> 04:56.946\n气机不畅，\n\n04:56.946 --> 04:59.372\n影响肺气的宣发与速降，\n\n04:59.522 --> 05:01.346\n进而导致声音嘶哑。\n\n05:01.346 --> 05:02.497\n情绪不佳的时候，\n\n05:02.497 --> 05:04.421\n也会常会出现声音变化，\n\n05:04.571 --> 05:07.821\n也就是肝气郁结影响发生的这个体现。\n\n05:10.571 --> 05:11.171\n那么，\n\n05:11.321 --> 05:15.372\n我们可以看到五大辩证分数的这个速览里面，\n\n05:15.471 --> 05:19.497\n辨证分型声音嘶哑在中医有多种辨证分型，\n\n05:19.497 --> 05:30.346\n常见的是有风热犯肺症、风寒袭肺症、肺肾阴虚症、肺脾气虚证、气滞血瘀痰凝症。\n\n05:30.346 --> 05:35.372\n每个症型都有其独特的这个症状表现和舌脉的特点。\n\n05:35.522 --> 05:35.921\n那么，\n\n05:35.921 --> 05:36.946\n准确辨证呢，\n\n05:36.946 --> 05:39.471\n是中医治疗声音嘶哑的这个关键。\n\n05:48.032 --> 05:48.182\n那么，\n\n05:48.182 --> 05:49.957\n通过这些辩证的分析，\n\n05:49.957 --> 05:54.131\n我们再来看一看如何辨别在中医上如何辨别啊。\n\n05:54.282 --> 05:54.707\n那么，\n\n05:54.707 --> 05:58.182\n追溯求因就是伤声带习惯的这些盘点，\n\n05:58.182 --> 06:01.981\n我们看看哪些习惯可以导致声音嘶哑。\n\n06:01.981 --> 06:02.356\n那么，\n\n06:02.356 --> 06:05.381\n这个也是伤声的这个日常三大陷阱。\n\n06:05.631 --> 06:06.057\n那么，\n\n06:06.057 --> 06:06.532\n第一呢，\n\n06:06.532 --> 06:08.481\n是过度和错误的用声。\n\n06:08.682 --> 06:13.082\n过度错误的用声是导致声音嘶哑的常见原因之一，\n\n06:13.182 --> 06:13.731\n例如，\n\n06:13.731 --> 06:17.182\n长时间大声说话、喊叫、语速过快等。\n\n06:17.231 --> 06:18.231\n会使声带。\n\n06:18.295 --> 06:20.996\n过度疲劳导致声带水肿啊，\n\n06:20.996 --> 06:23.621\n充血甚至形成小结和息肉，\n\n06:23.621 --> 06:25.295\n从而引起声音嘶哑。\n\n06:25.545 --> 06:25.996\n那么，\n\n06:25.996 --> 06:29.895\n饮食失节饮食失节也会对声音产生不良影响。\n\n06:30.196 --> 06:34.946\n过食辛辣油腻滞之物会助热生火，\n\n06:34.946 --> 06:36.696\n灼伤咽喉部，\n\n06:36.846 --> 06:41.321\n而生生冷寒凉之物则会损伤脾胃阳气，\n\n06:41.321 --> 06:42.846\n导致痰湿内生，\n\n06:43.145 --> 06:44.395\n上扰咽喉，\n\n06:44.395 --> 06:45.545\n使声音嘶哑。\n\n06:45.645 --> 06:46.045\n那么，\n\n06:46.045 --> 06:47.446\n还有环境的作用，\n\n06:47.496 --> 06:48.145\n环境。\n\n06:48.299 --> 06:49.524\n作息同样重要，\n\n06:49.524 --> 06:55.299\n长期处于干燥污染的环境中会使喉部粘膜干燥受损，\n\n06:55.299 --> 06:59.975\n熬夜耗伤阴液也会导致虚火上炎，\n\n06:59.975 --> 07:05.250\n灼烧喉部压力过大也会使指肝气郁结影响发生啊，\n\n07:05.250 --> 07:10.125\n我们都可以看看我们日常自己对自己下了哪些陷阱，\n\n07:10.125 --> 07:11.649\n那么也要避免。\n\n07:11.850 --> 07:13.899\n那么还有就是内调外治，\n\n07:14.049 --> 07:15.950\n中医防治的宝库。\n\n07:16.100 --> 07:16.424\n嗯，\n\n07:16.424 --> 07:18.250\n第一就是辨证食疗。\n\n07:18.519 --> 07:20.420\n与润喉茶饮，\n\n07:20.420 --> 07:24.670\n那么这个我们其实每个人可以做到这些所谓的养生之道啊，\n\n07:24.869 --> 07:27.894\n通用润喉茶罗汉果啊，\n\n07:27.894 --> 07:32.920\n茶胖大海雪梨饮蜂蜜水是通常的润喉茶饮。\n\n07:32.920 --> 07:36.619\n罗汉果能就是罗汉果茶能够清热解毒，\n\n07:36.619 --> 07:38.045\n润肺止咳。\n\n07:38.045 --> 07:42.744\n胖大海雪梨饮可以清热润肺利阴啊，\n\n07:42.744 --> 07:43.670\n利咽开阴。\n\n07:43.920 --> 07:45.869\n蜂蜜水能够滋养肺阴，\n\n07:46.119 --> 07:47.320\n润燥止咳，\n\n07:47.320 --> 07:48.269\n适合日。\n\n07:48.335 --> 07:50.385\n日常的饮用缓解喉咙的不适。\n\n07:51.304 --> 07:51.505\n那么，\n\n07:51.505 --> 07:54.255\n还有药膳方面辨证施膳啊，\n\n07:54.255 --> 07:56.755\n我们可以看到有很多食疗的方案。\n\n07:56.954 --> 07:57.355\n那么，\n\n07:57.355 --> 08:02.704\n阴虚者可以食用银耳羹、百合粥、沙参麦冬汤滋阴润肺。\n\n08:02.704 --> 08:07.605\n气虚者可以选用黄芪泡水、党参山药粥补气健脾。\n\n08:07.855 --> 08:11.605\n同时需忌口辛辣生生冷油腻的，\n\n08:11.654 --> 08:14.154\n以免这个出现病情的加重。\n\n08:16.463 --> 08:18.289\n那么我们可以看到，\n\n08:18.289 --> 08:20.014\n就是通过这些，\n\n08:20.213 --> 08:22.914\n就是食疗和饮茶来呢，\n\n08:22.914 --> 08:25.764\n我们还可以通过按摩穴位和中医的熏蒸。\n\n08:27.557 --> 08:30.506\n那么熏蒸方面和针灸方面，\n\n08:30.506 --> 08:31.407\n我们来看看啊，\n\n08:31.407 --> 08:32.581\n穴位的按摩啊，\n\n08:32.581 --> 08:36.882\n这个就是我们自己有可能也日常是可以做到的，\n\n08:36.882 --> 08:38.406\n第一就是。\n\n08:39.309 --> 08:46.359\n廉泉人迎天突喉合谷列缺是利喉开音的特效部位。\n\n08:46.510 --> 08:47.010\n那么，\n\n08:47.010 --> 08:48.684\n连泉位于这个颈部，\n\n08:48.684 --> 08:50.085\n按摩它呢，\n\n08:50.085 --> 08:52.109\n可以清咽清热利咽。\n\n08:52.159 --> 08:53.784\n人迎穴在颈部啊，\n\n08:53.784 --> 08:58.710\n我们按摩的时候可以出现让它就是疏肝散热。\n\n08:58.909 --> 08:59.835\n天突穴呢，\n\n08:59.835 --> 09:01.210\n位于胸骨上端，\n\n09:01.210 --> 09:02.859\n可以宽胸理气。\n\n09:03.059 --> 09:05.309\n合谷穴能清热解毒等等。\n\n09:05.510 --> 09:05.934\n那么，\n\n09:05.934 --> 09:09.460\n中药蒸汽蒸熏是一种很有效的外。\n\n09:09.590 --> 09:10.039\n方法，\n\n09:10.289 --> 09:11.789\n那么我们经常可以看到，\n\n09:11.789 --> 09:14.890\n选用薄薄荷、金银花等药物，\n\n09:14.890 --> 09:20.039\n将药物煎煮后产生的蒸汽用于补咽部或蒸咽喉部，\n\n09:20.190 --> 09:23.739\n那么也会减少咽喉部的这种疼痛感。\n\n09:23.739 --> 09:26.914\n那么操作的时候要注意温度要适宜，\n\n09:26.914 --> 09:27.789\n避免烫伤。\n\n09:27.940 --> 09:30.715\n每次熏蒸时间是约15.20分钟，\n\n09:30.715 --> 09:31.989\n每日一到两次。\n\n09:32.390 --> 09:33.489\n注意事项呢，\n\n09:33.539 --> 09:36.565\n在按摩穴位按摩和的时候呢，\n\n09:36.565 --> 09:37.414\n手法要轻柔，\n\n09:37.414 --> 09:38.315\n力度要适中，\n\n09:38.315 --> 09:39.440\n避免用力过猛。\n\n09:39.568 --> 09:40.419\n导致不适啊，\n\n09:40.619 --> 09:44.218\n那么中药熏蒸的时候要注意药物的选择和煎煮方法，\n\n09:44.369 --> 09:47.468\n确保药物的有效成分能够充分释放。\n\n09:47.619 --> 09:48.343\n同时呢，\n\n09:48.343 --> 09:52.068\n孕妇皮肤破溃等等需要谨慎使用啊。\n\n09:53.612 --> 09:54.638\n那么第五点呢，\n\n09:54.638 --> 10:00.413\n生活管理科学用声与调护科学用声三原则和起居啊，\n\n10:00.413 --> 10:02.963\n我们可以看看发生前的热身。\n\n10:03.163 --> 10:08.513\n发声时的省力就是借力省省省那个嗓子啊。\n\n10:08.713 --> 10:09.638\n那么，\n\n10:09.638 --> 10:11.013\n发声前的热身呢，\n\n10:11.013 --> 10:12.463\n我们主要是可以看到，\n\n10:12.612 --> 10:14.112\n就是我们在发声前呢，\n\n10:14.112 --> 10:19.888\n可以用通过哼鸣的方式让声带逐渐进入这个工作状态。\n\n10:19.888 --> 10:20.487\n鸣的时候，\n\n10:20.487 --> 10:22.138\n用鼻子轻轻哼出声音，\n\n10:22.138 --> 10:23.562\n感受声带的震动。\n\n10:23.901 --> 10:26.851\n那么发声的时候要注意借力神嗓，\n\n10:27.051 --> 10:32.151\n那么可以借助麦克风设备减少这个声带的负担。\n\n10:32.351 --> 10:34.301\n那么同时要注意呼吸的技巧，\n\n10:34.401 --> 10:36.750\n用腹式呼吸代替胸式呼吸，\n\n10:36.801 --> 10:40.575\n让声音发出的时候更加的就是稳定啊，\n\n10:40.575 --> 10:42.450\n有力避免用用力过度。\n\n10:42.500 --> 10:44.601\n那么发声之后的及时休息，\n\n10:44.901 --> 10:46.401\n发声后要及时休息，\n\n10:46.401 --> 10:48.151\n让声带得到充分的恢复，\n\n10:48.301 --> 10:50.950\n避免长时间连续说话或唱歌，\n\n10:51.101 --> 10:53.601\n每隔一段时间要让声音带休息一下。\n\n10:53.804 --> 10:55.953\n如果感到咽喉咙不适，\n\n10:56.104 --> 10:57.604\n可以适当喝些温水，\n\n10:57.604 --> 10:59.104\n缓解喉咙的疲劳。\n\n10:59.254 --> 11:00.528\n起居调护呢，\n\n11:00.528 --> 11:01.328\n同样重要，\n\n11:01.328 --> 11:03.504\n要保持室内空气的湿润，\n\n11:03.703 --> 11:05.153\n可以使用加湿器，\n\n11:05.304 --> 11:08.354\n避免干燥的空气对喉部造成刺激，\n\n11:08.554 --> 11:10.179\n保证充分的睡眠，\n\n11:10.179 --> 11:11.254\n避免熬夜，\n\n11:11.453 --> 11:14.604\n因为熬夜会伤耗伤阴液，\n\n11:14.854 --> 11:16.453\n导致虚火上炎，\n\n11:16.453 --> 11:17.453\n影响声音。\n\n11:17.554 --> 11:19.328\n那么同时适当的运动，\n\n11:19.328 --> 11:20.203\n如太极拳，\n\n11:20.203 --> 11:21.254\n八段锦等，\n\n11:21.403 --> 11:22.804\n可以增强体质，\n\n11:22.903 --> 11:23.754\n提高身。\n\n11:23.828 --> 11:25.127\n体的这个抗病能力。\n\n11:27.674 --> 11:28.099\n那么，\n\n11:28.099 --> 11:29.275\n警钟长鸣啊，\n\n11:29.275 --> 11:31.875\n我们核实就医和行动纲领啊，\n\n11:32.025 --> 11:32.974\n两个原则。\n\n11:33.025 --> 11:33.575\n那么，\n\n11:33.974 --> 11:37.224\n首先是就医的指针还有危险信号。\n\n11:37.224 --> 11:38.974\n我们先来看下就医的指针，\n\n11:39.075 --> 11:42.275\n声音嘶哑持续两周或者以上没有改善，\n\n11:42.375 --> 11:44.650\n或者半年内反复发作两次以上，\n\n11:44.650 --> 11:45.974\n应该及时就医。\n\n11:46.224 --> 11:51.025\n这两个时间点是判断声音嘶哑严重程度的重要参考，\n\n11:51.174 --> 11:54.299\n可能提示存在器质性病变或者其他的，\n\n11:54.299 --> 11:55.474\n这个严重疾病。\n\n11:57.254 --> 11:57.953\n危险信号，\n\n11:58.104 --> 11:59.153\n如果声音嘶哑，\n\n11:59.153 --> 12:00.403\n伴有痰中带血，\n\n12:00.554 --> 12:01.453\n呼吸困难，\n\n12:01.453 --> 12:02.304\n吞咽困难，\n\n12:02.304 --> 12:03.078\n颈部不适，\n\n12:03.078 --> 12:04.403\n不明原因的消瘦，\n\n12:04.554 --> 12:07.778\n那么有可能就是某些重重要疾病的信号，\n\n12:07.778 --> 12:08.604\n包括喉癌，\n\n12:08.653 --> 12:09.903\n必须立即就医。\n\n12:09.903 --> 12:10.278\n那么，\n\n12:10.278 --> 12:13.403\n进行详细的这个检测和诊断，\n\n12:13.403 --> 12:14.953\n避免延误病情啊，\n\n12:14.953 --> 12:17.403\n导致，\n\n12:17.403 --> 12:19.403\n就是疾病加重的程度啊。\n\n12:19.604 --> 12:20.054\n那么，\n\n12:20.054 --> 12:20.528\n最后呢，\n\n12:20.528 --> 12:22.554\n我们要看看这个行动纲领啊，\n\n12:22.554 --> 12:23.653\n遇到这样的问题，\n\n12:23.653 --> 12:27.453\n我们首先可以看到就是说日常生活当中。\n\n12:27.486 --> 12:29.937\n中我们要注意日常生活的保健。\n\n12:30.187 --> 12:31.336\n那么还有就是。\n\n12:32.762 --> 12:36.086\nB外邪节饮食慎用身，\n\n12:36.086 --> 12:36.961\n调情志，\n\n12:36.961 --> 12:37.812\n勤保健。\n\n12:38.111 --> 12:38.637\n那么，\n\n12:38.637 --> 12:39.687\n希望大家呢，\n\n12:39.687 --> 12:43.336\n从今天的这个科普开始学习如何养生，\n\n12:43.336 --> 12:44.262\n如何养生，\n\n12:44.262 --> 12:48.661\n养生那么如何践行中医护嗓的智慧，\n\n12:48.762 --> 12:51.161\n养成这个良好的生活习惯，\n\n12:51.312 --> 12:53.562\n守护自己的声声音。\n\n12:53.762 --> 12:54.586\n那么，\n\n12:54.586 --> 12:56.262\n我们今天呢，\n\n12:56.361 --> 12:57.361\n讲了这么多，\n\n12:57.361 --> 12:58.911\n那么我们接下来呢，\n\n12:58.911 --> 13:02.236\n再来回顾一下我们的重要内容啊，\n\n13:02.236 --> 13:02.762\n包括。\n\n13:03.010 --> 13:04.609\n就是如何用。\n\n13:06.309 --> 13:12.033\n就是如何判断我们的声带出现怎样的症状，\n\n13:12.033 --> 13:15.008\n才能就是说明我们的声带出现了问题。\n\n13:15.359 --> 13:15.859\n那么，\n\n13:15.859 --> 13:17.609\n我们首先从中医讲啊，\n\n13:17.758 --> 13:19.533\n如果是声音嘶哑，\n\n13:19.533 --> 13:23.533\n那么就是一个出现了声带背后的这个声音，\n\n13:23.533 --> 13:25.708\n背后的这个身体原因出现了异常。\n\n13:25.958 --> 13:26.434\n那么，\n\n13:26.434 --> 13:29.958\n我们可以看到就是声带声音嘶哑呢，\n\n13:29.958 --> 13:36.283\n其实就是一些从中医角度讲是金石不明、精魄不明的说法。\n\n13:36.283 --> 13:36.708\n那么。\n\n13:37.304 --> 13:38.328\n外邪侵袭，\n\n13:38.328 --> 13:39.379\n气机闭阻，\n\n13:39.379 --> 13:41.429\n那么导致了我们脏腑虚亏，\n\n13:41.629 --> 13:42.679\n喉舌濡养。\n\n13:42.729 --> 13:43.153\n那么，\n\n13:43.153 --> 13:47.778\n提示我们从整体脏器功能方面来理解这样一个嘶哑。\n\n13:48.028 --> 13:50.429\n那么嘶哑的这个病理机制呢，\n\n13:50.429 --> 13:53.078\n它中医这样讲就是外邪壅肺，\n\n13:53.078 --> 13:54.129\n气机堵塞，\n\n13:54.129 --> 13:55.028\n声门失宣。\n\n13:55.328 --> 13:57.629\n那么也有可能是肺肾阴虚，\n\n13:57.629 --> 13:59.328\n气精两伤导致的。\n\n13:59.429 --> 13:59.854\n那么，\n\n13:59.854 --> 14:06.278\n我们通过声音嘶哑也可以看到身体背后肺肾脾肝的这个情况。\n\n14:06.762 --> 14:07.137\n那么，\n\n14:07.137 --> 14:08.711\n综合的辨证论治，\n\n14:08.762 --> 14:12.812\n所谓的五出现了五大辨证分型的这个情况，\n\n14:12.911 --> 14:17.762\n那么我们可以从中医上彻底判定一下我们是属于哪个病症，\n\n14:17.861 --> 14:19.812\n然后才能够对症下药。\n\n14:20.161 --> 14:20.711\n那么，\n\n14:20.711 --> 14:21.411\n同时呢，\n\n14:21.411 --> 14:24.562\n日常中我们要避免过度错误的用生，\n\n14:24.711 --> 14:26.611\n那么避免饮食的失节，\n\n14:26.711 --> 14:27.961\n然后同时呢，\n\n14:27.961 --> 14:31.262\n环境也要比注重环境的这个调整。\n\n14:31.562 --> 14:34.786\n那么通过饮食啊，\n\n14:34.786 --> 14:35.661\n就是食疗，\n\n14:35.812 --> 14:36.711\n然后药物。\n\n14:36.973 --> 14:41.674\n还有就是平时的食物等等来改善这样的症状，\n\n14:41.874 --> 14:47.749\n那么还可以通过穴位按摩、中药熏蒸等方法进行这个症状的缓解，\n\n14:47.749 --> 14:49.198\n这也是非常重要的，\n\n14:49.198 --> 14:51.473\n也是我们自己都能做到的事情。\n\n14:53.284 --> 14:54.260\n那么最后呢，\n\n14:54.260 --> 14:56.385\n就是我们来综合的看，\n\n14:56.484 --> 15:01.734\n就是这个声音嘶哑对我们造成的这个影响。\n\n15:01.934 --> 15:02.359\n那么，\n\n15:02.359 --> 15:07.234\n从生活管理科学用生和调护上做到三大原则。\n\n15:07.335 --> 15:07.710\n那么，\n\n15:07.710 --> 15:10.260\n还有就是如何进行预防。\n\n15:10.260 --> 15:10.734\n那么，\n\n15:10.734 --> 15:12.335\n如果出现疾病的加重，\n\n15:12.434 --> 15:14.434\n那么我们要及时进行检测，\n\n15:14.434 --> 15:17.109\n避免这个疾病的延误啊。\n\n15:17.109 --> 15:17.534\n那么，\n\n15:17.534 --> 15:22.135\n就是我们今天想要的这些重点的内容好吧。\n\n","v0247cg10004d6oiqp2ljht5gc3margg",926,1,820,"2026-01-26 10:52:47","20251106154019-微信-视频-1.mp4 - 高清视频下载与分享  ","微信视频, MP4下载, 高清视频, 视频分享, 20251106154019  ","提供20251106154019-微信-视频-1.mp4高清视频的下载与分享，适合在微信等平台传播，画质清晰，内容优质。","2026-04-25 20:30:00",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":30,"status":17,"createDept":6,"remark":25,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":51,"seoKeywords":52,"seoDescription":53,"contentNum":6,"promotionalPoster":54,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":55,"routerPath":42,"componentInfo":43},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 10:31:58",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:40/0d7fcb56-3dc4-4dcb-99ca-a5d5c438378e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:43/958efac7-dd02-4681-b8fd-0dd84b1bbf42.png","健康科普视频大全,了解你的健康生活","健康科普视频, 戒烟视频, 饮食健康视频, 胸痛科普, 用药知识, 职业健康视频, 贫血科普, 眼健康视频","精选健康科普视频,涵盖戒烟、胸痛、饮食、用药与职业健康等多个主题,让你轻松获取科学健康知识,提升生活质量。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:45/fa8fe113-deaa-4454-8105-d629769963dd.png","Video",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/864659/aa0ac4ea-85b0-4904-aa30-0528dba073e6.tmp?a=0&auth_key=1789021915-e8e04e1a02bb45d898606e85af88b89a-0-8f12b8775f9e12c31207e07ac36e7c16&br=314&bt=314&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d6oiqp2ljht5gc3margg&er=0&l=20260811041626FE477484CCF855FE97D0&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=anVwZjhrb3NsOTczNGY3M0ApamQ2andtNXRyZzMzajo1eWdkXjBkcWcvbmxhLS1kNC9zc2RvamAyZWltZjMxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":57,"message":6,"data":6,"success":58},{"code":9,"msg":10,"message":6,"data":61,"success":58},{"pageNo":30,"pageSize":62,"result":63,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":65,"success":58},{"authors":66,"appraiseDimensionScoresVos":67},[],[]]