“五脏六腑皆令人咳”在治疗喘证中的指导意义

Guiding significance of “five zang viscera and six fu viscera all make people cough” in the treatment of dyspnea syndrome

喘证是肺系常见疾病,无论何种咳喘,均与肺息息相关。但在临床治疗中如过度专注于肺的病机变化,忽略了五脏六腑之间的联系,将影响喘证的治疗效果。因此要效法古训,《素问》指出:"五脏六腑皆令人咳,非独肺也。"本文以此为指导思想,探讨喘证发病过程中五脏六腑存在的内部联系。明确五脏六腑以经络相连,脏腑之间互为表里,相互依托,相互制约,也通过痰饮、瘀血等病理产物相互影响。平衡失调可影响肺的宣降而致喘证,因此在治疗喘证中以此为线索,强调以肺为中心,从五脏六腑之间的联系、生理功能、发病机制、病理产物、气血阴阳平衡等方面入手,阐述了喘证临证治法的内涵与外延,体现了整体观念和辨证论治。

Dyspnea syndrome is a common disease in the lung system. No matter what kind of cough and dyspnea, it is always closely related to lungs. However, in clinical treatment, excessive attention is paid to the changes in the pathogenesis of the lungs, and the connection between the five zang viscera and six fu viscera is ignored, thus affecting the therapeutic effect of dyspnea syndrome. Therefore, it is necessary to follow the ancient maxims, Suwen points out that"five zang viscera and six fu viscera all make people cough, not only the lung". Taking this as the guiding ideology,this paper discusses the internal relationship between the five zang viscera and six fu viscera in the pathogenetic process of dyspnea syndrome. It is clear that the five zang viscera and six fu viscera are connected by meridians, and the zang-fu viscera both are interior and exterior. They rely on each other and also restrict each other. They also influenced each other through the pathological products such as phlegm and fluid retention and static blood. The imbalance can affect the lungs and cause dyspnea syndrome. Therefore, this paper takes this as a clue in the treatment of dyspnea syndrome, emphasizes the lung as the center, and starts from the connection between the five zang viscera and six fu viscera, physiological functions, pathogenesis, pathological products, balance between qi and blood, yin and yang, etc., to elaborate the connotation and extension of the treatment of dyspnea syndrome, reflecting the holism and treatment based on syndrome differentiation.