赵兰才感染后咳嗽证治经验
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摘要
赵兰才教授运用中医药治疗感染后咳嗽辨证准确,紧扣病因病机,认为外感风温、风热、风燥等时令邪气和机体正气亏虚为本病主要病因,外感风动、肺气上逆、痰热内壅为关键病机,根据咳嗽程度、恶寒发热与否、咯痰及宿疾情况,结合舌脉进行整体辨证,归纳临床中常见证型,初中期多见风盛热壅证,后期多见痰热气虚证,前者治宜疏清宣降法,用经验方宣肺止咳方以疏风透邪宣肺止咳,后者治宜清热益气,化痰润肺法,用经验方益气宣肺方以益气养阴润肺止咳,结合临床医案供诸位同道参考借鉴。
Professor ZHAO Lan-cai used traditional Chinese medicine to treat post-infection cough with accurate differentiation of symptoms and signs, closely related to the etiology and pathogenesis. He believed that exogenous wind-warm,wind-heat, wind-dryness and other seasonal pathogenic factors and deficiency of body-qi were the main causes of the disease.Exogenous wind-motion, inversion of lung-qi and phlegm-heat accumulation were the key pathogenesis. According to the degree of cough, cold-fever, phlegm and persistent diseases, combined with the situation of tongue and pulse, the overall syndrome differentiation was in the early and middle stages, the syndrome of excessive wind and heat is common, while in the late stage, the syndrome of deficiency of phlegm and heat is common. The former is suitable for clearing away wind and dispersing pathogenic factors, and the latter is suitable for clearing heat and invigorating qi, resolving phlegm and moistening lung, and the latter is suitable for invigorating qi and nourishing yin and moistening lung to relieve cough. The former is suitable for treating cough by soothing wind and permeating pathogenic factors, and the latter is suitable for treating cough. The artide was in order to share experience and study for reference combining clinical cases.
Professor ZHAO Lan-cai used traditional Chinese medicine to treat post-infection cough with accurate differentiation of symptoms and signs, closely related to the etiology and pathogenesis. He believed that exogenous wind-warm,wind-heat, wind-dryness and other seasonal pathogenic factors and deficiency of body-qi were the main causes of the disease.Exogenous wind-motion, inversion of lung-qi and phlegm-heat accumulation were the key pathogenesis. According to the degree of cough, cold-fever, phlegm and persistent diseases, combined with the situation of tongue and pulse, the overall syndrome differentiation was in the early and middle stages, the syndrome of excessive wind and heat is common, while in the late stage, the syndrome of deficiency of phlegm and heat is common. The former is suitable for clearing away wind and dispersing pathogenic factors, and the latter is suitable for clearing heat and invigorating qi, resolving phlegm and moistening lung, and the latter is suitable for invigorating qi and nourishing yin and moistening lung to relieve cough. The former is suitable for treating cough by soothing wind and permeating pathogenic factors, and the latter is suitable for treating cough. The artide was in order to share experience and study for reference combining clinical cases.
引文
[1]中华医学会呼吸病学分会哮喘学组.咳嗽的诊断与治疗指南(2015版).中华结核和呼吸杂志,2016,39(5):323-340
[2]杨勤军,张星星,李泽庚,等.论唐宗海《血证论》辨治内伤咳嗽思想.中华中医药杂志,2018,33(9):3799-3801
[3]赵兰才.论内外相因疾病观在外感热病辨证中的作用.中医杂志,2011,52(13):1087-1089
[4]肖万泽.丁甘仁经典医案赏析.北京:中国医药科技出版社,2015:25
[5]张玉萍.陈莲舫医案集.福州:福建科学技术出版社,2008:59
[6]清·吴达.医学求是.南京:江苏科学技术出版社,1954:18
[2]杨勤军,张星星,李泽庚,等.论唐宗海《血证论》辨治内伤咳嗽思想.中华中医药杂志,2018,33(9):3799-3801
[3]赵兰才.论内外相因疾病观在外感热病辨证中的作用.中医杂志,2011,52(13):1087-1089
[4]肖万泽.丁甘仁经典医案赏析.北京:中国医药科技出版社,2015:25
[5]张玉萍.陈莲舫医案集.福州:福建科学技术出版社,2008:59
[6]清·吴达.医学求是.南京:江苏科学技术出版社,1954:18
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