调肺汤治疗咳嗽临证思辨录  

Clinical Observations and Reflections on the Use of Tiaofei Decoction for Treating Cough

作　　者：杨槟旭 田发念 潘银 田晓霞 周用[1,2] YANG Bingxu;TIAN Fanian;PAN Yin;TIAN Xiaoxia;ZHOU Yong(Hubei University of Chinese Medicine,Wuhan 430061,China;Hubei Provincial Hospital of Traditional Chinese Medicine,Affiliated Hospital of Hubei University of Chinese Medicine,and Hubei Academy of Traditional Chinese Medicine,Wuhan 430074,China;Lichuan Ethnic Chinese Medicine Hospital,Lichuan 445400,China)

机构地区：[1]湖北中医药大学,湖北武汉430061 [2]湖北省中医院/湖北中医药大学附属医院/湖北省中医药研究院,湖北武汉430074 [3]利川市民族中医院,湖北利川445400

出　　处：《中医药信息》2024年第7期28-33,41,共7页Information on Traditional Chinese Medicine

基　　金：国家重点研发计划项目(2018YFC1705103);湖北中医药大学“十四五”优秀学科团队项目(100702020812)。

摘　　要：咳嗽是指由于外感或内伤等因素,导致肺失宣降,肺气上逆,冲击气道,发出咳声或伴咯痰为临床特征的一种病证。调肺汤是山西刘绍武老先生创制的一首验方,原方由麻黄、杏仁、石膏、沙参、麦冬、五味子、罂粟壳、瓜蒌、柴胡、黄芩、党参、紫苏子、川椒、大枣和甘草组成,具有宣肺止咳、清热化痰、养阴润肺、收敛肺气、协调整体的功效,以之为基础方加减应用,在临床上对于各种咳嗽,疗效极佳。笔者对该方药物组成以及主治证候进行剖析,并附典型案例数则,详论思辨过程。Cough,characterized by the emission of cough sounds or sputum production,results from factors such as external pathogens or internal injuries leading to the lung failing to diffuse and govern descent,and ascending counterflow of lung qi,which impacts the airway.Tiaofei Decoction,a verified prescription created by Mr.Liu Shaowu from Shanxi,includes Mahuang(Ephedra),Xingren(Apricot Kernel),Shigao(Gypsum),Shashen(Glehnia Root),Maidong(Ophiopogon),Wuweizi(Schisandra),Yinggushike(Poppy Shell),Gualou(Trichosanthes),Chaihu(Bupleurum),Huangqin(Scutellaria),Dangshen(Codonopsis),Zisuzi(Perilla Seed),Chuanjiao(Sichuan Pepper),Dazao(Jujube),and Gancao(Licorice).This formula has functions such as dispersing the lung to relieve cough,clearing heat and resolving phlegm,nourishing yin and moistening the lung,astringing lung qi,and harmonizing the functions of the whole body.It serves as a base formula with modifications and has shown excellent clinical efficacy for various types of coughs.This paper analyzes the composition and indications of this formula and provides several typical case studies to detail the reasoning process.

关 键 词：咳嗽 调肺汤 临证经验 

分 类 号：R256.11[医药卫生—中医内科学]