基于《素问·咳论》从“三焦-肺胃-水饮”论治慢性咳嗽

Treatment of Chronic Cough from“Triple Energizer-Lung and Stomach-Fluid Retention”Based on Suwen·Cough Theory

慢性咳嗽发病机制较为复杂,采用中医治疗慢性咳嗽具有鲜明的特色优势,其理论机制值得探讨。笔者从《素问·咳论》“久咳不已,则三焦受之”,“此皆聚于胃,关于肺”出发,认为三焦能调畅气机、运行津液,是咳嗽之通道;肺为水之上源,胃土能生化,加之脾胃能生痰,肺胃为咳嗽生化之源;水饮则为三焦、肺、胃三者功能失调,津液代谢失司所致,为咳嗽缠绵不去之因。并从“三焦-肺胃-水饮”整体出发探讨久咳发生的结构和功能基础,并提出治疗久嗽以疏利三焦(宣通上焦、温运中焦、固补下焦、调和少阳),滋养肺胃和去宛陈莝为要,以期为临床治疗久嗽提供指导。

The pathogenesis of chronic cough is more complex,the use of traditional Chinese medicine to treat chronic cough has distinct characteristics and advantages,and its theoretical mechanism is worth exploring.The author from the“Su Question·cough”“cough for a long time,then the three jiao suffer”,“this is all concentrated in the stomach,about the lung”,that three jiao can regulate qi,running body fluid,is the channel of cough;The lung is the source of water,the stomach is biochemical,the spleen and stomach can produce phlegm,and the lung and stomach are the source of cough biochemistry;Water drink is the three jiao,lung,stomach dysfunction,body fluid metabolism disorders,cough lingering cause.And from the“three jiao-lung and stomach-water drink”as a whole to explore the structure and function of chronic cough,and put forward the treatment of chronic cough to dissipate the three jiao(publicizing the upper jiao,warming the middle jiao,fixing the jiao,adjusting Shaoyang),nourish the lung and stomach and go Wanchen fodder as guidance for the clinical treatment of chronic cough.