基于“风邪伏肺”理论探讨慢性咳嗽脏腑相关病机  

Exploring zangfu-related pathogenesis of chronic cough based on the theory of wind evils lurking in the lung

作　　者：刘智霖 史利卿[2] 马建岭[2] 王丽云[2] 季坤[2] 温绍惠[2] 王颖 郭淑娟 范钰晗 LIU Zhilin;SHI Liqing;MA Jianling;WANG Liyun;JI Kun;WEN Shaohui;WANG Ying;GUO Shujuan;FAN Yuhan(Second School of Clinical Medicine,Beijing University of Chinese Medicine,Beijing 100078;Department of Respiratory Medicine,Dongfang Hospital,Beijing University of Chinese Medicine;Zhejiang Provincial Hospital of Traditional Chinese Medicine)

机构地区：[1]北京中医药大学第二临床医学院,北京100078 [2]北京中医药大学东方医院呼吸热病科 [3]浙江省中医院

出　　处：《现代中医临床》2024年第2期78-82,共5页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金(No.81373588);北京市自然科学基金(No.7192115,No.7184224);东方医院“1166”人才培养项目(No.040204001001002012)。

摘　　要：慢性咳嗽是呼吸科常见病症,具有反复发作、迁延难愈的特点。结合团队近二十年来对慢性咳嗽的研究成果,我们认为“风邪伏肺,脏腑相关”是其重要病机。关于风邪伏肺的认识可以分为内外两端,在“外”主要责之外感风邪,在“内”归因于脏腑相关,内外合邪,可涉及肺、脾、肝、肾多脏,从而咳嗽迁延难愈,时作时止。因此,在治疗方面更应该多方面兼顾。文章基于“风邪伏肺”理论对慢性咳嗽脏腑相关病机进行探讨,以期获得更多的思路和方法,丰富中医治疗慢性咳嗽的学术内涵。Chronic cough,characterized by recurrent and prolonged attacks,is a common condition in respiratory medicine.Drawing on the research findings of our team on chronic cough in the past 20 years,we propose that"wind evils lurking in the lung and affecting the other zangfu organs"constitute important pathogenesis.The understanding of the theory of"wind evils lurking in the lung"can be divided into internal and external aspects.The interaction of internal and external evils can affect multiple organs such as the lung,spleen,liver,and kidney,resulting in persistent and recurrent cough.Therefore,a comprehensive approach is essential in treatment.This article delves into the zangfu-related pathogenesis of chronic cough based on the theory of"wind evils lurking in the lung",aiming to provide more insights and method to enhance the academic depth of traditional Chinese medicine in treating chronic cough.

关 键 词：慢性咳嗽 风邪伏肺 脏腑相关 内外合邪 病因病机 

分 类 号：R256.11[医药卫生—中医内科学]