摘要
难治性慢性咳嗽属中医学"顽咳"范畴,认为风伏脾络是难治性慢性咳嗽迁延不愈的根本原因,脾阳不振、肾元亏虚是风伏脾络的病理基础,贯穿疾病的始终.主张以搜脾络、祛伏风,温脾阳、畅中焦,培肾元、固根本为法,以附子理中汤合二仙汤加减化裁为基础,其中附子理中汤温阳建中、畅达中焦,二仙汤培补肾元、固护先天,佐紫苏叶、荆芥、防风等清灵之品,或配伍钩藤、穿山龙、地龙等虫藤之属搜风透邪、畅达脾络.
Abstract
Refractory chronic cough belongs to the category of"refractory cough"in traditional Chinese medi-cine,and it is believed that the root cause of intractable chronic cough is wind lodging in the spleen collaterals,with poor spleen yang and deficient kidney essence as the pathologic basis of the disease,which is present throughout the disease.The method advocated is to search the spleen collaterals and eliminate latent wind,warm the spleen yang and smooth the middle jiao,cultivate the kidney essence and consolidate the root,prescribed with modified Fuzi Lizhong Decoction(附子理中汤)plus Erxian Decoction(二仙汤)as the basis.The Fuzi Lizhong Decoction can warm yang and fortify the middle,and smooth the middle jiao,and the Erxian Decoction can cultivate the kidney essence and consolidate the innate.The two prescriptions could combine with Suye(Perilla frutescens),Jingjie(Dysphania ambrosioides),Fangfeng(Carum carvi)and other medicinals of cleaning characteristic,or combine with Gouteng(Uncaria rhynchophylla),Chuanshanlong(Dioscorea nipponica),Dilong(Kummerowia striata)and other medicinals of worm or cane category,to find the wind and expel pathogen,smooth spleen collaterals.
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