《临证指南医案·咳嗽》之慢性咳嗽病的证素研究

A study on syndrome factor of chronic cough in Linzheng Zhinan Yian of cough

目的:研究《临证指南医案·咳嗽》中慢性咳嗽证素的特点。方法:首先对证候要素作初步筛选,提取共性证素,然后由共性证素组合基本证型,再由基本证型组合复合证型以反应病机。最后分析出《临证指南医案·咳嗽》中慢性咳嗽证素的特点。结果:综合共性证素、基本证型、复合证型,病位证素中肺、胃、肝、脾、肾致咳的频率高,病性证素中气虚、阴虚、痰、热致咳的频率高。结论:使用证素研究法研究慢性咳嗽的辨证要点,连贯分析明确各病机要素关系,明确思路,为指导临床的辨证奠定一定的基础。

Objective:To study the characteristics of syndrome of chronic cough in Linzheng Zhinan Yian of cough.Methods:First of all,the syndrome elements were preliminarily screened,and the common syndrome elements were extracted,and then the basic syndrome elements were combined with the basic syndrome type,next the basic syndrome type was combined with the compound syndrome type to reflect the pathogenesis.Finally,the characteristics of chronic cough syndrome elements in Linzheng Zhinan Yian of cough are were analyzed.Results:According to the general syndrome elements,basic syndrome types and compound syndrome types,the frequencies of cough caused by Fei(肺),Wei(胃),Gan(肝),Pi(脾)and Shen(肾)were high,and the frequencies of cough caused by Qixu(气虚),Yinxu(阴虚),Tan(痰)and Re(热)were high.Conclusion:The syndrome element research method is used to study the main points of syndrome differentiation of chronic cough,make a coherent analysis of the relationship among the pathogenesis factors,and clarify the train of thought,so as to lay a certain foundation for guiding clinical syndrome differentiation.