辛丑年运气方治疗皮肌炎相关间质性肺疾病所致难治性咳嗽  

Treatment of Refractory Cough Caused by Dermatomyositis-Related Interstitial Lung Disease by Yunqi Formula for the Year of Xinchou

作　　者：刘颖[1] 马君[2] LIU Ying;MA Jun(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医杂志》2024年第2期118-121,132,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：陶凯全国名老中医药专家传承工作室项目(批文号:2014);山东省中医药科技发展计划项目(编号:2019-0127)。

摘　　要：基于五运六气理论,从整体恒动的观念出发,分析辛丑年运用五味子汤合备化汤治疗皮肌炎相关间质性肺疾病(DM-ILD)所致难治性咳嗽的疗效。辛丑全年,岁水不及,太阴湿土司天,太阳寒水在泉,整年气化以寒湿为主。寒湿为阴邪,易伤阳气,尤伤肾阳,故辛丑年防治疾病应注重扶阳温中。五味子汤和备化汤是陈无择根据辛丑年运气特点所创的运气方,二者配伍具有温肾健脾散寒、温肺化痰滋阴之效,恰合辛丑年DMILD所致难治性咳嗽的病机特点,故辛丑年以其治疗该病具有良好疗效。Based on the theory of five evolutive phases and six climatic factors,and starting from the concept of overall dynamic balance,this paper analyzes the curative efficacy of Wuweizi Decoction(五味子汤)combined with Beihua Decoction(备化汤)for refractory cough caused by dermatomyositis-related interstitial lung disease(DM-ILD)in the year of Xinchou.Throughout the year of Xinchou,the water is insufficient,with taiyin damp earth dominating the heavens and taiyang cold water in the spring,characterizing the whole year’s qi transformation as dominated by cold dampness.As cold dampness is a yin pathogen,it easily injures yang qi,especially kidney yang,so in the year of Xinchou,the prevention and treatment of diseases should focus on supporting yang and warming the middle.Wuweizi Decoction and Beihua Decoction were formulas created by CHEN Wuze based on the Yunqi characteristics of the year of Xinchou,and their combination had the functions of warming the kidneys,strengthening the spleen,dispersing cold,warming the lungs,resolving phlegm,and nourishing yin.which perfectly matched the pathogenesis of refractory cough caused by DM-ILD in the year of Xinchou.Therefore,using Wuweizi Decoction and Beihua Decoction in treatment of cough caused by DM-ILD in the year of Xinchou has good curative efficacy.

关 键 词：皮肌炎相关间质性肺病 难治性咳嗽 辛丑年 五运六气 五味子汤 备化汤 寒湿 扶阳温中 

分 类 号：R256.11[医药卫生—中医内科学]