李宗智教授辨证治疗感染后咳嗽临床经验探析
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摘要
李宗智教授认为,感染后咳嗽因滥用各种抗生素、未予重视,或未能及时施治,从而导致病程迁延、缠绵难愈;同时感染后咳嗽多伴有阴伤津亏,强调宣肺解表,宜多顾护阴津。李宗智教授临证主张采取解表宣透之法,透邪于外,使闭郁之寒邪速去,免其传经入里;善用炙麻绒开泄腠理驱郁邪于外,又不至过耗气阴。
Professor Li Zongzhi thought,cough after infection was often caused by all kinds of antibiotics abuse,without timely treatment,it will convert to lingering illness.Relieving the exterior and xuan through are highly recommended in the TCM treatment of cough,which can drive the cold irregularity outside the body and avoid it penetrating through main and collateral channels.Li thought that cough is usually accompanied with lack of body fluid,therefore protecting the body fluid is as much necessary as releasing the lung and relieving the exterior.
Professor Li Zongzhi thought,cough after infection was often caused by all kinds of antibiotics abuse,without timely treatment,it will convert to lingering illness.Relieving the exterior and xuan through are highly recommended in the TCM treatment of cough,which can drive the cold irregularity outside the body and avoid it penetrating through main and collateral channels.Li thought that cough is usually accompanied with lack of body fluid,therefore protecting the body fluid is as much necessary as releasing the lung and relieving the exterior.
引文
[1]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(2009版)[J].中华结核和呼吸杂志,2009,32(6):407-413.
[2]龚震明,罗志兵.亚急性咳嗽81例临床分析[J].同济大学学报:医学版,2009,30(6):82-86.
[3]吕雯,杨吉.感染后咳嗽的病因病机及治疗进展[J].云南中医中药杂志,2011,32(4):74-75.
[4]刘玉,唐雪春.感染后咳嗽的发病机制研究[J].浙江中西医结合杂志,2009,19(4):262-263.
[5]BRAMAN SS.Postinfectious cough:ACCP evidence-based clinical practice guidelines[J].Chest,2006,129(1):138-146.
[6]卞玉凡,史锁芳.感染后咳嗽的中医辨治思路探究[J].吉林中医药,2013,33(3):217-219.
[7]王胜.胡国俊辨治感染后咳嗽经验介绍[J].辽宁中医药大学学报,2011,13(1):112-114.
[8]张颖,张晓丹,施红.邵长荣治疗咳嗽变异型哮喘的经验[J].中医文献杂志,2011(5):40-42.
[2]龚震明,罗志兵.亚急性咳嗽81例临床分析[J].同济大学学报:医学版,2009,30(6):82-86.
[3]吕雯,杨吉.感染后咳嗽的病因病机及治疗进展[J].云南中医中药杂志,2011,32(4):74-75.
[4]刘玉,唐雪春.感染后咳嗽的发病机制研究[J].浙江中西医结合杂志,2009,19(4):262-263.
[5]BRAMAN SS.Postinfectious cough:ACCP evidence-based clinical practice guidelines[J].Chest,2006,129(1):138-146.
[6]卞玉凡,史锁芳.感染后咳嗽的中医辨治思路探究[J].吉林中医药,2013,33(3):217-219.
[7]王胜.胡国俊辨治感染后咳嗽经验介绍[J].辽宁中医药大学学报,2011,13(1):112-114.
[8]张颖,张晓丹,施红.邵长荣治疗咳嗽变异型哮喘的经验[J].中医文献杂志,2011(5):40-42.