丁樱论治小儿慢性湿性咳嗽

Professor Ding Ying Treating Children's Chronic Wet Cough

丁樱教授根据小儿“三不足、二有余”生理特点及“脾为生痰之源,肺为贮痰之器”的中医经典理论,认为脾虚湿困,痰湿内蕴,上扰于肺是慢性湿性咳嗽的主要病机,治疗主张“运脾泻肺,肺脾同治”,脾转枢之机恢复,脾胃健运,气机升降如常,痰湿酿生无源,阻断痰液生成,则气道通畅,肺中痰自除,肺脏清灵,咳嗽渐平。在临床诊治中,对慢性湿性咳嗽患儿多运用六君子汤、苓桂术甘汤、小半夏汤、人参五味子汤、升阳益胃汤加减。

Professor Ding Ying,according to the physiological characteristics of"three deficiencies and two excessiveness"and the classic theory of traditional Chinese medicine that"Spleen is the source of Phlegm and the Lung is the container for Phlegm storage",he believes that the weakness of the Spleen and the storage of the Dampness,which disturbs the Lung are the main pathogenesis of chronic wet cough.Therefore,in treatment it is advocated"to tonify Spleen to dispel Dampness in Lung,in which Lung and Spleen were treated at the same time".When the recovery of the Spleen pivot in Qi movement takes place,the Phlegm in Lung is no longer being blocked.When that in Lungs is cleared,the cough would gradually disappear.In clinical diagnosis and treatment,Liu Junzi Decoction,Linggui Zhugan Decoction,Xiao Banxia Decoction,Ginseng Wuweizi Decoction or Shengyang Yiwei Decoction can be used in treating children's chronic wet cough.