陈健教授从“风药开玄”论治儿童上气道咳嗽综合征经验  

Professor CHEN Jian’s Experience in Treating Upper Airway Cough Syndrome in Children from the Perspective of“Opening Xuanfu with Wind-Dispelling Herbs”

作　　者：俞珂频 胡珏 许佳烨 陈健[2] YU Kepin;HU Jue;XU Jiaye(The First School of Clinical Medicine,Zhejiang Chinese Medical University,Hangzhou(310053),China)

机构地区：[1]浙江中医药大学第一临床医学院,杭州310053 [2]浙江中医药大学

出　　处：《浙江中医药大学学报》2025年第3期300-303,共4页Journal of Zhejiang Chinese Medical University

基　　金：浙江省中医药管理局陈健名老中医专家传承工作室项目(GZS 2021023)。

摘　　要：[目的]总结陈健教授基于“玄府”理论,从风药论治儿童上气道咳嗽综合征的临证经验。[方法]通过跟诊学习、医案整理及文献检索并结合临床实践经验,阐述陈健教授对上气道咳嗽综合征病因病机的认识,总结归纳从“风药开玄”论治本病的临证经验,并解读相关病案加以验证。[结果]陈健教授辨治儿童上气道咳嗽综合征,认为风伏玄府、肺气上逆为基本病机,正气不及、玄府失养为发病根源,痰湿瘀阻、玄府阻滞为致病因素,用风治风、开玄固本为基本治法。遣方以“久咳方”为基础,以风药贯穿始终。运用风药以祛风开玄、胜湿通玄、扶正养玄,鼻咽分治、肺窍同治,则府畅脏和。文末附案例一则,以祛风开玄、攻补兼施,使玄府得通,伏风得祛,痰湿得化,而咳嗽自除,疗效确切。[结论]陈健教授从“风药开玄”论治儿童上气道咳嗽综合征行之有效,为临床辨治该病提供了思路和经验,具有启示意义。[ObjectiveObjective]To summarize Professor CHEN Jian’s clinical experience in treating pediatric upper airway cough syndrome,which is based on the“Xuanfu”theory,and to learn how to use wind-dispelling herbs.[MethodsMethods]Through clinical observation,medical case organization,literature search and integration of clinical practice experience,this paper elaborates Professor CHEN’s understanding of the etiology and pathogenesis of upper airway cough syndrome and summarizes the clinical experience of treating this disease from the perspective of“opening Xuanfu with wind-dispelling herbs”,in addition with relevant cases for verification.[ResultsResults]Professor CHEN considers the lurking wind in the“Xuanfu”and the upward reversal of lung Qi as the basic pathogenesis when diagnosing and treating pediatric upper airway cough syndrome.The deficiency of Zhengqi and the lack of nourishment in the“Xuanfu”are seen as the root causes of the disease.The obstruction of“Xuanfu”with phlegm,dampness and blood stasis are the pathogenic factors.The prescription is based on“Jiuke”Recipe,with wind-dispelling herbs being a continuous thread throughout.The fundamental treatment approach is using wind-dispelling herbs to treat wind disease,and to open and consolidate the“Xuanfu”.The application of wind-dispelling herbs aims to expel wind,open“Xuanfu”,overcome dampness and facilitate the flow of“Xuanfu”,as well as support and nourish“Xuanfu”.The treatment makes differentiation between the nasal and pharyngeal areas,with simultaneous treatment of the lung orifices,ensuring the smooth flow of“Xuanfu”and harmony of the viscera.A case was presented at the end of the paper to illustrate the treatment principle of dispelling wind and opening“Xuanfu”,combining both attack and supplementation,leading to the unblocking of“Xuanfu”,the expulsion of lurking wind,the transformation of phlegm and dampness and the self-elimination of cough,with a definite therapeutic effect.[ConclusionConclusion]

关 键 词：上气道咳嗽综合征 玄府 伏风 风药 久咳方 医案 名医经验 陈健 

分 类 号：R273[医药卫生—中西医结合]