| 施文杰,曾崎冈,老昌辉,等.老昌辉教授辨治感染后咳嗽经验浅析[J].浙江中医药大学学报,2023,47(12):1436-1440. |
| 老昌辉教授辨治感染后咳嗽经验浅析 |
| Analysis of Professor LAO Changhui’s Experience in Differentiating and Treating Postinfective Cough |
| DOI：10.16466/j.issn1005-5509.2023.12.009 |
| 中文关键词: 感染后咳嗽 辨证论治 医案 用药特色 名医经验 老昌辉 |
| 英文关键词: postinfection cough treatment based on syndrome differentiation medical cases medication characteristics experience of famous doctors LAO Changhui |
| 基金项目:广东省中医药重点学科(临床类)建设项目(粤中医办函﹝2021﹞129号)；佛山市“十四五”高水平医学重点专科项目(粤卫函﹝2021﹞107号)；佛山市“十四五”中医重点专科项目(粤卫函﹝2020﹞15号)；佛山市南海区“十四五”高水平医学重点专科项目(南卫健﹝2021﹞211号) |
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| 中文摘要: |
| [目的] 总结老昌辉教授治疗感染后咳嗽的临床经验。[方法] 通过临床跟师、记录医案及查阅文献，从病因病机、临证施治、食养调护三方面总结老昌辉教授治疗感染后咳嗽的临床经验，并附医案两则佐证。[结果] 老昌辉教授认为，感染后咳嗽为咳嗽范畴，辨证关键在于外感与内伤，同时应根据肺脏“喜润恶燥不耐寒”的生理特点进行施治，并根据病理产物与脏腑功能情况进行选方化裁，偏外感者以宣肺化痰汤和射干麻黄汤作为主方，偏内伤者以六君子汤作为主方，同时对感染后咳嗽病时及瘥后饮食调护进行了论述。文中验案一辨证为痰湿内盛证，以射干麻黄汤加减，温肺散饮，恢复肺脏宣发功能；验案二辨证为肝气郁结证，予半夏泻心汤加减，疏肝解郁、寒热平调，气机调畅则诸症缓解。[结论] 老昌辉教授以辨外感内伤为中心辨治感染后咳嗽，强调辨病辨证结合，根据患者病理产物与脏腑功能情况加减用药，重视饮食调护，在临床取得稳定疗效，便于临床应用及推广。 |
| 英文摘要: |
| [Objective] To review and summarize the academic experience of Professor LAO Changhui in the treatment of postinfective cough. [Methods] By clinical shadowing， recording medical cases and reviewing literature， the clinical experience of Professor LAO in the treatment of postinfective cough was summarized from three aspects: etiology and pathogenesis， clinical treatment， feeding and nursing. Two medical records were attached to support it. [Results] Professor LAO believes that the postinfective cough belongs to the category of cough in traditional Chinese medicine and the key of differentiation lies in external and internal injury. The treatment should be carried out according to the physiological characteristics of lung “preferring moist， hating dryness and not resistant to cold”， and prescription should be based on pathological products and functions of Zang-Fu organs. Xuanfei Huatan Decoction and Shegan Mahuang Decoction were the main prescriptions for patients whose postinfective cough was caused by external factors; while Liujunzi Decoction was the main prescription for patients whose postinfective cough caused by internal injury. This article also discussed dietary therapy for cough after infection. In the first case cited， Professor LAO identified it as phlegmatic hygrosis syndrome， and used Shegan Mahuang Decoction. By warming the lung and evaporating fluid， the lung can restore the function of dispersiveness. In the second case， Professor LAO identified it as liver depression and Qi stagnation， and used Banxia Xiexin Decoction. By soothing the liver and regulating Qi， balancing cold and heat， making the Qi movement normal， all symptoms were relieved. [Conclusion] Professor LAO focuses on the differentiation of external and internal injuries in the treatment of postinfective cough， emphasizes the combination of disease and syndrome differentiation， adds or subtracts drugs according to the pathological products of patients and the function of Zang-Fu organs， pays attention to diet care， and has achieved stable clinical efficacy， which is convenient for clinical application and promotion. |
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