基于木火刑金理论探讨胃食管反流性咳嗽的证治

Discussion about Syndrome and Treatment of Gastroesophageal Reflux Cough Based on Theory of “Wood Fire Tormenting Metal”

胃食管反流性咳嗽目前已跃居为慢性咳嗽的第二大致病因,且缠绵难愈,复发率较高。从“木火刑金”理论分析,认为该病的病位主要在肺、肝、胃三脏,核心病机为木火刑金,中焦不和。治疗当以疏肝泻火,清肺和中,降逆止咳为基础,并且根据不同患者的证候特点选取左金丸、半夏泻心汤、小柴胡汤、旋覆代赭汤等方剂随证加减治疗,并辅以饮食、情志和生活习惯的调节,可获佳效。

Gastroesophageal reflux cough has become the second main cause of chronic cough.It is lasting and difficult to cure and has a high recurrence rate.According to the theory of“wood fire tormenting metal”,it is believed that the main locations of the disease are lung,liver and stomach.The core pathogenesis is wood fire tormenting metal and disorder of the middle energizer.The treatment should be based on soothing liver and purging the pathogenic fire,clearing away lung heat and regulating the middle energizer,and calming the adverse-rising energy and relieving cough.According to the syndrome characteristics of different patients,Zuojin Pill(左金丸),Banxia Xiexin Decoction(半夏泻心汤),Xiaochaihu Decoction(小柴胡汤),Xuanfu Daizhe Decoction(旋覆代赭汤)and other prescriptions are selected and added or subtracted according to the syndrome.Supplemented by the adjustment of diet,emotions and living habits,good effects can be obtained.