董竞成用补肾益气法治疗慢性咳嗽经验总结

Dong Jingcheng′s Experience in Treating Chronic Cough by Tonifying Kidney and Replenishing Qi

慢性咳嗽为临床常见病,有时也是临床难治病,其病机复杂,虚实夹杂。董竞成教授认为慢性咳嗽患者常伴有肾虚的临床及微观表现,治疗以补肾益气法为主,辨证辅以疏肝健脾、理气化痰、清热活血,遵循“发时治肺兼顾肾,平时治肾兼顾肺”以及“以肾治肺”“以肺治肾”的原则,肺肾双补,可有效治疗慢性咳嗽。

Chronic cough is a common clinical disease,and it is sometimes a refractory disease with complex pathogenesis and the mixture of deficiency and excess.Professor Dong Jingcheng believes that the patients with chronic cough often have clinical and microscopic manifestations of kidney deficiency.Therefore,the treatment should focus on tonifying kidney and replenishing qi,which can be supplemented by soothing liver and invigorating spleen,regulating qi and resolving phlegm,and clearing heat and activating blood.The physicians can follow the principles of treating the lung at the time of onset with consideration to the kidney,treating the kidney at ordinary times with consideration to the lung,treating the lung from kidney,and treating the kidney from the lung.Tonifying both lung and kidney can effectively treat chronic cough.