吴拥军运用辛夷散辨治肺虚感寒型鼻鼽经验  

Wu Yong-jun′s Experience of Treating Rhinorrhea of Lung Deficiency and Cold Type with Flos Magnoliae Powder

作　　者：陆荣锦 薛珊珊 吴拥军[2] LU Rong-jin;XUE Shan-shan;WU Yong-jun(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing,Jiangsu,China,210029;Nanjing University of Chinese Medicine,Nanjing,Jiangsu,China,210023)

机构地区：[1]南京中医药大学附属医院,江苏南京210029 [2]南京中医药大学,江苏南京210023

出　　处：《河南中医》2022年第11期1661-1664,共4页Henan Traditional Chinese Medicine

基　　金：江苏省中医药管理局2017—2019年资助项目(JD201701)。

摘　　要：吴拥军教授认为,鼻鼽为本虚标实之证,本为肺气虚弱,卫表不固,标为风寒邪气侵袭,以肺虚感寒证多见,病位在肺,但肺病常伤及脾,故治疗强调肺脾同治、顾护脾胃,以温肺散寒、祛风通窍为主,兼健脾、益气、燥湿,以辛夷散加味为主方,加白术、黄芪、茯苓、陈皮等益气健脾。外感表寒者,当先解表邪,加麻黄、荆芥等辛温散寒;风邪困于肺经者,加蜜麻黄、乌梅加强宣肺之力;肺肾阴虚者,加南沙参、贝母等养阴生津;肾气虚者,加益智仁、肉桂温补脾肾;发于春夏者,酌加柴胡等升阳宣泄;发于秋冬者,加诃子肉、乌梅、五味子等收敛固涩。Professor Wu Yong-jun believes that rhinorrhea has the syndrome of deficiency of root cause and excess of manifestation.The root cause is the deficiency and cold of lung qi,the unstable defense exterior,while the manifestation is the invasion of wind and cold pathogenic qi.It is mostly identified as the syndrome of lung deficiency and cold,and the disease is located in the lung,but lung disease often affects the spleen,so the treatment emphasizes the simultaneous treatment of lung and spleen,and the protection of spleen and stomach.The treatment focuses on warming the lung,dispelling cold,removing wind and dredging the orifices,combined with invigorating the spleen,replenishing qi and drying dampness,so Supplemented Flos Magnoliae Powder is mainly adopted,combined with Baizhu(Rhizoma Atractylodis Macrocephalae),Huangqi(Radix Scutellariae),Fuling(Poria),Chenpi(Pericarpium Citri Reticulatae),etc.to replenish qi and activate the spleen.For those with exogenous cold,the treatment should first focus on clearing away the floating pathogenic factors,and Mahuang(Herba Ephedrae),Jingjie(Herba Schizonepetae) and other pungent and warm drugs to dissipate the cold.For those with wind pathogen trapped in the lung meridian,honey-processed Mahuang(Herba Ephedrae) and Wumei(Fructus Mume) can be added to strengthen the power of dispersing the lung.For the lung-kidney yin deficiency,Nanshashen(Radix Adenophorae),Beimu(Bulbus Fritillariae),etc.can be added to nourish yin and generate fluid.For those with kidney qi deficiency,Yizhiren(Fructus Alpiniae Oxyphyllae) and Rougui(Cortex Cinnamomi) can be added to warm and tonify the spleen and kidney.For disease which occurs in spring and summer,Chaihu(Radix Bupleuri) and other drugs are properly added to ascend yang and disperse.For disease which occurs in autumn and winter,Kezirou(Fructus Chebulae),Wumei(Fructus Mume),and Wuweizi(Fructus Schisandrae Chinensis) can be added to treat disease with astringent therapy.

关 键 词：鼻鼽 肺虚感寒证 辛夷散 肺脾同治 吴拥军 

分 类 号：R276.1[医药卫生—中医五官科学]