基于气机升降理论运用升降散治疗咳嗽

Treatment of Cough Using Shengjiang Powder Based on the Theory of Ascending and Descending Qi Movements

咳嗽是临床上最常见的肺系疾病。中医认为其主要病机为肺失宣肃,肺气上逆,辨证要点在于气机升降出入失常。升降散功能升清降浊,泻火解毒,其治疗病机总属三焦火郁、气机失畅,古今医家常用升降散治疗气机升降失调之病症。基于“气机失调、升降失常”的基本病机,临床以升降散为基础方治疗咳嗽疾病常能取得显著疗效。本文整理了升降散治疗咳嗽疾病的理论依据及相关研究,为其今后的临床运用提供参考。

Cough is the most common clinical pulmonary disease.According to Chinese medicine,the primary pathogenesis of cough involves the failure of lungs to regulate diffusion and purification and the reversal of the lung Qi.The key aspect of syndrome differentiation in cough is the disturbance of Qi movements(including ascending,descending,exiting,and entering).Shengjiang powder exerts the functions of ascending lucidity,descending turbidity,and purging fire for removing toxins,and its treatment mechanism primarily involves fire stagnation of San Jiao and disorder of Qi activity,which are commonly used by ancient and modern medical practitioners to treat disordered Qi movement patterns.Based on the primary pathogenesis of the“imbalance of ascending and descending of Qi transportation,”the use of Shengjiang powder as the basis for the clinical treatment of cough often results in remarkable curative effects.This article collates the theoretical rationale and relevant studies on cough treatment to guide the clinical applications of Shengjiang powder.