首页|基于《王仲奇医案》探讨咳嗽辨治特色

基于《王仲奇医案》探讨咳嗽辨治特色

扫码查看
咳嗽是临床常见的病症,病机繁多,病情复杂,历代医家治疗咳嗽的方法层出不穷,然临床中常虚实夹杂,阴阳难分.新安医家王仲奇先生对前人治疗咳嗽的思路博采众长,以其师古不泥的学术风格及其独特的辨证及用药思路为临床上治疗咳嗽提供了更多方法.王仲奇在临证中从脏腑辨证理论入手,善以脾胃为中心切入辨证.从恢复脾胃升降之功治气,从补益肾阳温煦之用治痰;重视标本轻重,急则治标,缓则治本;重视病位、病机所在,热者寒之,寒者热之.基于《王仲奇医案》中记载的病案探讨其治疗咳嗽的学术思想包括:咳嗽气逆者,当脾胃治之;咳嗽肺寒者,当温肾论之;咳嗽痰饮者,当温药和之;咳嗽痰热者,当补泻兼之.
Discussion on the characteristics of cough diagnosis and treatment based on Wang Zhongqi's Case Records
Cough is a common clinical symptom with numerous pathogenic mechanisms and complex conditions.Throughout history,there have been countless methods for treating cough,yet in practice,it often presents with mixed defi-ciency and excess symptoms,making it difficult to differentiate between Yin and Yang.Wang Zhongqi,a renowned physi-cian from the Xin'an School of TCM,draws on the wisdom of his predecessors and develops a unique approach to diagnosis and treatment based on his scholarly style of learning from tradition without being bound by it.In clinical practice,Wang Zhongqi focuses on the theory of zang-fu differentiation,emphasizing the role of the spleen and stomach in differential diag-nosis.He treats Qi disorders by restoring the ascending and descending functions of the spleen and stomach,treats phlegm by tonifying kidney-Yang,prioritizes treating the symptoms in acute cases and the root cause in chronic cases,and ad-dresses the location and mechanism of the disease by applying cooling treatments for heat and warming treatments for cold.Based on the cases recorded in Wang Zhongqi's Case Records,this paper discusses his academic ideas on cough treatment,which include treating cough with Qi reversal by focusing on the spleen and stomach;treating cold lung cough by warming the kidney;treating cough with phlegm and fluid retention by using warming and harmonizing drugs;and treating cough with phlegm and heat by combining tonifying and draining approaches.

coughWang ZhongqiXin'an Wang Schoolmedical records

高志、孙培养

展开 >

安徽中医药大学,安徽 合肥 230038

安徽中医药大学第二附属医院,安徽 合肥 230061

咳嗽 王仲奇 新安王氏 医案

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(11)