顽固性咳嗽辨证经验及用药体会

Experience in the Syndrome Differentiation and Treatment of Intractable Cough

咳嗽是临床常见病,但如果失治或误诊往往容易导致病情迁延不愈,形成顽固性咳嗽。顽固性咳嗽病机复杂,病位涉及多脏腑,病性上多寒热夹杂、虚实兼见,易夹痰夹瘀,往往对一般中成药及西药止咳治疗效果不佳,给患者健康及工作生活带来严重影响。笔者通过多年临床实践发现通过六经八纲辨证,予以选择经方同时结合经验用药疗效甚佳。本文通过具体病例阐述余对顽固性咳嗽辨证及用药经验。

Cough is a common disease. But treatment failure or misuse of treatment often lead to delayed healing of disease and the for-mation of intractable cough. The pathogenesis of intractable cough is complex. The site of disease involves multiple Zang and Fu. The na-ture of the disease is often cold and heat mixture, intermingled deficiency and excess, associated with phlegm and congestion. The inte-grated medicine is often not good at treating intractable cough. Intractable cough severely affects the patient ＇s health, work and life.Through years of clinical practice I found that syndrome differentiation of six channels theory and syndrome differentiation of eight princi-ples was a good method in discerning intractable cough. At the same time, I found that classical prescription combined with experience herbs had very good effect in treating intractable cough. This paper described my experience in syndrome differentiation and treatment of intractable cough through specific cases.