《黄帝内经》肝咳发挥

On Liver Cough in Inner Canon of Huangdi

肝咳属于五脏咳之一,既有肝病特点又属于咳嗽范畴。《黄帝内经》中已有论述,肝与肺关系密切。随着现代生活环境的改变,情志因素在咳嗽的发生、发展中起着重要的作用,因此从肝论治咳嗽尤为重要。结合肝咳的历代文献与临床相关病证研究,对肝咳的溯源进行论述,并提出肝咳多于春季发病、多伴情志不畅、多见肝经不利、常见肝火灼肺且易累及血分。总结了宣肺肃肺、疏肝柔肝、活血止血的肝咳论治规律;强调肝肺同治,同时重视调畅情志,为临床治疗肝咳提供了思路。

Liver cough is one of the five zang-visceral coughs,it has the characteristics of liver diseases and belongs to the category of cough. The Inner Canon of Yellow Emperor has discussed that therer is a close relationship between liver and lung. With the change of modern living environment,emotional factors play an important role in the occurrence and development of cough,therefore,it is particularly significant to treat cough from the liver. This paper combines the literature of liver cough with the researches of clinical related diseases and syndromes,and illustrates the origin of liver cough. Secondly,the pathogenesis of liver cough is characterized by spring onset,which is accompanied by depression of mood and adverse liver meridian,liver fire invading lung and injuring the blood. Then the liver cough theory and treatment regularity of ventilating and regulating lung qi,dispersing stagnated liver qi and softening liver,promoting blood circulation and arresting bleeding are summarized. Finally,it emphasizes the treatment of both the liver and lung,at the same time,great importance is attached to regulating emotion,which provides a way of thinking for the clinical treatment of liver cough.