“无痰不作咳”的理论基础及应用

Analysis and Application of “no phlegm,no cough”

通过梳理"无痰不作咳"的理论源流,明确痰与咳嗽的相关性。从痰是导致咳嗽的重要因素入手,提出治疗时应根据"有痰或无痰"和"痰的性质"进行辨证用药的观点。无痰而正气充足者,化痰止咳以截断病势;无痰而正气不足者,益气化痰以利于排痰;有痰者则应审症求因,根据痰与风、寒、热、湿、燥邪相兼发为咳嗽以及食积成痰致咳,进行辨证论治,疗效确切。以期对治疗咳嗽能起到执简驭繁的作用。

By combing the theoretical origin of "no phlegm, no cough", the correlation between phlegm and cough is clarified. From the point of view that phlegm is an important factor leading to cough, it is suggested that the medicine should be used according to "cough with or without phlegm" and "the nature of phlegm". If the cough without phlegm and qi is sufficient, the main treatment principle should be eliminating phlegm and relieving cough in order to cut off the development of disease. If the cough without phlegm and qi is insufficient, the treatment principle should be tonifying qi and eliminating phlegm which is beneficial to expectoration. If the cough with phlegm, the cause of symptoms should be examined. Cough can be caused by the combination of phlegm and wind, cold, heat, dampness and dryness, as well as the phlegm caused by food accumulation. The curative effect of treatment based on syndrome differentiation is definite in order to reduce difficulty on the treatment of cough.