蒋健教授诊治“喉咳”的临床经验  

Analysis on Professor Jiang Jian's Clinical Experience of Diagnosing and Treating “Laryngeal Cough”

作　　者：耿琦[1] 崔晨[1] 李敬伟[1] 李欣[2] 李威[3] 杨晓帆[1] 周丹[1] 蒋健[1] Geng Qi;Cui Chen;Li Jingwei;Li Xin;Li Wei;Yang Xiaofan;Zhou Dan;Jiang Jian(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Yueyang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai Huangpu District Central Hospital,Shanghai 200002,China)

机构地区：[1]上海中医药大学附属曙光医院,上海201203 [2]上海中医药大学附属岳阳医院,上海200437 [3]上海市黄浦区中心医院,上海200002

出　　处：《世界中医药》2018年第10期2543-2546,共4页World Chinese Medicine

基　　金："十二五"重大新药创制<创新药物研究开发技术平台建设>(2012ZX09303009-001);上海市教委重点学科中药临床药理学(J50303);高等学校博士学科点专项科研基金新教师类资助课题(20123107120002)

摘　　要："喉咳"为国医大师干祖望所提出的一种新的病证,以咽痒即咳、不痒不咳、痒止咳亦止为其临床特征。蒋健教授对此补充了以下主要学术见解:"喉咳"的外感病因为"6+1",即除了传统风寒暑湿燥火六淫外,更多由空气污染之"雾霾"所导致;诊断时勿忘询问患者是否伴有咽痒而咳的特点;提出治疗"喉咳"以抗过敏、养阴利咽、清热解毒及宣肺止咳为主,4种治疗原则可灵活组合。这些学术见解进一步丰富了"喉咳"的病脉症治。“Laryngeal cough” is a new syndrome proposed by National TCM Master,Gan Zuwang.It has a clinical feature,that is,the patient′s cough is caused by throat itching,and when throat itching stops,cough also stops.Professor Jiang Jian added the following major academic insights to thisThe pathogenic factors of “laryngeal cough” is “6＋1”,which is caused by the “haze” of air pollution in addition to the traditional six evils-wind,cold,heat,dampness,dryness and fire.When we try to diagnose “laryngeal cough”,do not forget to ask our patients whether his cough is caused by throat itching or not.In the treatment of “laryngeal cough”,Professor Jiang Jian pointed out four main therapeutic principles,which are based on anti-allergy,replenishing yin to ease the throat,clearing heat and toxic materials,ventilating the lung to suppress cough.These four principles can be flexibly combined.All of the above academic insights have enriched the therapy of “laryngeal cough” further.

关 键 词：喉源性咳嗽 经验 学术见解 @蒋健 

分 类 号：R249[医药卫生—中医临床基础] R256.11[医药卫生—中医学]