山东中医杂志2024,Vol.43Issue(2) :185-188,196.DOI:10.16295/j.cnki.0257-358x.2024.02.015

史锁芳治疗感染后咳嗽经验

SHI Suofang's Experience in Treating Post-Infectious Cough

薛宇菲 唐艳芬 章匀 洪玲玲
山东中医杂志2024,Vol.43Issue(2) :185-188,196.DOI:10.16295/j.cnki.0257-358x.2024.02.015

史锁芳治疗感染后咳嗽经验

SHI Suofang's Experience in Treating Post-Infectious Cough

薛宇菲 1唐艳芬 1章匀 1洪玲玲1
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作者信息

  • 1. 南通市中医院肺病科,江苏 南通 226000
  • 折叠

摘要

史锁芳教授认为感染后咳嗽病位在肺,涉及肝脾,病理因素多责之于风、痰、火.临床治疗可根据病程分阶段论治:初期重在宣透,处方以三拗汤加质轻性浮之品;中期以清解郁热为主,辅以疏风散邪,常用桑叶、桑白皮、薄荷等;晚期清热养阴、润肺益气,处方可选麦门冬汤、沙参麦冬汤、清燥救肺汤加减.同时,史教授还善用"风四药"(桑叶、菊花、全蝎、僵蚕)疏风解痉止咳.对于难治性感染后咳嗽,史教授遵循因人制宜、因时制宜原则,因势利导,常获佳效.附验案2则.

Abstract

Professoer SHI Suofang believes that post-infectious cough is located in the lungs and involves the liver and spleen,with pathological factors mostly associated with the wind,phlegm and fire.Clinical treatment can be staged according to the course of the disease.Treatments at the initial stage focus on dispersing and penetrating,with the prescription mainly consisting of San'ao Decoction(三拗汤)and Chinese medicinals with light and floating properties.Treatments at the middle stage mainly aim at clearing stagnant heat,supplemented by dispersing wind and dissipating pathogen,commonly using Sangye(Mori Folium),Sangbaipi(Mori Cortex),Bohe(peppermint).Treatments at the late stage focus on clearing heat and nourishing yin,moistening the lungs and benefiting qi,with prescriptions such as modified Maimendong Decoction(麦门冬汤),Shashen Maidong Decoction(沙参麦冬汤)and Qinzao Jiufei Decoction(清燥救肺汤).At the same time,Professor SHI is also skilled in using"four wind medicinals"[Sangye,Juhua(Chrysanthemi Flos),Quanxie(Scorpio),Jiangcan(Bombyx Batryticatus)]to disperse wind,relieve spasms,and stop cough.For intractable post-infectious cough,Professor SHI follows the principles of individualizing treatment according to the person and the timing,often achieving good results.Two proved cases are attached.

关键词

感染后咳嗽/分期辨治/风药/因人制宜/因时制宜/六经欲解时/史锁芳

Key words

post-infectious cough/staged differentia-tion and treatment/wind medicinals/individualized treatment/timely treatment/time for six-meridian diseases to resolve/SHI Suofang

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基金项目

南通市中医医疗联盟课题(TZYK202105)

出版年

2024
山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
参考文献量11
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