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2025, 11, v.44 1250-1254
国医大师晁恩祥治疗感染后咳嗽经验
基金项目(Foundation): 国家中医药管理局第五批全国中医人才研修项目(批文号:国中医药人教函[2022]1号);国家中医药管理局科技项目(编号:2023ZYLCYJ05-02)
邮箱(Email):
DOI: 10.16295/j.cnki.0257-358x.2025.11.014
摘要:

感染后咳嗽以咳嗽迁延不愈,严重影响患者的工作生活为特点。晁恩祥教授认为感染后咳嗽为风咳的一种,风邪恋肺为发病的关键。晁教授强调从风论治感染后咳嗽,同时重视灵活运用虫类药物,通过对风药性味归经的准确把握,一药多用,活用药对,祛邪不忘扶正,重视肺肾同调,临床上取得了显著成效。对晁教授治疗感染后咳嗽的用药特色进行分析,总结其治疗经验,为临床治疗感染后咳嗽提供参考。

Abstract:

Post-infection cough is characterized by persistent coughing that does not heal and seriously affects the patient's work and life. Professor CHAO Enxiang believes that post-infection cough is a type of wind-induced cough,and the key cause of the disease lies in the wind pathogen clinging to the lungs. Professor CHAO emphasizes the treatment of post-infection cough based on the theory of “treatment from the wind”,and at the same time,he attaches great importance to the flexible use of insect-based medicinals. By accurately grasping the property,taste and meridian tropism of wind medicinals,he applies one medicinal for multiple purposes,making flexible use of the couplet medicinals,which not only eliminates the pathogenic factors but also strengthensd the body's resistance. He also pays attention to the simultaneous treatment of the lungs and kidneys,and achieves remarkable clinical results. This article analyzes the medication characteristics of Professor CHAO in treating post-infection cough,summarizes his treatment experience,and provides a reference for the clinical treatment of post-infection cough.

参考文献

[1]BRAMAN S S. Postinfectious cough:ACCP evidencebased clinical practice guidelines[J]. Chest,2006,129(1 Suppl):138S-146S.

[2]王亚杰,史利卿,季坤,等.基于因子分析及聚类分析的241例感染后咳嗽中医证素证型研究[J].世界科学技术-中医药现代化,2021,23(8):2795-2801.

[3]宋祥晖.学龄前儿童非特异性慢性咳嗽的病因构成及症状分布特征[J].中国卫生工程学,2017,16(6):765-766.

[4]KANTAR A,BERNARDINI R,PARAVATI F,et al.Chronic cough in preschool children[J]. Early Hum Dev,2013,89(Suppl 3):S19-S24.

[5] DICPINIGAITIS P V,COLICE G L,GOOLSBY M J,et al.Acute cough:a diagnostic and therapeutic challenge[J].Cough,2009,5:11.

[6] FOOTITT J,JOHNSTON S L. Cough and viruses in airways disease:mechanisms[J]. Pulm Pharmacol Ther,2009,22(2):108-113.

[7] JONES B F,STEWART M A. Duration of cough in acute upper respiratory tract infections[J]. Aust Fam Physician,2002,31(10):971-973.

[8] PAPPAS D E,HENDLEY J O,HAYDEN F G,et al.Symptom profile of common colds in school-aged children[J]. Pediatr Infect Dis J,2008,27(1):8-11.

[9]吴仪,魏雅平,张香玉,等.感染后咳嗽的发病机制及临床治疗中西医研究进展[J].河北中医,2023,45(10):1743-1748.

[10] RYAN N M,VERTIGAN A E,FERGUSON J,et al.Clinical and physiological features of postinfectious chronic cough associated with H1N1 infection[J].Respir Med,2012,106(1):138-144.

[11]中华医学会呼吸病学分会哮喘学组.咳嗽的诊断与治疗指南(2021)[J].中华结核和呼吸杂志,2022,45(1):13-46.

[12]程国彭.医学心悟[M].北京:中国中医药出版社,2019:329.

[13]薛宇菲,唐艳芬,章匀,等.史锁芳治疗感染后咳嗽经验[J].山东中医杂志,2024,43(2):185-188,196.

[14]刘完素.河间六书[M].张克敏,宋志萍,刘雅玲,主编.太原:山西科学技术出版社,2010:282.

[15]林文娟,卢峰.中医治疗感染后咳嗽的研究进展[J].按摩与康复医学,2019,10(17):61-63.

[16]封继宏,陈燕,张洪春.晁恩祥教授学术思想及临床应用初探[J].世界中医药,2016,11(12):2729-2733.

[17]罗社文.晁恩祥治疗咳嗽变异性哮喘经验[J].中医杂志,2002,43(1):74.

[18]晁恩祥.咳嗽变异型哮喘证治[J].世界中医药,2006,1(1):37-40.

[19]吕不韦.吕氏春秋[M].北京:北京燕山出版社,2001:90.

[20]巢元方.诸病源候论[M].北京:中国中医药出版社,2024:73.

[21]屈毓敏.晁恩祥学术思想总结及疏风解痉法治疗感染后咳嗽临床观察[D].北京:中国中医科学院,2016.

[22]晁恩祥.“风咳”证治探要[J].江苏中医药,2008,40(7):8-9.

[23]李时珍.本草纲目[M].天津:天津科学技术出版社,2019:1328.

[24]杨玉萍,晁恩祥.国医大师晁恩祥教授从风论治呼吸疾病理论[J].中华中医药杂志,2014,29(12):3702-3704.

[25]马一青,苏静,厉青,等.麻黄的临床应用及作用机制的研究进展[J].中国药物滥用防治杂志,2024,30(1):75-79.

[26]陈志斌.晁恩祥教授辨治风咳学术经验及临证特色[J].福建中医药,2017,48(4):53-54,62.

[27]陶弘景.本草经集注[M].郭秀梅,王少丽,主编.北京:学苑出版社,2013:214.

[28]程坤.张钟爱巧用“祛风”虫类药的临证经验[J].中医临床研究,2022,14(1):111-113.

[29]程诗蕾,贾元萍,陈梦琳,等.张洪春教授应用虫类药辨证治疗慢性咳喘经验[J].世界中西医结合杂志,2023,18(8):1562-1565.

[30]郑洪亮.从虚从瘀论治特发性肺纤维化[J].中国中医药现代远程教育,2020,18(1):32-34.

[31]赵子佳,周桂荣,王玉,等.蝉蜕的化学成分及药理作用研究[J].吉林中医药,2017,37(5):491-493.

[32]张胜碧,刘燕玲,李岚.地龙提取液对卵清蛋白诱导哮喘小鼠气道重塑及肺组织MMP2、MMP9、TIMP-1表达的影响[J].中国新药与临床杂志,2021,40(7):523-530.

[33]王辛秋,韩春生,陈燕,等.国医大师晁恩祥调补肺肾法临床运用探析[J].中华中医药杂志,2021,36(2):818-820.

基本信息:

DOI:10.16295/j.cnki.0257-358x.2025.11.014

中图分类号:R256.11;R249

引用信息:

[1]赵克明,孙小蕾,丁莉莉,等.国医大师晁恩祥治疗感染后咳嗽经验[J].山东中医杂志,2025,44(11):1250-1254.DOI:10.16295/j.cnki.0257-358x.2025.11.014.

基金信息:

国家中医药管理局第五批全国中医人才研修项目(批文号:国中医药人教函[2022]1号);国家中医药管理局科技项目(编号:2023ZYLCYJ05-02)

投稿时间:

2024-07-17

投稿日期(年):

2024

终审时间:

2024-08-06

终审日期(年):

2024

审稿周期(年):

1

发布时间:

2025-11-05

出版时间:

2025-11-05

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