从“内外合邪”论治慢性咳嗽

On the Treatment of Chronic Cough From the View of“Internal and External Pathogenic Factors”

慢性咳嗽是呼吸科门诊常见病,其常见病因有咳嗽变异型哮喘、上气道咳嗽综合征、嗜酸粒细胞性支气管炎、胃食管反流性咳嗽等,病因不明则无从施治,中医辨治咳嗽历史悠久,优势明显。慢性咳嗽病机多为内外合邪,虚实夹杂,外邪以风为先导,为其主要诱发因素。治疗上,须辨虚实标本,权衡轻重,实则治标为先,兼顾其本,虚则治本为主,它脏同调,兼顾祛邪。

Chronic cough is a common disease in respiratory clinic.The common causes of chronic cough include cough variant asthma,upper airway cough syndrome,eosinophilic bronchitis,gastroesophageal reflux-related cough and so on.If the cause of the disease is unknown,there is no way to cure it.TCM has a long history in the treatment of cough with obvious advantages.The pathogenesis of chronic cough is mainly the combination of internal and external pathogenic factors,mixed with deficiency and excess,external evils are guided by wind,it is the main inducing factor.In terms of treatment,we should distinguish the false and the real specimens,Balance the weight,the principle of principle is first,and the root is also taken into consideration,take reality as the main principle,rule the standard as the first,and give consideration to its root,the deficiency is the main treatment,and the internal organs are the same,and the evil spirits are eliminated.