清代医家陈修园治疗咳喘病探究  

Exploration of Chen Xiuyuan's treatment of cough and dyspnea in the Qing Dynasty

作　　者：李蒙钊 马琳 刘琼[3] LI Mengzhao;MA Lin;LIU Qiong(Guangzhou University of Chinese Medicine,Guangzhou 510405,China;The First Affiliated Hospital of Henan University of Science and Technology,Jiaozuo 454000,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州中医药大学,广州510405 [2]河南理工大学第一附属医院,河南焦作454000 [3]广州中医药大学第一附属医院,广州510405

出　　处：《长春中医药大学学报》2025年第3期242-246,共5页Journal of Changchun University of Chinese Medicine

基　　金：广州市科技计划基金(202102010479)。

摘　　要：通过整理大医陈修园生平著作中有关咳喘的论述及医案进行分析归纳,总结其对咳喘病的认识心得及治疗特点。陈修园将咳喘分为虚实两端,实性咳喘重视饮邪为患,肺内外合邪是咳喘的重要病因,治疗上重视化痰祛饮,久咳及疑难咳嗽以通三焦,和胃气为重要治则。虚性咳喘为劳伤之渐,治疗上重视补益肺脾肾三脏,常从脾胃着手兼调肺肾。小青龙汤、苓甘五味姜辛汤、小柴胡汤、六君子汤等是其临证的常用方剂。By analyzing and summarizing the discussions and medical cases related to cough and dyspnea in the life works of renowned physician Chen Xiuyuan,This article summarizes his understanding,experience,and treatment characteristics of cough and dyspnea.Chen Xiuyuan divided cough and dyspnea into two ends,namely deficiency and excess;For solid cough and dyspnea,it was important to focus on the pathogenic factors of drinking,and the combination of pathogenic factors within the lungs and outside the lungs was an important cause of cough and dyspnea.Professor Chen Xiuyuan attached great importance to the treatment of phlegm retention,and the important treatment principles for chronic cough and difficult cough were to promote the circulation of sanjiao and stomach qi.Chen Xiuyuan believed that deficiency cough and dyspnea were the gradual progression of labor injury,and in treatment,attention should be paid to nourishing the lungs,spleen,and kidneys,and often starting from the spleen and stomach while regulating the lungs and kidneys.Xiao Qing Long Tang,Ling Gan Wu Wei Jiang Xin Tang,Xiao Chai Hu Tang,and Six Jun Zin Tang were commonly used prescriptions for its clinical manifestations.

关 键 词：陈修园 咳喘病 经方 痰饮 三焦 

分 类 号：R256.11[医药卫生—中医内科学]