江柏华教授从风、燥、瘀论治变应性咳嗽  

Professor JIANG Baihua’s treatment of allergic cough from wind,dryness and blood stasis

作　　者：胡椿杨 张如苗 江柏华 HU Chunyang;ZHANG Rumiao;JIANG Baihua

机构地区：[1]黑龙江省中医药科学院,黑龙江哈尔滨150000 [2]内蒙古医科大学,内蒙古呼和浩特010100

出　　处：《中医临床研究》2023年第15期31-34,共4页Clinical Journal Of Chinese Medicine

摘　　要：变应性咳嗽作为临床常见病之一,以刺激性阵发性干咳、咽痒、少痰或痰少而黏为主症,具有反复发作,缠绵难愈的临床特点,抗生素、止咳药及支气管扩张剂对本病无效,治疗主要依赖抗组胺药及糖皮质激素。该病属于中医“咳嗽”范畴。大多数变应性咳嗽患者发作具有一定的诱因,通常与接触冷空气、油烟异味、粉尘等有关,甚则说话时便会发作,严重影响患者的生活质量。江柏华教授临证中基于肺脏生理病理特点,总结出了变应性咳嗽发生发展的规律及病因病机,认为该病的产生主要与风、燥、瘀三种病因密切相关,病位主要在肺,涉及肝脾肾;风邪、燥邪致人阵咳、呛咳,甚则不能自止;燥邪、瘀血致人久咳不愈,反复发作;该病虚实夹杂,治疗上应标本兼顾,以祛风解痉、养阴润肺、活血通络为治疗原则,使肺气得降,肺阴得复,肺络得通,则咳嗽自止,临证收效尤解结也,尤决闭也。现将江柏华教授治疗变应性咳嗽临床经验总结如下,附医案一则加以佐证,希望可以为临床诊疗提供参考,与同道共勉。As one of the common clinical diseases,allergic cough is mainly characterized by irritant paroxyspasms of dry cough,pharyngeal itching,less sputum or less phlegm and sticky,with clinical characteristics of repeated attacks,lingering and difficult to cure.Antibiotics,cough suppressants and bronchodilators are ineffective for this disease,and the treatment mainly relies on antihistamines and glucocorticoids.This disease belongs to the category of“cough”in traditional Chinese medicine.Most patients with allergic cough have certain causes,which are usually related to contacting with cold air,lampblack odor,dust,etc.,and even when they speak,they will have seizures,which seriously affects the quality of life of patients.Based on the physiological and pathological characteristics of lungs,Professor JIANG Baihua summarizes the occurrence and development of allergic cough as well as its etiology and pathogenesis.The prafessor believes that the occurrence of allergic cough is closely related to wind,dryness and blood stasis,and the disease location is mainly in the lung,involving the liver,spleen and kidney;the wind evil and dryness evil cause people to cough,choking cough,which even can not stop.Dryness evil and blood stasis cause people to cough for a long time and repeatedly.The disease is mixed with deficiency and excess,and the treatment should target both the symptoms and root causes.The treatment principle of dispelling wind and relieving spasms,nourishing Yin(阴)and moisturizing the lungs,promoting blood circulation and collaterals is established,so that the lung Qi(气)is reduced,the lung Yin is restored,the lung collaterals are dredged,and the cough is stopped.The clinical effect is especially significant.The clinical experience of Professor JIANG Baihua in the treatment of allergic cough is summarized as follows,with a medical case attached as evidence,hoping to provide reference for the clinical diagnosis and treatment,and to share with fellow learners.

关 键 词：变应性咳嗽 祛风解痉 养阴润肺 活血通络 

分 类 号：R256.11[医药卫生—中医内科学]