摘要
感染后咳嗽初期的病机以风寒袭肺为主,兼夹他邪。初期阶段当以宣肺散寒、润肺止咳为治疗大法。咳嗽病证,贵在初期治疗得法,如确为风寒外袭,须用发散,但亦不可过用发散,若不用发散则邪气久留,发散太过则损及肺气,或妄用敛涩,皆致迁延难愈,病程缠绵,对于初感风寒者可用止嗽散加减。若早期失治误治,迁延日久,外感内伤相因为病,致使正气亏虚、脏腑功能失调,病机复杂,常见内外合邪,湿热中阻;或邪郁少阳,枢机不利;或久咳致虚,内伤于脾,脾失运化;或金不生水,肾虚不纳等,应详加辨证。
The pathogenesis of post-infectious cough at the early stage is mainly Wind-Cold attacking the Lung,mixed with other Evil factors.The treatment of this stage should be disperseing the Lung Qi and dispeling Cold,and moistening the Lung to relieve cough.For cough syndrome,it is important to get the right treatment at the beginning.If it is diagnosed as an external attack of Wind-Cold,disperseing method must be used yet should not be overused.Without dispersing,the Evil factors would be lingering,while over disperse would damage the Lung Qi.Besides,the indiscriminate use of astringent may cause the disease protracted and difficult to be healed,prolonging the course of disease.For those who are in the early stage of the Wind-Cold attack,modified Zhisou Powder can be used.If the treatment is wrong or delayed in the early stage,both the external factors and internal injuries of the disease would result in Zheng Qi deficiency,dysfunction of viscera,and complicated pathogenesis.The common types include:internal and external combined Evil factors and Damp-Heat blocking in the Middle Jiao,stagnant Evil factors hurting Shaoyang hurt the cardinal function,chronic cough causing internal Spleen deficiency and damaging its transportation and transformation,or Gold dysfunction in generate Water and Kidney deficiency in accepting Qi,etc.,which should be carefully differentiated before and during treatment.
作者
赵媛
杨澳
张子健
章金曦
苗青
ZHAO Yuan;YANG Ao;ZHANG Zijian;ZHANG Jinxi;MIAO Qing(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing China 100091;Beijing University of Chinese Medicine,Beijing China 100029)
出处
《中医学报》
CAS
2023年第6期1263-1267,共5页
Acta Chinese Medicine
基金
国家自然科学基金项目(82074422)
中国中医科学院科技创新工程项目(CI2021A01101)。
关键词
感染后咳嗽
六淫
外感
内伤
苗青
post-infectious cough
the six pathogenic factors
diseases caused by external factors
internal injury
Miao Qing
