通降和胃法论治胃食管反流性咳嗽  

Treatment of Gastroesophageal Reflux Cough with Tongjiang Hewei Method

作　　者：何聪 许高凡 汤瑾[1] 王轶[1] 徐亭亭[1] 刘宇洋 王晓素[1] 方盛泉[1] 朱生樑[1] 周秉舵[1] HE Cong;XU Gaofan;TANG Jin;WANG Yi;XU Tingting;LIU Yuyang;WANG Xiaosu;FANG Shengquan;ZHU Shengliang;ZHOU Bingduo(Yueyang Integrative Medicine Hospital affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai China 200437)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《中医学报》2024年第1期30-33,共4页Acta Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(8200-4324);上海市卫健委-朱生樑上海市名老中医学术经验研究工作室项目(SHGZS-202203);上海市青年科技英才扬帆计划项目(20YF1450700);上海市卫健委-上海市中医药高层次人才引领计划项目[ZY(2021-2023)-0403]。

摘　　要：胃食管反流性咳嗽是热郁、寒湿、痰饮等多种邪气阻滞胃中,影响气机升降调畅,胃失和降,循经犯肺,肺失宣肃,气逆作咳的结果。临床表现虽以咳嗽为主,但病程是以胃食管反流为核心病理基础。胃食管反流性咳嗽以胃失和降,肺气上逆,气机失调为发病基础,采用通降和胃法论治,不仅符合“胃宜降则和”的生理特性,也顺应“从胃治咳”以达养胃治肺的效果。在审证求因,明晰人体生理病理的情况下,恢复胃腑通和之性,调畅肺脏肃降之能,以平为期。Gastroesophageal reflux cough is caused by various pathogenic factors such as Heat stagnation,Cold and Dampness and Phlegm blocking the Stomach,affecting the smooth regulation of Qi movement,causing gastric disharmony and descent,invading the Lung along the meridians,and causing Lung failure to Qi spreading and cough takes place due to the reversal of Qi.Although cough is the main clinical manifestation,gastroesophageal reflux is the core pathological basis during the course of the disease.Based on the pathogenesis of gastroesophageal reflux cough,which is characterized by gastric disharmony,Lung Qi inversion,and dysfunction of Qi function,the use of the method of promoting descending Qi and regulating the Stomach to treat this disease not only conforms to the physiological characteristics of"the stomach is suitable for descending and harmonizing",but also conforms to the principle of""treating cough from the stomach"to achieve the effect of nourishing the Stomach and treating the Lung.The Tongjiang Hewei method aims to restore the harmony of the Stomach and Intestine,regulate the ability of the Lung to clear the descending,and achieve a stable period of time while examining the causes and clarifying the physiological and pathological conditions of the human body.

关 键 词：胃食管反流性咳嗽 从胃治咳 肺胃相关 通降和胃法 

分 类 号：R259.73[医药卫生—中西医结合]