路志正从肝论治咳嗽学术思想探讨

Lu Zhizheng' s Academic Thought on the Treatment of Cough Based on Liver Theory

中医认为,五脏六腑皆可以导致咳嗽,非独在肺,临床上慢性咳嗽的论治多以肺、脾、肾为主,路志正教授在多年的临床实践中,认为随着生活环境的改变,情志因素在咳嗽的发生、发展中起着重要的作用,因此从肝论治咳嗽尤为重要。凡肝气郁结、肝火犯肺、肝血不足、肝肾亏虚、肝经郁热、肝经受寒、肝气滞血瘀等因素,影响肺之宣发肃降而咳者,皆可依肝咳论治。肝咳的治疗,以宣肺化痰止咳治其标,疏肝养肝以治本。文章在总结路志正教授治疗肝咳经验的基础上,从肝咳的历代文献、肝咳的病因病机及临床治疗方法、临床验案等方面进行了系统论述,冀希对咳嗽的治疗起到指导作用。

Chinese medicine believes that five zang and six fu organs all lead to cough,not just with the lung involved. In clinical,chronic cough is mainly associated with the lung,spleen and kidney in the treatment. In his clinical practice for years,Prof. Lu Zhizheng thinks that emotional factors play the important role in the occurrence and development of cough with the changes of life and environment. Hence,the liver theory is especially important in the treatment of cough. Many factors affect the lung in dispersing and descending,resulting in cough finally,such as liver qi stagnation,liver fire attacking lung,liver blood insufficiency,liver and kidney deficiency,heat accumulation in liver meridian,cold attacking liver meridian,qi and blood stagnation of liver,etc. Hence,in treatment,dispersing lung,resolving phlegm and stopping cough are for the symptoms,smoothing liver qi and nourishing liver are for the root cause. Prof. Lu's experiences were introduced in terms of liver theory and explained comprehensively based on the ancient literatures of different generations,etiology and pathogenesis and clinical therapeutic method,as well as clinical medical cases so as to provide the guide for the treatment of cough.