王中三运用子嗽止咳汤治疗妊娠子嗽经验  

Wang Zhong-san′s Experience of Treating Gravidic Cough During Pregnancy with Decoction for Relieving Gravidic Cough During Pregnancy

作　　者：乔丽平 郑瑞玲 郭孟蝶 QIAO Li-ping;ZHENG Rui-ling;GUO Meng-die(Zhongmu County Hospital of Traditional Chinese Medicine,Zhongmu,Henan,China,451450)

机构地区：[1]中牟县中医院,河南中牟451450

出　　处：《河南中医》2023年第3期374-377,共4页Henan Traditional Chinese Medicine

基　　金：王中三全国基层名老中医药专家传承工作室项目{国家中医药管理局[2018]}。

摘　　要：咳嗽病位在肺,与脾肾关系密切,发病多由素体阴虚、孕后阴虚燥邪更盛兼有外感所致,大部分妊娠子嗽属于内伤兼外感咳嗽。王老师治疗妊娠子嗽善用清、润、健、补四法,止咳安胎并举整体治疗,以润肺止咳化痰兼补肾安胎为治疗原则,自拟子嗽止咳汤在临证中取得显著疗效。根据兼证进行辨证加减,咽喉疼痛不适加金银花、牛蒡子;恶心呕吐加砂仁;痰黏难咯加竹茹;大便干结加肉苁蓉、麻子仁;腰膝酸软加续断、杜仲。用药的同时,王老师还注重日常预防与调摄,孕妇在用药过程中应注意尽量避免服用峻下、破瘀、耗气伤血以及有毒之品,如病情需要应严格掌握剂量,也应结合病情长短、病情虚实及咳嗽等特点,在四诊合参基础上进行辨证论治。Cough is located in the lung and closely related to the spleen and kidney.The onset of cough is mainly caused by constant yin deficiency in the body,and the excess of yin deficiency and dryness after pregnancy,with external contraction.Most of gravidic cough during pregnancy is caused by internal damage and external contraction.In terms of this type of cough,Professor Wang is good at using the four methods of clearing,moistening,strengthening and tonifying for the overall treatment of relieving cough and preventing miscarriage simultaneously.The treatment principle is to moisten the lung,relieve cough,resolve phlegm tonify the kidney and prevent miscarriage.The Self-made Decoction for Relieving Gravidic Cough During Pregnancy has achieved significant effect in clinical practice.Based on concurrent syndromes,modified differentiation and treatment is adopted.For sore throat,Jinyinhua(Flos Lonicerae Japonicae) and Niubangzi(Fructus Arctii) are often used.For nausea and vomiting,Sharen(Fructus Amomi) is used;For sticky phlegm which is difficult to expel from the throat,Zhuru(Caulis Bambusae in Taenia) is used.For dry stool,Roucongrong(Herba Cistanches) and Maziren(Fructus Cannabis) are used.For waist and knee soreness,Duzhong(Cortex Eucommiae) is added.At the same time,Professor Wang also pays attention to daily prevention and regulation.Pregnant women should try to avoid taking harsh,stasis-breaking,blood-consuming and toxic substances during the course of medication.If it is necessary,the dose should be strictly controlled,characteristics of the length of illness,deficiency and excess of illness,and cough should also be considered;syndrome differentiation and treatment should be on the basis of comprehensive analysis of the four examinations.

关 键 词：妊娠子嗽 内伤兼外感咳嗽 子嗽止咳汤 王中三 

分 类 号：R271.41[医药卫生—中医妇科学]