汪受传教授治疗小儿肝咳验案举隅  

Proved cases of professor WANG Shouchuan in the treatment of children with liver cough

作　　者：曾智凤 汪受传(指导) ZENG Zhifeng;WANG Shouchuan(Department of Pediatrics,Jiangsu The Second Hospital of TCM,Nanjing,Jiangsu,210017,China;不详)

机构地区：[1]江苏省第二中医院儿科,江苏南京210017 [2]不详

出　　处：《中医儿科杂志》2021年第4期4-6,共3页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：全国名中医工作室建设项目(国中医药办人教函[2018]119号)。

摘　　要：咳嗽是儿科临床最常见的疾病之一,《素问·咳论篇》将咳嗽分为五脏咳和六腑咳。小儿具有"肝常有余,肺常不足"的生理特点,临床因肝累肺之肝咳并不少见。汪受传教授认为此类咳嗽证属肝火犯肺,病机为肝火炽盛,上逆犯肺,肺失清肃而致咳嗽,治宜以清肝泻肺为主法。在清肝的基础上联合清肺、泻肺、润肺、止咳、化痰等诸法,泻其肝火、肃降肺气。临证灵活加减,疗效显著。附验案2则,以资验证。Cough is a commonly encountered disease in pediatric clinics.Plain Question:On Cough divideds cough into cough involving five zang-organs and cough involving six fu-organs.Children have the physiological characteristics of "the liver is always in superabundance and the lung is frequently in insufficiency",it is common to see liver cough due to the liver affecting the lung in clinic.Professor WANG Shouchuan holds that this category of cough syndrome belongs to liver fire invading the lung, its pathogenesis is exuberance of liver fire counterflowing upward to invade the lung, causing failure of the lung to depurate and descend, all of which results in cough, so the treatment should take clearing liver and purging lung of pathogenic fire as the main method.On the basis of clearing liver, he combines with the various methods, namely clearing lung, purging lung, stopping cough and resolving phlegm etc.,to purge liver of pathogenic fire and make lung-qi depurate and descend.He modifies flexibly in clinic, which has obtained marked efficacy.Two proved case are attached for verification.

关 键 词：小儿肝咳 清肝泻肺法 临床经验 汪受传 

分 类 号：R249.2[医药卫生—中医临床基础]