| 陈晔欣,黄圣,陈霞波,等.基于“主客交”理论辨治难治性慢性咳嗽经验[J].江苏中医药,0,():. |
| 基于“主客交”理论辨治难治性慢性咳嗽经验 |
| Treatise on the chronic refractory cough based on the theory of ‘interaction between host and guest’ |
| 投稿时间：2024-01-23 修订日期：2024-03-21 |
| DOI： |
| 中文关键词: 主客交 难治性慢性咳嗽 名医经验 肺系疾病 角药 |
| 英文关键词: interaction between host and guest refractory chronic cough famous doctor experience pulmonary diseases corner medicine |
| 基金项目:浙江省陈霞波名老中医专家传承工作室（GZS2017017）；国家中医优势专科（内分泌科）建设项目 |
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| 中文摘要: |
| “主客交”出自《温疫论》,形容了急性外感热病过程中正气虚损,无力托动邪气外出,邪气胶结于血脉,形成慢性病的过程。对于难治性慢性咳嗽,效法主客交理论须辨“主气不足”和“客气交浑”,认为“主气不足”即肺阴亏虚,是难治性慢性咳嗽的核心病机,外邪侮肺、痰湿客肺等“客气”是病情迁延的兼夹病机,主客交浑、肺络郁闭贯穿病机发展始终。临床上,运用角药组合圆机活法治疗。强调以养阴润肺为起手之法,随证灵活施以清热泻肺、气阴同补、润燥还津、疏肝养血、祛风化痰,同时配伍虫、介类药通肺络以加强解除交浑之力。 |
| 英文摘要: |
| This paper introduces the experience of treating refractory chronic cough based on the theory of host-guest interaction.This theory describes the process of acute exothermic heat disease, in which the positive qi is weakened and unable to drive the evil qi out. The evil qi binds to the blood vessels, forming a chronic disease. It is believed that the deficiency of lung yin is the core pathogenesis of refractory chronic cough. Exogenous pathogens insulting the lung and phlegm-dampness invading the lung are important reasons for the persistence of refractory chronic cough. The stagnation of lung collaterals is a latent pathogenesis that cannot be ignored. Clinically, we always use angle medicine combination to treat flexibly. We emphasize the method of nourishing yin and moistening lung, or clearing heat and nourishing yin, or tonifying qi and yin, or moistening dryness and returning fluid, or soothing liver and nourishing blood.We advocate the differentiation of cold and heat and the prescriptions are accompanied by the treatment of eliminating pathogenic factors and phlegm-resolving drugs.At the same time, we should pay attention to the compatibility of tongluo drugs throughout the treatment. |
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