张永康应用小青龙汤治疗干咳经验
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摘要
小青龙汤是《伤寒论》中治疗风寒外束、内有水饮的名方,本多用于咳嗽伴痰液清稀色白或泡沫痰者的治疗。张永康教授擅用小青龙汤治疗干咳、无痰、咽痒、舌淡胖苔水滑者,疗效满意,其认为干咳由"冰伏"所致。冰伏是指感受寒邪或过用寒凉药物导致内邪不能外散而被遏制于体内形成寒邪积聚,不能透发而出,如同被冰层覆盖一般。外感内伤均可致病。
Xiaoqinglong Decoction is a famous prescription from Shanghan Lun for treating syndrome of superficies tightened by wind-cold and fluid retention syndrome, which is commonly used to cure the cough with generous diluted sputum or frothy expectoration. Professor ZHANG Yong-kang is good at treating patients with dry cough, no phlegm, itchy pharynx, and plump and pale tongue with slippery fur caused by underlying-cold with Xiaoqinglong Decoction effectively. Underlying-cold is a symptom that internal pathogens can not be dispersed and restrained in the body to form accumulation of cold pathogens caused by external cold or cold-natured herbs, as if the body is covered by ice. Both external and internal injury can cause disease.
Xiaoqinglong Decoction is a famous prescription from Shanghan Lun for treating syndrome of superficies tightened by wind-cold and fluid retention syndrome, which is commonly used to cure the cough with generous diluted sputum or frothy expectoration. Professor ZHANG Yong-kang is good at treating patients with dry cough, no phlegm, itchy pharynx, and plump and pale tongue with slippery fur caused by underlying-cold with Xiaoqinglong Decoction effectively. Underlying-cold is a symptom that internal pathogens can not be dispersed and restrained in the body to form accumulation of cold pathogens caused by external cold or cold-natured herbs, as if the body is covered by ice. Both external and internal injury can cause disease.
引文
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[6]高振,李风森,徐丹,等.小青龙汤治疗慢性阻塞性肺疾病发作期临床疗效的Meta分析(2016年更新版).中华中医药杂志,2017,32(2):721-730
[7]刘燕,颜培正,张庆祥.温阳化饮方通过调节MMP-9活性干预支气管哮喘寒饮蕴肺证气道重塑的机制.中华中医药杂志,2018,33(1):279-283
[8]王伟,张狄,周大兴,等.小青龙汤对哮喘炎性反应的作用及其机制探讨.浙江中西医结合杂志,2011,21(10):680-683
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[2]黄煌.黄煌经方使用手册.北京:中国中医药出版社,2010:114-116
[3]候振民,王世民.印会河抓主症经验方解读.北京:中国中医药出版社,2012:25-27
[4]刘清泉,高洁.伏邪探源.中医杂志,2011,2(52):95-97
[5]宋永刚.经方临证感悟.北京:中国中医药出版社,2014:110
[6]高振,李风森,徐丹,等.小青龙汤治疗慢性阻塞性肺疾病发作期临床疗效的Meta分析(2016年更新版).中华中医药杂志,2017,32(2):721-730
[7]刘燕,颜培正,张庆祥.温阳化饮方通过调节MMP-9活性干预支气管哮喘寒饮蕴肺证气道重塑的机制.中华中医药杂志,2018,33(1):279-283
[8]王伟,张狄,周大兴,等.小青龙汤对哮喘炎性反应的作用及其机制探讨.浙江中西医结合杂志,2011,21(10):680-683
[9]钱旭江.小青龙汤治疗慢性阻塞性肺病发作期30例疗效分析.中国医药科学,2011,1(18):73,80
[10]蔡宝石.小青龙汤加减治疗过敏性鼻炎33例疗效观察.中国现代医药杂志,2010,12(12):84