中医药临床杂志2024,Vol.36Issue(4) :602-606.DOI:10.16448/j.cjtcm.2024.0402

治疗难治性咳嗽理论探讨及金利止咳颗粒组方思路分析

Theoretical Exploration on the Treatment of Refractory Cough and Analysis of the Formulation of Jinli Zhike Granules

李修元 王腾飞 刘若阳 林娟 董慧君 胡敬晖 余德海
中医药临床杂志2024,Vol.36Issue(4) :602-606.DOI:10.16448/j.cjtcm.2024.0402

治疗难治性咳嗽理论探讨及金利止咳颗粒组方思路分析

Theoretical Exploration on the Treatment of Refractory Cough and Analysis of the Formulation of Jinli Zhike Granules

李修元 1王腾飞 1刘若阳 1林娟 1董慧君 1胡敬晖 1余德海1
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作者信息

  • 1. 四川省中医药科学院中医研究所 四川成都 610031
  • 折叠

摘要

难治性咳嗽属于临床多发病、常见病、疑难疾病,疗效多不理想,西医以对症和病因治疗为主,效果一般.该病中医病因病机繁多而复杂,治疗难度大,仅仅从肺论治,疗效多不理想.冯佩银教授以"火郁发之"理论为指导,认为"火郁"是难治性咳嗽的核心病机,是久治不愈、反复发作的关键.主张痰热即为"郁火"或"郁热",是无形痰或有形痰遏伏火或热于内,使火热不得透达于外,而与痰胶着于内.其治则治法是"火郁发之",即清热化痰,通达气机,使郁热得以透达于外而解.在此理论指导下,冯佩银教授创制了金利止咳颗粒.金利止咳颗粒是清热透邪,展布气机,宣降肺气法的典范,疗效可靠,安全无毒,被广大患者充分认可.

Abstract

Refractory cough is a common and difficult disease in clinical practice, with unsatisfactory therapeutic effects. Western medicine focuses mainly on symptomatic and etiological treatment, with average results. The etiology and pathogenesis of this disease in traditional Chinese medicine are diverse and complex , and the treatment is dif-ficult. Simply treating it from the lung is often not ideal, and the therapeutic effect is not ideal. Professor FENG Peiyin, guided by the theory of "fire stagnation", believes that "fire stagnation" is the core pathogenesis of refractory cough and the key to prolonged and recurrent attacks. It is advocated that phlegm heat refers to "stagnant fire" or "stagnant heat", which is invisible or tangible phlegm that suppresses fire or heat inside, preventing fire heat from penetrating outside and sticking to phlegm inside. The principle and method of treatment are "the occurrence of fire stagnation", which means clearing heat and transforming phlegm, unblocking the Qi mechanism, and allowing the stagnation heat to penetrate and resolve externally.Under the guidance of this theory, Professor FENG Peiyin created Jinli cough relieving granules. Jinli Zhike Granule is a model of clearing heat and pathogens, spreading Qi, and promoting lung Qi. Its thera-peutic effect is reliable, safe, and non-toxic, and it is fully recognized by patients.

关键词

金利止咳/组方思路/难治性咳嗽/火郁/理论探讨

Key words

Jinli cough suppressant/Organizational thinking/Refractory cough/Fire depression/Theoretical explo-ration

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基金项目

"重大新药创制"科技重大专项(2018ZX09731-009)

出版年

2024
中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
参考文献量12
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