治风止咳法辨治慢性咳嗽经验

Experience in treating chronic cough from wind-treating and cough-relieving method

目前临床中所见慢性咳嗽多表现为反复发作的阵发性干咳、咽痒等咳嗽高敏感现象,降低咳嗽的敏感性是目前治疗慢性咳嗽急需突破的一大难题。孙增涛教授认为咳嗽高敏感性当从“风”论治,并从“内外风邪致病”的病机着手,提出“疏散结合,敛消兼施,宣降有序,调畅气机,兼顾他脏”的治风五法。强调慢性咳嗽当内外同治,在外祛风散邪,在内息风止痉,同时宣降脏腑气机,兼顾他脏病位病机,可缓解咳嗽症状,降低咳嗽的敏感性,疗效显著。文章详述其经验,并举验案1则,以供探讨。

At present,chronic cough is mainly manifested as recurrent paroxysmal dry cough,pharyngeal itching and other cough hypersensitivity phenomena.Therefore,reducing the sensitivity of cough is a major problem in the treatment of chronic cough.According to professor SUN Zeng-tao,the treatment of cough with high sensitivity should be based on the theory of‘wind’and the pathogenesis of‘internal and external wind pathogenic factors causing disease’.With this,he put forward‘five methods of treating wind’including‘disperins,convergence and elimination,diffuse and downbear,regulating qi and give consideration to other organs’.He stressed that chronic cough should be treated with internal and external,to relieve symptoms,reduce the sensitivity of cough,and remarkable curative effect.The article detailed its experience and gave a case for discussion.