浅谈温化法在慢性咳嗽中的运用
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1. 浙江中医药大学第一临床医学院,浙江杭州 310053;2. 浙江省中医院,浙江杭州 310000

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R242

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基金项目: 浙江省中医药管理局项目(2011ZQ009);浙江省中医药管理局治未病课题(2010ZW002) 收稿日期: 2013 - 12 - 08 作者简介: 王璐(1988-),女,浙江绍兴人,在读硕士研究生,研究方向:中西医结合呼吸系统疾病的研究。


The Discussion about the Application of the Warming and Transforming Method using in the Treatment of Chronic Cough
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1. The First Clinical Medical College,Zhejiang Chinese Medical University, Hangzhou, 310053 China; 2. Zhejiang Hospital of TCM, Hangzhou, 310053 China

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    摘要:

    咳嗽既是一种独立的病证,又可作为单独一个症状见于感冒、哮喘、慢性阻塞性肺疾病等多种急慢性肺系疾病过程中。临床上,若咳嗽持续超过8周即可诊断为慢性咳嗽,常常是由于肺、脾、肾三脏之脏阳衰冷为本,“寒邪”及“痰饮”为标。因此临床常用温化之法来发越阳气,开其腠理,通调水道,达到治病求本的目的,此法最早源于《黄帝内经》,确立于《金匮要略》,代表方剂如“小青龙汤”、“射干麻黄汤”、“苓甘五味姜辛汤”等,目前此法已得到不少医家的认可和实践。

    Abstract:

    Not only an independent disease, Chronic cough is also a common symptom in many acute or chronic pneumonic diseases such as cold, asthma, chronic obstructive pulmonary disease and any others. We can classify it to chronic cough if the cough persists for more than eight weeks clinically. The yang deficiency of the lung, spleen, kidney is the maily causes of chronic cough, while the key pathological factors is “cold” and “phlegm and retained fluid”, which should choose the drugs pungent in flavor and warm in property to disperse yang qi, open interstices and pass adjusts the canal, to search for the primary cause of disease in treatment. This method is originated from 《Inner Canon of Huangdi》 and established in 《Synopsis of Golden Chamber》, which has already been accepted and practiced by many physicians now, such as Xiaoqinglong Decoction, Shegan mahuang Decoction, Linggan wuwei jiang xin Decoction are all the representative prescriptions.

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