论治“三焦咳”  

Discussion on Treatment of Sanjiao Cough

作　　者：李传芬[1] 刘建材 郑涵尹 LI Chuan-fen;LIU Jian-cai;ZHENG Han-yin(Zigong Hospital of Traditional Chinese Medicine, Zigong Sichuan 643010, China)

机构地区：[1]自贡市中医医院

出　　处：《中医药导报》2019年第12期62-65,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局第四批全国中医(临床、基础)优秀人才研修项目(国中医药人教发[2017]24号)

摘　　要：通过分析《素问·咳论篇》原文,并结合临床实践,论述了"三焦咳"的生理基础、发病过程、核心病机、临床表现及辨治方法。"三焦咳"是由于长期慢性咳嗽,导致以肺脾胃为中心的多个脏腑受累,以三焦功能失调为主要表现的一类病证。其辨治当抓住聚胃关肺的核心病机,以调理肺脾胃、通利三焦为主,随证治之。现代医学中的感染后咳嗽、慢性阻塞性肺疾病、慢性肺源性心脏病、胃食管反流性咳嗽等病可参照"三焦咳"进行辨证论治。Discussing physiological basis, pathogenetic process, main pathogenesis, clinical manifestation, diagnosis and treatment method through analyzing original of Neijin and clinical practice. Sanjiao Cough is a class of diseases caused by multiple Zang-organs and Fu-organ dysfunction with lung, spleen, stomach as the center and the dysfunction caused by chronic cough. Its clinical manifestation are a variety of symptoms caused by Sanjiao dysfunction. We should focus on the lung and stomach theory and regulate lung, spleen, stomach and Sanjiao, vary from the different syndrome at the same time. Many diseases in modern western medicine like post-infectious cough, chronic obstructive pulmonary disease, chronic pulmonary heart disease, gastroesophageal reflux-related chronic cough, erc. can be treated with the theory of Sanjiao cough.

关 键 词：三焦 三焦咳 辨证论治 感染后咳嗽 慢性肺源性心脏病 

分 类 号：R256.11[医药卫生—中医内科学]