胡国恒教授基于“肝生于左,肺藏于右”理论治疗内伤咳嗽的经验  

Professor Hu Guoheng’s experience in the treatment of endogenous cough based on the theory of“liver is born on the left and lung is hidden on the right”

作　　者：陈亚[1] 王瑾茜 胡国恒[1] 袁华[1] 刘莹莹[1] 谢谨如 朴美虹 何飘 CHEN Ya;WANG Jinxi;HU Guoheng;YUAN Hua;LIU Yingying;XIE Jinru;PIAO Meihong;HE Piao(Department of Geriatrics,the First Affiliated Hospital of Hunan University of Chinese Medicine,Hunan Province,Changsha 410007,China;the First Clinical College of Traditional Chinese Medicine,Hunan University of Chinese Medicine,Hunan Province,Changsha 410208,China;Medical College,Hunan University of Chinese Medicine,Hunan Province,Changsha 410208,China)

机构地区：[1]湖南中医药大学第一附属医院老年病科,湖南长沙410007 [2]湖南中医药大学第一中医临床学院,湖南长沙410208 [3]湖南中医药大学医学院,湖南长沙410208

出　　处：《中国医药导报》2023年第16期137-140,共4页China Medical Herald

基　　金：湖南省自然科学基金项目(2021JJ40418);湖南省中医药科研计划项目(2021172、2021179);湖南省卫生健康委员会科研计划项目(202103010864);湖南省长沙市自科基金项目(kq2014222、kq2014224);湖南中医药大学校级科研基金项目(2019XJJJ057)。

摘　　要：内伤咳嗽是内科最常见病症之一,其高发病率及复发率是临床难题。胡国恒教授通过多年临证,将其关键病机归结为肝肺气机逆乱,并结合经典的“肝生于左,肺藏于右”理论,提出“调肝顺肺、开郁泄实”为基本治法,效果显著。内伤咳嗽多由脏腑功能失调引发,导致阴阳气机升降失调,升降轴中肝升肺降起关键作用,故以“调肝顺肺、开郁泄实”为主,同时不忘其他脏腑,根据其偏移及影响气血津液运行程度,整体把握气机升降,体现了整体辨证的中医思维。Endogenous cough is one of the most common diseases in internal medicine,its high incidence and recurrence rate is a clinical problem.Through many years of clinical diagnosis,Professor Hu Guoheng attributes the key pathogenesis to the reversed flow and disorder of liver and lung qi movement.Combined with the classic theory of“liver is born on the left and lung is hidden on the right”,he proposes the basic treatment of“harmonizing liver and spleen,opening stagnation,and dispersing excess”,which has remarkable effects.Endogenous cough is mostly caused by the dysfunction of zang-fu viscera,leading to the disorder of ascending and descending of yin and yang qi movement.The ascending and descending of liver and lung play a key role in the lifting axis,so it is mainly to“harmonizing liver and spleen,opening stagnation,and dispersing excess”,while not forgetting other zang-fu viscera.According to its deviation and impact on the running degree of qi,blood and body fluid,the overall grasp of ascending and descending of qi movement,which reflects the holistic traditional Chinese medicine thinking of syndrome differentiation.

关 键 词：名医经验 胡国恒 肝生于左 肺藏于右 内伤咳嗽 辨证论治 

分 类 号：R256.1[医药卫生—中医内科学]