摘要
咳嗽是一种较为常见的疾病,在中医临床有外感和内伤之分,虽然病位在肺,但与全身五脏六腑都有着密切联系,在《黄帝内经》(以下简称《内经》)中就曾指出五脏六腑的气机升降失调都能引发咳嗽。如《素问·咳论》中有论述:"五脏六腑皆令人咳,非独肺也。"脾胃咳为内伤咳嗽中较为典型的疾病之一。《素问·举痛论》中又指出:"百病生于气也。"而脾胃咳就是众多气机失调所导致疾病中较为典型的一种,所以"脾胃咳"的治疗重在"调理气机"。故通过对脾胃咳病因病机的梳理,探讨其致病与脾胃以及肺之间的关系,并结合临床医案从"百病皆生于气"的角度对"脾胃咳"的证候分类、疾病转归、治疗原则进行了深度的阐述,对其临床治疗有一定的指导意义。
Coughing is a more common disease,There are external attacking and internal injuries of cough in the clinic of traditional Chinese medicine,Although the disease is in the lungs,all the viscera are closely related. In the＂Inner Canon of Huang di＂had pointed out the viscera Qi disorder can cause cough,Such as＂Inner Canon of Huang di＂in the discussion on cough： ＂ the viscera disorder can cause cough,not only lung. ＂ The spleen and stomach cough is one of the most typical diseases in the internal injury cough. ＂ Inner Canon of Huang di＂ also pointed out that： ＂ all diseases result from Qi imbalance. ＂ and the spleen and stomach cough is one of the most typical diseases caused by the Qi imbalance. So the treatment of＂spleen and stomach cough＂is focused on＂Regulating Qi＂. Through analzying the etiology and pathogenesis of the spleen and stomach cough,the relationship between the pathogenicity and the spleen,stomach and the lung is discussed. And combined with clinical cases,from the point view of the＂all diseases result from Qi imbalance,＂stomach cough＂syndrome classification and prognosis of the disease and the treatment principle are discussed. It has certain guiding significance for its clinical treatment.
作者
常兴
张恬
隋雨言
张庆祥
CHANG Xing;ZHANG Tian;SUI Yu-yan;ZHANG Qing-xiang(Shandong University of TCM,Jinan 250355,Chin)
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2018年第6期857-859,共3页
JOURNAL OF BASIC CHINESE MEDICINE
基金
国家自然科学基金面上项目(81470189)-基于NF-κB通路的支气管哮喘寒饮蕴肺证大鼠气道重塑机理及温阳化饮方干预机制研究
关键词
脾咳
胃咳
百病皆生于气
中医基础理论
临床证治
Spleen cough
Stomach cough
All diseases are due to the disorder of Qi
Basic theory of Chinese medicine
Clinical treatment
