史锁芳治疗感染后咳嗽经验  

SHI Suofang’s Experience in Treating Post-Infectious Cough

作　　者：薛宇菲 唐艳芬[1] 章匀[1] 洪玲玲[1] XUE Yufei;TANG Yanfen;ZHANG Yun;HONG Lingling(Department of Respiratory Medicine,Nantong Hospital of Traditional Chinese Medicine,Nantong 226000,China)

机构地区：[1]南通市中医院肺病科,江苏南通226000

出　　处：《山东中医杂志》2024年第2期185-188,196,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：南通市中医医疗联盟课题项目(编号:TZYK202105)。

摘　　要：史锁芳教授认为感染后咳嗽病位在肺,涉及肝脾,病理因素多责之于风、痰、火。临床治疗可根据病程分阶段论治:初期重在宣透,处方以三拗汤加质轻性浮之品;中期以清解郁热为主,辅以疏风散邪,常用桑叶、桑白皮、薄荷等;晚期清热养阴、润肺益气,处方可选麦门冬汤、沙参麦冬汤、清燥救肺汤加减。同时,史教授还善用“风四药”(桑叶、菊花、全蝎、僵蚕)疏风解痉止咳。对于难治性感染后咳嗽,史教授遵循因人制宜、因时制宜原则,因势利导,常获佳效。附验案2则。Professoer SHI Suofang believes that post-infectious cough is located in the lungs and involves the liver and spleen,with pathological factors mostly associated with the wind,phlegm and fire.Clinical treatment can be staged according to the course of the disease.Treatments at the initial stage focus on dispersing and penetrating,with the prescription mainly consisting of San'ao Decoction(三拗汤)and Chinese medicinals with light and floating properties.Treatments at the middle stage mainly aim at clearing stagnant heat,supplemented by dispersing wind and dissipating pathogen,commonly using Sangye(Mori Folium),Sangbaipi(Mori Cortex),Bohe(peppermint).Treatments at the late stage focus on clearing heat and nourishing yin,moistening the lungs and benefiting qi,with prescriptions such as modified Maimendong Decoction(麦门冬汤),Shashen Maidong Decoction(沙参麦冬汤)and Qinzao Jiufei Decoction(清燥救肺汤).At the same time,Professor SHI is also skilled in using“four wind medicinals”[Sangye,Juhua(Chrysanthemi Flos),Quanxie(Scorpio),Jiangcan(Bombyx Batryticatus)]to disperse wind,relieve spasms,and stop cough.For intractable post-infectious cough,Professor SHI follows the principles of individualizing treatment according to the person and the timing,often achieving good results.Two proved cases are attached.

关 键 词：感染后咳嗽 分期辨治 风药 因人制宜 因时制宜 六经欲解时 史锁芳 

分 类 号：R256.11[医药卫生—中医内科学] R249[医药卫生—中医学]