文章摘要
周鸯鸯,张国梁.张国梁表里分治新冠病毒感染恢复期咳嗽经验[J].浙江中医药大学学报,2024,48(3):328-331.
张国梁表里分治新冠病毒感染恢复期咳嗽经验
ZHANG Guoliang’s Experience in Treating Cough in Convalescent Period of COVID-19
DOI:10.16466/j.issn1005-5509.2024.03.014
中文关键词: 新冠病毒感染  疫病  咳嗽  病因病机  病位  中医治疗  名医经验  张国梁
英文关键词: COVID-19  epidemic disease  cough  etiology and pathogenesis  disease location  traditional Chinese medicine treatment  famous doctor experience  ZHANG Guoliang
基金项目:浙江省张国梁名老中医专家传承工作室建设项目(浙中医药﹝2021﹞21号)
作者单位
周鸯鸯 浙江省舟山医院 浙江舟山 316000 
张国梁 浙江省舟山医院 浙江舟山 316000 
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中文摘要:
      [目的] 介绍名中医张国梁应用表里分治法治疗新冠病毒感染恢复期咳嗽的临床经验。[方法] 基于历代医家对疫病、咳嗽的相关论述,以及张师亲自诊治300余例新冠患者的经验,阐述张师对新冠病毒感染恢复期咳嗽病因病机的认识,总结其应用表里分治法治疗新冠病毒感染恢复期咳嗽的经验,并解读典型案例。[结果] 张师认为,治疗新冠病毒感染恢复期咳嗽应当从病位着手,病位在鼻、咽部,采用表治法,重在宣肺化痰、疏风止咳,临床常用半夏厚朴汤、止嗽散合方随证加减。病位在气管、肺部,采用里治法,痰浊(痰热)蕴肺型重在清肺化痰、止咳平喘,临床多采用麻杏石甘汤、千金苇茎汤、葶苈大枣泻肺汤合方随证加减;气阴两虚型宜清肺化痰、益气养阴,一般采用竹叶石膏汤、生脉饮合方加减。文中所附医案属于风痰恋咽证型,张师先治以宣肺化痰、疏风止咳,后治以健脾益气、燥湿化痰,终获良效。[结论] 张师应用表里分治法治疗新冠病毒感染恢复期咳嗽,见解独到,其临证经验值得学习和推广。
英文摘要:
      [Objective] To introduce the clinical experience of Director ZHANG Guoliang, a famous and highly-experienced traditional Chinese medicine practitioner, in treating cough in convalescent period of Corona Virus Disease 2019(COVID-19) with exterior and interior differentiation therapy. [Methods] Based on the relevant discussions on epidemic diseases and coughs by doctors of all ages and the experience of more than 300 COVID-19 patients treated by Director ZHANG himself, the understanding of Director ZHANG on the etiology and pathogenesis of cough in convalescent period of COVID-19 was expounded, and his experience in treating cough in convalescent period of COVID-19 with exterior and interior differentiation therapy was summarized, and a typical case was interpreted. [Results] Director ZHANG believes that treatment of cough in convalescent period of COVID-19 should start from the disease location. The disease is located in the nose and pharynx, and the exterior treatment method is adopted, focusing on ventilating the lung and dissolving phlegm, dispelling wind and relieving cough. In clinical practice, a combination of Banxia Houpu Decoction and Zhisou Powder is commonly used, added or subtracted according to the symptoms. The disease is located in the trachea and lungs, and the interior treatment method is adopted, and the phlegm turbidity(phlegm heat) accumulation in lung syndrome focuses on clearing the lungs and dissolving phlegm, relieving cough and asthma, added or subtracted Maxing Shigan Decoction, Qianjin Weijing Decoction combined with Tingli Dazao Xiefei Decoction are often used. Qi and Yin deficiency syndrome should clear the lungs and dissolve phlegm, invigorate Qi and nourish Yin, generally use added or subtracted Zhuye Shigao Decoction combined with Shengmai Drink. The medical case attached belonged to the phlegm and pharyngeal syndrome, Director ZHANG first treated with ventilating the lung and resolving phlegm, dispelling wind and relieving cough, then strengthening the spleen and invigorating Qi, drying dampness and resolving phlegm, and finally achieved good results. [Conclusion] Director ZHANG’s unique opinion and clinical experience in the treatment of cough in convalescent period of COVID-19 with exterior and interior differentiation therapy are worth learning and promoting.
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