止嗽散加减治疗难治性慢性咳嗽心得体会

Experience of Zhisou Powder in the Treatment of Refractory Chronic Cough

难治性慢性咳嗽以其迁延难愈的临床特点,给临床管理带来了极大的挑战。虽然特异性神经调节剂的应用以及新型药物的研发推动了难治性慢性咳嗽的临床治疗,但一些病因不明的难治性慢性咳嗽的疗效仍然欠佳。中医学认为难治性慢性咳嗽以风邪宿肺为其基本病机,内外风相引是其发病的基本形式。应用止嗽散对其治疗,宣肺降气、疏风止咳,并突出祛风止痒利咽,恰中其核心病机。临诊中可根据患者的具体情况圆机活法,知常达变,随证加减,具有良好的临床疗效。

Refractory chronic cough has brought great challenges to clinical management due to its clinical characteristics of protracted and difficult to heal.Although the application of specific neuromodulators and the development of new drugs have promoted the clinical treatment of refractory chronic cough,the curative effect of some refractory chronic cough with unknown etiology is still poor.Traditional Chinese medicine believes that the basic pathogenesis of refractory chronic cough is the pathogenesis of pathogenic wind in the lung,and the mutual attraction of internal and external wind is the basic form of its pathogenesis.It is treated with Zhisou powder,which can clear the lungs and reduce Qi,relieve wind and relieve cough,and highlight the pathogenesis of the core pathogenesis.In clinical diagnosis,circular motion can be used according to the specific situation of the patient,knowledge and routine can be changed,and it can be added or subtracted according to the syndrome,which has good clinical curative effect.