基于体质探讨感冒后咳嗽证治规律

Discussion on Syndrome Differentiation and Treatment of Cough after Catching a Cold Based on Constitution

感冒后咳嗽为内科常见病证,病机与感受病邪的性质、发病时的天气情况、饮食、情志、患者体质等因素密切相关。其中,对病情起较大影响的是患者的体质。肺阳虚质患者多见肺阳亏虚,痰饮内停;肺气虚质患者多见肺气不足,外邪留恋;阳热质患者多见肺热炽盛,痰火内壅;气郁质患者多见肝胆气郁,枢机不利;阴虚质患者多见久咳不已,痰饮上泛。不同的禀赋体质,可令感冒后咳嗽呈现不同的转变方向,故临证时应根据患者体质准确辨证,方可获效。

Cough after catching a cold is a common internal medical syndrome.The pathogenesis is closely related to the nature of the pathogenic factors,the weather conditions,diet,emotion and the constitution of patients.Among them,the patient′s constitution has a greater impact on the disease.Most of the patients with lung yang deficiency had symptoms of lung yang deficiency and phlegm retention;the patients with lung qi deficiency often have the symptoms of lung qi deficiency and external evil nostalgia;the patients with yang heat constitution,the symptoms of excessive lung heat and accumulation of phlegm and fire are common;the patients with qi stagnation syndrome often have the symptoms of liver and gallbladder qi stagnation and disfunction of qi movement;the patients with yin deficiency syndrome often cough for a long time,and ascending of phlegm is common.Different constitutions can make cough change in different directions after catching a cold.Therefore,clinical treatment should be based on accurate differentiation of symptoms and signs according to the patient′s constitution.