颜延凤运用膏方治疗慢性咳嗽临证经验

Yan Yanfeng\s Clinical Experience in Treating Chronic Cough with Ointment

颜延凤老师认为慢性咳嗽证型虚实相杂,以本虚为主,治以扶正祛邪,扶正宜补肺健脾资肾,益气生津,护阳养阴;祛邪当以祛内外风、利湿化痰、理气化瘀为主,应重视"内外风同治""痰气共治""护阳养阴"等治法,同时顾护脾胃,重视食补的作用,颜老师常用自拟健脾平喘膏、滋肾润肺膏等进行治疗,屡获良效。探讨总结南京市名中医颜延凤老师运用膏方辨证论治慢性咳嗽的临证经验,并附医案一则。

Discuss and summarize the clinical experience of Nanjing famous TCM doctor Yanfeng Yan using ointment to treat chronic cough based on syndrome differentiation and treatment.Master Yan believes that chronic cough syndromes are mixed with deficiency and reality,mainly based on deficiency in origin.The treatment needs strengthening healthy qi to eliminate pathogens.The key organs in strengthening healthy qi is lung,spleen and Kidney,by nourishing qi and promoting fluid,protecting yang and nourishing yin;dispelling evils should focus on removing internal and external wind,removing dampness and removing phlegm,regulating qi and removing blood stasis.Attention should be paid to treatment methods such as“internal and external wind simultaneous treatment”,“phlegm and qi co-treatment”,and“yang nourishing yin”.At the same time,it is inportant to protect the spleen and stomach,and pays attention to the role of food tonic.