从费伯雄内伤咳嗽辨治思路探讨肺癌咳嗽的治疗

Differentiation Thinking to Explore the Diagnosis and Treatment of Lung Cough from Fei Boxiong Internal Injury Cough Syndrome

目的:发掘《医醇賸义》中治疗咳嗽的经验和方法,为临床治疗内伤咳嗽,特别是晚期肺癌反复咳嗽提供新的思路。方法:运用频数描述结合聚类分析的方法,发掘费伯雄治疗咳嗽的用药特点和诊疗思路。结果:费伯雄治疗内伤咳嗽重视痰的病理因素,看重肺为娇脏的生理特点,着眼肺主肃降的生理功能。有痰咳嗽必先治痰,温开辛宣为主;无痰咳嗽养肺为先,甘润苦降为要;重视调理中焦气机,以脾胃升降辅肺之宣降;治疗咳嗽以肺为中心,善从五行乘侮,脏腑表里着眼。结论:肺癌咳嗽的治疗应充分借鉴费伯雄治疗内伤咳嗽的用药特点和思路,不断思考和实践。

Objective： To explore the experience and methods of the treatment of cough to provide new train of thought for internal injury cough,especially in terminal lung cancer repeatedly cough. Methods： Used frequency description combined with cluster analysis method,explored medicine characteristic and diagnosis and treatment from Fei Boxiong. Results： Fei Boxiong attached great importance to the pathological factors of phlegm,regarded the physiological characteristics of lung and the descending of the primary lung function. First treated phlegm for cough with phlegm. Without phlegm cough raised pulmonary first. Attached importance to regulate Qi activity. Cough centered on the lungs. Conclusion： Lung cough should fully draw lessons to internal injury cough medicine treatment characteristics and way of thinking from Fei Boxiong,thinking and practice.