摘要
认为正虚邪恋导致气机升降失常是小儿慢性咳嗽的主要病机,其中以肺脾肾三脏虚损为发病之本,痰饮、食积、郁火留恋体内为发病之标.临证主张以扶正补气、祛邪调气为治疗大法,方用玉屏风散为基础方.针对肺气虚证,方以玉屏风散加减以补肺固表治本;肺脾气虚证,方以玉屏风散合参苓白术散加减以补肺健脾、补运兼施;肺肾气虚证,方以玉屏风散合苏子降气汤加减以补肺益肾、纳气归元.同时兼用祛痰、消食导滞、疏肝泻火等法清除有形实邪,以期标本同治,气机升降如常则咳嗽自止.
Abstract
The main pathogenesis of chronic cough in children is the disorder of ascending and descending of qi movement caused by healthy qi deficiency and pathogenic qi retention.The deficiency of lung,spleen,and kidney is the root of the disease,and the retention of phlegm-fluid,food accumulation,and fire from constraint is the branch pathogenesis of the disease.In the treatment,we should reinforce and tonify healthy qi,dispel pathogen and regulate qi,with Yupingfeng Powder(玉屏风散)as the basic prescription.For lung qi deficiency syndrome,modified Yupingfeng Powder could be used for supplementing lung to consolidate the exterior;for lung and spleen qi deficiency syndrome,modified Yupingfeng Powder plus Shenling Baizhu Powder(参苓白术散)could be used for supplementing lung and fortifying the spleen,treating with both supplementation and transformation;for lung kidney qi deficiency syndrome,modified Yupingfeng Powder combined with Suzi Jiangqi Decoction(苏子降气汤)could be used for supplementing lung and replenishing kidneys,absorbing qi to the root.All the above prescriptions could combine the method of dis-pelling phlegm,promoting digestion and guiding out food stagnation,soothing the liver and draining fire to remove the solid pathogens,in order to treat the root and branch simultaneously,and the cough will stop if the ascending and de-scending of qi movement recover as usual.
国家科技期刊平台
NSTL
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