《内经·咳论》新探

New Probe Into "NeiJing·Kelun"

《内经.咳论》是中医经典中论咳最为精僻的文章,其理论直接指导着临床,为世人所推崇。细观今人对《咳论》的认识,有说“五脏咳是咳的初期阶段”,又说六腑咳是“脏病移腑”等等,随文释义,疑点彼多,故提出几点不同见解;咳证的病位在肺,肺不病则不病咳,故《咳论》首曰:“肺之令人咳。”咳嗽的病因病机为“外内合邪”,其相关脏腑在肺与胃,肺气上逆而咳,咳多兼痰,痰由中焦产生,即“痰与气”是致咳的基本原因。这是《内经》论咳的中心思想,在脏腑咳的辨证分型中亦不离此范围。五脏咳是脏病为本,咳证为标;六腑咳是久咳不愈,又兼它证。从临床实际出发,笔者试从先病后病,标本缓急角度,明晰《咳论》本来面目。

Among many medical literatures of TCM, ＂NeiJing · Kelun＂ is thought of as one of the best by many medical researches. Acording to some learners Of TCM, the cough from five zang organs indicates the preliminary stage of the disease ; while cough from six fu organs means the disease has transferred from the zang oragns to the fu organs, Because of various opinions about the disease, the author wants to express his own ideas in a different way.