晏军治疗变应性咳嗽经验撷萃

Yan Jun's Experience in Treating Allergic Cough ZHU Zi-heng1,2,YAN Jun1

变应性咳嗽总的病因为六淫之邪犯肺为诱因,脏腑失和为内因,虚实夹杂为一般规律,基本病机特点为肺失宣降,因此固本补虚,调畅气血,兼宣肺散邪,调畅肺气,恢复肺气的正常宣降,标本兼顾方能取得良好的疗效。晏师论治变应性咳嗽,关注患者的先天禀赋及情志变化,注重中西医治疗,以西药快速缓解症状,中药治疗则强调固本为要,预防复发,中医治疗以扶脾助运使脾土得旺,气血旺盛,五脏和调,肺金亦生,佐金平木,兼补益肺气以固表,同时重视宣解,兼降气化痰,注重顺应功能,调畅肺气,通利枢机,久病补虚,适当养阴,使肺得清润,兼顾养血活血,行气化瘀,使肝体得养,血脉通畅。

In the treatment of＂ allergic cough, Professor Yan pays altention to the natural endowment and emotioual changes of the patients. He values integrated Chinese and western medicine, with western medicine to relieve the symptoms rapidly and Chinese medicine to strengthen the body resistance and prevent relapse. Chinese medicine therapy can promote spleen to stransport, tonify qi and blood and ensure harmonious five zang-organs. The lung also gets promoted and helps sooth the liver, combined with toni- lying lung qi to consolidate the exterior. Simuhaneously, dispersion is paid attention to descend qi and resolve phlegm. The func- tion of adaptation is also valued to regulate lung qi and unblock the qi movement. Prolonged disease treated by tonifying the deft- ciency and moderately nourishing yin, making the lung get eleared and moistened. At the same time, the methods of nourishing blood and activating blood, motivating qi and resolving blood stasis are applied to ensure nourishment of the liver and smoothness of the blood vessel.