考辨肺风痰喘与肺炎喘嗽病名之异同  

Discriminating the similarities and differences between“Feifeng Tanchuan”(wind-phlegm-induced cough and dyspnea of the lungs)and“Feiyan Chuansou”(pneumonia with cough and dyspnea)

作　　者：孙兆旭 张伟[2] SUN Zhaoxu;ZHANG Wei(Graduate School,Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang,150000,China;Pediatrics Department,The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang,150000,China)

机构地区：[1]黑龙江中医药大学研究生院,黑龙江哈尔滨150000 [2]黑龙江中医药大学附属第一医院儿科,黑龙江哈尔滨150000

出　　处：《中医儿科杂志》2025年第2期7-10,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：黑龙江省中医药科研项目(ZHY2023-214);黑龙江省中医药管理局省级名中医专家传承工作室建设项目(黑中医药科教函[2021]24号)。

摘　　要：通过梳理、整合历代有代表性的文献资料,从病因、病机、治法、方药等方面分析肺风痰喘与肺炎喘嗽各自的发病特点及二者的异同关系。认为肺风痰喘与肺炎喘嗽的病因病机和病理表现十分相似,二者均因肺失宣降、肺气郁闭而发喘咳,但肺风痰喘的病因重在风邪犯肺,而肺炎喘嗽的病因则主要在于火热蕴肺,尽管二者在辨证分型和治法方药方面均有相似之处,但仍应将其进行明确区分。至于肺风痰喘究竟是独立疾病,还是肺炎喘嗽的一种证型,仍需结合临床实际,深入研讨。This paper analyzes the characteristics of“Feifeng Tanchuan”(wind-phlegm-induced cough and dyspnea of the lungs)and“Feiyan Chuansou”(pneumonia with cough and dyspnea),as well as their similarities and differences in terms of etiology,pathogenesis,treatment methods,and prescriptions by reviewing and integrating representative historical literature.It is believed that“Feifeng Tanchuan”and“Feiyan Chuansou”share highly similar etiological factors,pathogenesis,and pathological manifestations,both resulting from the failure of the lungs to disperse and descend qi,leading to qi stagnation in the lungs and manifestation of cough and dyspnea.However,the etiological factor of“Feifeng Tanchuan”focuses on wind evil invading the lungs,while the main etiological factor of“Feiyan Chuansou”lies in heat accumulating in the lungs.Although there are similarities between the two in syndrome differentiation,classification,treatment methods,and prescriptions,a clear distinction should still be made between them.As for whether“Feifeng Tanchuan”is an independent disease or a syndrome type of“Feiyan Chuansou”,further clinical research and in-depth discussion are needed.

关 键 词：肺风痰喘 肺炎喘嗽 泻白散 理论探讨 

分 类 号：R256.1[医药卫生—中医内科学]