肺咳传变规律及辨治技巧  

Shift Law and Treatment Techniques of Lung Cough

作　　者：李传芬[1] 刘建材 郑涵尹 LI Chuanfen;LIU Jiancai;ZHENG Hanyin(Zigong Hospital of Traditional Chinese Medicine(Zigong Sichuan 643010,China)

机构地区：[1]自贡市中医医院

出　　处：《四川中医》2019年第11期19-22,共4页Journal of Sichuan of Traditional Chinese Medicine

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：通过查阅相关文献并结合临床体会探讨肺咳的传变规律及动态辨治技巧。新肺咳一般是由卫表传至咽喉,再传至肺,若失治误治,则传于营血或逆传心包。久肺咳常由一个脏(腑)逐渐累及多个脏(腑),最终形成多个脏腑功能失调,痰饮水湿瘀血互结的局面。临床辨治肺咳,应当重视其发展趋势,及早祛邪,安和脏腑,阻断其传变。同时综合考虑气候环境、患者体质、既往疾病等因素对肺咳的影响,随证立方,随病用药。Discussing the shift law and treatment techniques of lung cough through referring to the relevant literature and clinical practice. The shift of acute lung cough is passing from Weifen to throat, to lung, and then to Ying-Xue or abnormally passing to pericardium.The shift of chronic lung cough is passing from one Zang-organ(Fu-organ) to another. At last, phlegm and fluid retention and static blood join together due to the multiple Zang-organs and Fu-organs dysfunction. You should pay attention to the development trend of cough and prevent it through eliminating pathogen as early as possible and harmonizing the relevant Zang and Fu-organ at the same time, you should consider the effects of the four seasons, constitution, and the other chronic diseases before you make a prescription.

关 键 词：肺咳 传变规律 病势 三因制宜 体质 宿疾 辨证论治 

分 类 号：R256.11[医药卫生—中医内科学]