五脏生克制化辨证模式在慢性咳嗽中的应用体悟与验案  

Application of Syndrome Differentiation Model of Restraint of Five Zang Organs in Chronic Cough

作　　者：姜鑫 王琳琳[2] 庞立健[2] 吕晓东[1] JIANG Xin;WANG Linlin;PANG Lijian;LYU Xiaodong(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2024年第9期31-34,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家自然科学基金项目(82104804);国家中医药管理局第七批全国老中医药专家学术经验传承项目(国中医药办人教函[2021]272号);辽宁省教育厅面上项目(LJKZ0880);辽宁省教育厅科学技术研究项目(L202067);辽宁省教育厅青年科技人才育苗项目(L202029);辽宁省科学技术计划项目(2022-NLTS-13-03)。

摘　　要：慢性咳嗽为呼吸门诊中的常见疾病,其病因较为复杂。五脏生克制化辨证模式是兼顾五脏功能、诊治疾病的一种新模式,文章以五运六气理论为基础,结合患者出生、发病及诊疗时的运气特点对脏腑盛衰的影响,进而提供临床指导。通过五脏之间的生、克、复关系,阐述慢性咳嗽的发病机制,在慢性咳嗽的发生发展过程中,由于五脏生克制化的平衡被打乱,不能实现自我调节,所不胜之心火乘之,所胜之肝火侮之,肺金之子肾水生化不足,肺金之母脾土生化不及,故慢性咳嗽的病位在肺,与心、肝、脾、肾均有关。五脏生克制化辨证模式通过与传统的辨证模式结合,使五脏之间整体的生克制化恢复平衡,防止脏腑间乘侮等现象的发生。文章通过验案1则,对运用五脏生克制化辨证模式论治慢性咳嗽的方法作出具体介绍。Chronic cough is a common disease in respiratory clinic,and its etiology is complex.The dialectical mode of restraint of five zang organs is a new mode of giving consideration to the functions of the five zang organs and diagnosing and treating diseases.Its establishment is based on the theory of five movements and six Qi,combined with the influence of patients'birth,onset and luck characteristics during diagnosis and treatment on the rise and fall of the viscera,so as to provide clinical guidance.This paper expounds the pathogenesis of chronic cough through the relationship between the five internal organs of health,resistance and recovery.In the process of the occurrence and development of chronic cough,because the balance of the five internal organs of health restraint is disturbed,it can not achieve self-regulation,the invincible heart fire is multiplied,the invincible liver fire is insulted,the son of lung gold is lack of water biochemistry,and the mother of lung gold is lack of biochemistry of spleen soil,so the disease of chronic cough is located in the lung,which is related to the heart,liver,spleen and kidney.Through the combination with the traditional dialectical mode,the dialectical mode of the five zang organs'birth restraint can restore the balance between the five zang organs as a whole and prevent the occurrence of such phenomena as the abuse between the Zang organs.Through a case study,this paper makes a specific introduction to the method of treating chronic cough by using the dialectical model of restraint of five zang organs.

关 键 词：慢性咳嗽 生克制化 五运六气 五脏关系 

分 类 号：R273[医药卫生—中西医结合]