《伤寒杂病论》中咳嗽的诊疗探讨

Study on the diagnosis and treatment of cough in Treatise on Febrile Disease

通过对《伤寒杂病论》中所涉及咳嗽的条文进行收集、分析、整理和归纳,查阅相关文献,对书中咳嗽的概念及症状进行考证并按六经辨证体系重新梳理方剂,探讨咳嗽的诊疗规律,为临床治疗咳嗽提供文献依据。咳嗽在书中的概念是气上逆而发出声响,常伴有喘或痰液咯出,为肺之变动。作为症状,六经病均可见咳嗽,但尤与太阴病病变密切相关,治疗亦应考虑太阴。

Through collecting, analyzing, sorting out and summarizing the articles related to cough in Treatise on Febrile Disease, and referring to the relevant literature, the concepts and symptoms of cough in the book are verified and the prescriptions are re-summarized by the system of differentiation of six channels. The diagnosis and treatment rule of cough is explored to provide literature evidence for clinical treatment of cough. The concept of cough in the book is qi upward reversal with sound, accompanying asthma or expectoration. As a symptom, cough is appeared in six channels diseases, which is closely related to Taiyin disease lesion, so Taiyin should be considered in the treatment.