基于“三焦膜腠”思想探讨食积咳嗽的新治法

Discussion on New Treatment on Cough Due to Indigestion According to Sanjiao Theory

食积咳嗽在临床较为常见,针对该病的方药也极为丰富。本病初期病情简单,五更咳嗽明显者,多以保和丸加减即可治愈,但临床上发现食积在二更时分也可引起咳嗽,二更嗽者食积滞于三焦,陈潮祖教授认为调理三焦莫过于小柴胡汤和蒿芩清胆汤。若食积阻滞手少阳三焦经,在晚上9点到11点的咳嗽加重,可采用小柴胡汤加保和丸治疗;若食积阻滞足少阳胆经,在晚上11点到次日凌晨1点咳嗽加重,可采用蒿芩清胆汤加保和丸治疗。

The cough due to indigestionis more common in the clinic,and the prescription for the disease is also very rich.The initial condition of the disease is simple,the cough at the period of the day from 3∶00 am to 5∶00 am was obvious,and the addition and subtraction of the Baohe pill can be cured.But the clinical finding that indigestion can also cause a cough from 9∶00 pm to 11∶00 pm which due to the indigestion blocked the Sanjiao Meridian.Professor Chen Chaozu thinks that the conditioning of the three-jiao is no better than the Xiaochaihu and the Haoqinqingdan decoction,so the cough at the point of 9∶00 pm to 11∶00 pm is aggravated by the indigestion-blocking Shoushaoyang Sanjiao Meridian and can be treated with the Xiaochaihu and the Baohe pill;the cough at the point of 11∶00 pm to 1∶00 am is aggravated by the indigestion-blocking Footshaoyang Dan Meridian and can be treated with the Haoqinqingdan decoction and the Baohe pill.