胡天成教授运用苍耳六安煎治疗小儿上气道咳嗽综合征经验  

Professor HU Tiancheng’s experience in treating upper airway cough syndrome in children with modified Cang’er Liuan Jian(苍耳六安煎)

作　　者：赵强 周江[2] 伍玲 张云梅 胡天成(指导) ZHAO Qiang;ZHOU Jiang;WU Ling;ZHANG Yunmei;HU Tiancheng(Directed)(Department of Pediatrics,Chongqing Jiulongpo District Hospital of TCM,Chongqing,400080,China;Department of Pediatrics,Affiliated Hospital of Chengdu University of Chinese Medicine,Chengdu,Sichuan,610072,China;不详)

机构地区：[1]重庆市九龙坡区中医院儿科,重庆400080 [2]成都中医药大学附属医院儿科,四川成都610072 [3]不详

出　　处：《中医儿科杂志》2022年第4期40-42,共3页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：国家重点研发计划项目(2018YFC1704104);川渝地区卫生专业技术人才“双百”培养项目(川卫函[2021]47号)。

摘　　要：胡天成教授认为上气道咳嗽综合征病位在肺、脾。外因为风邪外袭肺卫鼻窍,内因为饮食失宜、脾胃受损、痰浊内生。小儿为纯阳之体,痰湿之邪易从阳化热,痰热之邪阻于气道,碍于气机宣降,加之风邪外袭,鼻窍不通,壅塞肺气,从而导致肺气塞滞,气与痰胶结于鼻、喉、咽等窍,致气道不利,气机失畅,产生鼻塞、流涕、咳嗽、咽痒、喉间有痰诸症。肺脾受邪,鼻窍不通,肺失宣肃为小儿上气道咳嗽综合征发病的病机关键。临证中多属痰热之证,故治以散风通窍、清热化痰、肺脾同治。方用苍耳六安煎,并随症加减,疗效显著。用药同时重视日常调护,强调避免反复外感、接触过敏原,适当参加体育锻炼,以增强体质。附案例1则,以资验证。Professor HU Tiancheng holds that upper airway cough syndrome(UACS)is located in the lung and spleen.External factor is pathogenic wind attacking the lung,defensive qi and nasal cavity,while internal factors are improper diet,impairment of spleen and stomach,and phlegm⁃turbidity production.Children are of pure yang consti⁃tution,so the pathogenic factor of phlegm⁃dampness is prone to transform heat from yang and the pathogenic factor of phlegm⁃heat obstructs the airway,hindering the dispersing and descending of qi activity.In addition,pathogenic wind attacking externally,obstruction of nasal cavity and stagnant lung⁃qi causes lung⁃qi obstruction and stagnation,stag⁃nant qi and phlegm firmly stuck together in orifices of nose,throat and pharynx etc.,resulting in airway obstruction and dysfunction of qi activity,triggering the symptoms of stuffy nose,runny nose,cough,itching throat,phlegm in the throat etc.The key pathogenesis of children with UACS lies in pathogenic factors attack lung and spleen,obstruction of nasal cavity and failure of lung to disperse and depurate.In clinical practice,it mostly pertains to phlegm⁃heat syndrome,thus the treatment is scattering wind and dredging orifices,clearing away heat to resolve phlegm and simultaneous treatment of lung and spleen.He uses self⁃made prescription Cang’er Liuan Jian(苍耳六安煎),with modification of prescription according to symptoms,whereby it has achieved marked efficacy.Meanwhile,he pays attention to daily care,and emphasizes the need to avoid repeated external contraction,avoid contact with allergens,and properly participate in physical exercise to enhance constitution.One case is attached for verification.

关 键 词：上气道咳嗽综合征 小儿 苍耳六安煎 临床经验 胡天成 

分 类 号：R256.1[医药卫生—中医内科学]