虞抟《医学正传》咳嗽病治疗思路探析  

Analysis of the Treatment Ideas of Cough Disease in YU Tuan’s “Medical Records”

作　　者：古婷婷 李泽庚[2] 朱雪娜 廖慧 童佳兵[2] GU Tingting;LI Zegeng;ZHU Xuena;LIAO Hui;TONG Jiabing(Anhui University of Chinese Medicine,Anhui Hefei 230038,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230038,China)

机构地区：[1]安徽中医药大学研究生院,安徽合肥230038 [2]安徽中医药大学第一附属医院,安徽合肥230038

出　　处：《中医药临床杂志》2022年第7期1220-1223,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：安徽省自然科学基金:基于ROS/HMGB1/Beclin-1介导的细胞自噬研究平喘宁方缓解支气管哮喘起到验证的作用机制(2108085QH369)。

摘　　要：咳嗽是以咳嗽有声、咳吐痰液为主要表现,起因于肺失宣降,肺气上逆。中医依据致病因素将咳嗽分为外感和内伤,外感离不开六淫,内伤由痰、火导致;依据痰的有无分为“咳”与“嗽”。虞抟在《医学正传》中对咳嗽作详细论述,认为咳嗽离不开风寒、火热、虚劳、痰盛、肺胀,治宜“行痰开腠理”“补阴清金”“收敛肺气”等,结合脉诊,依时论治,用药疗效独到。Cough is mainly manifested by coughing with sound and spitting liquid,which is caused by lung loss of consciousness and lung qi inversion.According to the pathogenic factors,cough is divided into exogenous and internal injuries.Exogenous factors cannot be separated from six evils,and internal injuries are caused by phlegm and fire;According to the presence or absence of phlegm,it can be divided into "cough" and "cough".Yu Tuan made a detailed discussion on cough in zhengzhuan of medicine,and believed that cough could not be separated from wind cold,heat,asthenia,excessive phlegm and lung distension.It was suitable to treat cough by "regulating phlegm and opening Qi","tonifying Yin and clearing gold","astringent lung qi",etc.combined with pulse diagnosis,it was treated according to time,and the curative effect of medication was unique.

关 键 词：咳嗽 化痰 顺气 辨证论治 

分 类 号：R256.11[医药卫生—中医内科学]