王兴华教授治疗咳嗽经验

Professor Wang Xinghua's Experience for the Treatment of Cough

[目的]探析王兴华教授治疗咳嗽的临床经验。[方法]随师侍诊,记录导师诊治咳嗽的医案,分析其病因病机、治疗方法和遣方用药特色,并总结其临床诊治咳嗽之经验。[结果]王教授认为,外感六淫、内伤七情、饮食劳倦等,均可以损伤肺气,引发咳嗽。感受外邪之后,治疗不及时或用药失当,易形成亚急性咳嗽。素体正虚,或病久伤气,驱邪无力,易形成慢性咳嗽。外感新咳以标实为主;内伤久咳以本虚为主。临床根据病证的表、里、寒、热、虚、实,根据主证选方用药。分别治以温散风寒、轻疏风热、清化痰热、培土生金、燥湿化痰、温阳化饮、养阴润燥等法,并依据证候和治法,选方用药。导师治疗外感咳嗽以驱邪为主,兼顾正气;治疗脏腑功能失调所引起的慢性咳嗽,以扶正和调理为主,兼顾驱邪。[结论]王教授对咳嗽疾患诊察全面,辨证准确,治法精当,用药独特,疗效显著,其经验值得继承和推广。

[Objective] To study Professor Wang Xinghua＇s experience in the treatment of cough. [Methods] Typical cases of cough treated by Wang Xinghua are selected for the analysis of causes, pathogenesis, treatment methods and detailed prescription. [Results] Six exogenous climatic evils, internal injury caused by excess of seven emotions, improper diet and overwork all can damage lung Qi, inducing cough. Delayed or improper treatment can lead to subacute types of cough, while weak constitution and deficiency of vital Qi consumed by prolonged diseases result in chronic cough. External induced acute cough mainly is excess type, while internal damage induced chronic cough is more prone to have deficient type. Syndrome differentiation based on external and internal factors, cold and heat, deficiency and excess is recommended for the treatment of cough. Those frequently used methods include dissipating wind-cold, expelling wind-heat, clearing away phlegm-heat, reinforcing earth to generate metal, removing dampness to reduce phlegm,warming Yang for resolving fluid retention, nourishing Yin to moisten dryness. Exogenic cough should be treated with expelling pathogens, assisted with tonifying vital Qi. Chronic cough resulting from disordered visceral function should be treated with tonification and conditioning, combined with expelling pathogen. [Conclusion] Professor Wang Xinghua＇s experience for treating cough is worth spreading for the comprehensive understanding of the pathogenesis of the disease, accurate syndrome differentiation, unique medicine application and significant treating effect.