王彦彬按痈论治鼻源性反复性咳嗽
作者:
作者单位:

(中国医科大学航空总医院,北京 100012)

作者简介:

徐志强(1991-),男,主治医师,硕士,E-mail: 419923286@qq.com

通讯作者:

中图分类号:

基金项目:

基金项目: 北京市中医药科技发展基金项目(BJZYYB-2023-32)


Professor Wang Yanbin's Experience of Specialized Prescriptions in Treating Recurrent Rhinogenic Cough with Carbuncle Theory
Author:
Affiliation:

(Aviation General Hospital of China Medical University, Beijing 100012, China)

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
    摘要:

    王彦彬按痈论治儿童鼻源性反复咳嗽,辨证上抓住黏性鼻涕、伴平卧或体位变化咳嗽加重、间断咳嗽几声主症,就能定固定专方专药甚至专量,疗效显著,定病机为肺胃胆郁热,浊涕堵清窍,治疗上按痈论治,以清热消痈和排脓外出,清热消痈从肺、胆、胃热和清热解毒入手,分别选用苇茎汤、霍胆丸及消食清热药,和重用蒲公英,排脓选用白芷、天花粉,重用黄芪托脓外出。虽是热证,用药上并非一味苦寒药,而是寒热并用,避免寒伤脾胃,主张配合外治法优势互补,强调饮食调护是关键。

    Abstract:

    Professor Wang Yanbin treats children with recurrent rhinogenic cough with carbuncle theory, determining special medicine and prescription by grasping the symptoms such as sticky nasal mucus, exacerbated cough when lying down or changing posture, and intermittent coughing. The pathogenesis is identified as heat stagnation in the lung, stomach, and gallbladder, leading to obstruction of the clear orifices. The treatment involves clearing heat, resolving carbuncles and expelling pus. Clearing heat and resolving carbuncles is approached by targeting the lung, gallbladder, and stomach, using reed stem decoction, Huodan pills and medicines which can promote digestion and harmonize stomach, respectively, with dandelion used in larger than usual amounts. For expelling pus, Angelica Dahurica and radices trichosanthis are used to reduce swelling and drain pus, and milkvetch root is used in larger than usual amounts to aid pus expulsion. The whole prescription attaches importance to the balance of cold and heat and avoids cold injuring the spleen and stomach. There is also special medicine and prescription for concurrent pneumonia and preventing recurrence, advocating for simple, effective, and affordable external treatments, and emphasizing nursing methods. The article concludes with four effective case studies, detailing how to identify the main symptoms and distinguish rhinogenic cough, as well as how to adjust medications according to different symptoms for verification.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2024-12-02
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2024-12-27
  • 出版日期:

温馨提示

关闭