咳嗽病考镜源流
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摘要
咳嗽是呼吸科常见病,就中医学历代医籍和医家的相关论述进行整理考源发现,早在春秋战国时期中国古代医家对咳嗽就已经有了比较全面的认识;魏晋隋唐时期重视寒邪在咳嗽发病中的作用,病证分型和治疗方法更为丰富;及至宋金元咳与嗽开始分而论之,辨证论治百家争鸣;明清时期将咳嗽明确分为外感内伤,对病因病机的认识逐渐统一;近现代医家在此基础上将咳嗽的辨证论治体系不断细化和完善;近年来对咳嗽病的认识较前有所创新,规范化中医辨证论治的探索也对其诊疗起到积极的推动作用。
Cough is one of common diseases in the department of respiration. According to research of its source and development in TCM literature and doctors' related statements in successive dynasties,as early as the Spring and Autumn Period and the Warring States Period,doctors have already had a comprehensive understanding of cough. Doctors in Wei,Jin,Sui and Tang dynasties attached importance to the effect of cold pathogen in the morbidity of cough disease,and enriched syndromes and therapies. Up to Song,Jin and Yuan dynasties,tussis and cough were divided up,and hundreds of doctrines of syndrome differentiation and treatment contended. Doctors in Ming and Qing dynasties definitely divided cough into exogenous and internal injuries,their cognition to its etiology and pathogen also gradually unified. Under this condition,system of syndrome differentiation and treatment of cough kept refining and improving in modern times. In recent years,innovation arised in knowledge of cough,exploration to normalization of TCM syndrome differentiation and treatment may actively promote its diagnosis and treatment.
Cough is one of common diseases in the department of respiration. According to research of its source and development in TCM literature and doctors' related statements in successive dynasties,as early as the Spring and Autumn Period and the Warring States Period,doctors have already had a comprehensive understanding of cough. Doctors in Wei,Jin,Sui and Tang dynasties attached importance to the effect of cold pathogen in the morbidity of cough disease,and enriched syndromes and therapies. Up to Song,Jin and Yuan dynasties,tussis and cough were divided up,and hundreds of doctrines of syndrome differentiation and treatment contended. Doctors in Ming and Qing dynasties definitely divided cough into exogenous and internal injuries,their cognition to its etiology and pathogen also gradually unified. Under this condition,system of syndrome differentiation and treatment of cough kept refining and improving in modern times. In recent years,innovation arised in knowledge of cough,exploration to normalization of TCM syndrome differentiation and treatment may actively promote its diagnosis and treatment.
引文
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[4]郭霭春,王玉兴.金匮要略方论校注语译[M].北京:中国中医药出版社,1999.
[5]陈熠.喻嘉言医学全书[M].北京:中国中医药出版社,1999:313.
[6]葛洪.附广肘后方[M].陶弘景,杨用道,补辑.胡冬裴,汇辑.上海:上海科学技术出版社,2009:78-85.
[7]张民庆.诸病源候论译注[M].北京:中国人民大学出版社,2009:290-308.
[8]张登本.王焘医学全书[M].北京:中国中医药出版社,2006.
[9]孙思邈.千金方[M].刘清国,吴少祯,韩秀荣,等,校注.北京:中国中医药出版社,1998:298-305.
[10]许敬生.全生指迷方校注[M].郑州:河南科学技术出版社,2014:114.
[11]宋乃光.刘完素医学全书[M].北京:中国中医药出版社,2006:152.
[12]徐江雁,许振国.张子和医学全书[M].北京:中国中医药出版社,2006.
[13]陈无择.三因极一病证方论[M].侯如艳,校注.北京:中国医药科技出版社,2011:212.
[14]林慧光.杨士瀛医学全书[M].北京:中国中医药出版社,2006:137.
[15]张年顺.李东垣医学全书[M].北京:中国中医药出版社,2006.
[16]田思胜,高笑琳.朱丹溪医学全书[M].北京:中国中医药出版社,2006.
[17]张锐.鸡峰普济方[M].北京:中医古籍出版社,1988:5.
[18]程国彭.医学心悟[M].闫志安,徐文兵,校注.北京:中国中医药出版社,1996:109.
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[20]沈金鳌.杂病源流犀烛[M].田思胜,整理.北京:人民卫生出版社,2006.
[21]李用粹.证治汇补[M].吴唯,校注.北京:中国中医药出版社,1999:58.
[22]唐容川.血证论[M].金香兰,校注.北京:中国中医药出版社,1996.
[23]叶天士.临证医案指南[M].北京:华夏出版社,1995.
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[26]国家中医药管理局科教司,中医经典必读:薛生白湿热病篇[M].北京:中国中医药出版社,2005:158-159.
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[34]周东花,周明,吴萍.吴银根教授辨治慢性咳嗽经验浅析[J].现代中西医结合杂志,2015,2(33):3739-3741.
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[39]晁恩祥.“风咳”证治探要[J].江苏中医药,2008,40(7):8-9.
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