周岳君治疗慢性咳嗽经验

Experience of ZHOU Yue-jun in treating chronic cough

文章探析周岳君教授治疗慢性咳嗽经验,其认为慢性咳嗽多属内伤咳嗽,治疗上以扶正祛邪为纲要,益气养阴为基础,多脏同调为指导,特色方药对症治疗,咳嗽咳痰治以自拟清气化痰汤、咽喉不利治以玄麦桔甘汤、咳嗽喘促治以葶苓合剂,针对不同病情灵活运用药对,慎用苦寒,调畅气机。后期尤为重视对患者体质的辨别、调理及精神调护。文章附病案一则,以供同道探讨。

This paper analyzed the experience of professor ZHOU Yue-jun in treating chronic cough.Professor ZHOU believes that chronic cough is mostly internal cough,and the treatment should be based on the principle of strengthening vital qi to eliminate pathogenic factors,and combined with benefiting qi and nourishing yin using characteristic prescription under the guidance of regulating multiple organs.The cough and phlegm are treated with self-made Qingqi Huatan Decoction.The throat discomfort is treated with Xuanmai Jiegan Decoction.The cough and wheezing is treated with Tingling Mixture.Professor ZHOU flexibly uses couplet medicines for different conditions,carefully uses drugs of bitter and cold nature to regulate qi movement.In the later period,special attention is paid to the identification of constitutions,conditioning and mental care of patients.A medical record is attached in the article for discussion.