河南中医2017，Vol.37Issue(3)：400-403,4.DOI:10.16367/j.issn.1003-5028.2017.03.0140
李发枝运用经方治疗咳喘经验
Professor Li Fazhi's Experience of Treating Asthma with Classical Prescription
摘要
Abstract
Professor Li Fazhi advocates diet taboo in the treatment of cough.Cough and expectorating sputum are mostly due to cold retention attacking the lung,constitution with spleen deficiency and dampness exuberance,so it is not advisable to eat fruits.honey,white sugar for fear that the sweet and greasy food may affect the stomach and generate spleen dampness.Most of the Chinese patent medicines in the market are of clearing heat action,not conforming to the etiology and mechanism of cough,so they can't be used and abused.Phlegm retention always pertains to yin exuberance and yang deficiency,deficient root cause and excess superficial,and the therapeutic principle should be warming and resolving.Simultaneously,the superficial manifestations,root cause,mild case and urgent case should be identified.For exuberance of phlegm retention,methods of purging,promoting diuresis,sweating should be applied.Making the best use of the circumstance to eliminate pathogen is the expedient for treating the superficial manifestations.For yang deficiency,method of strengthening spleen and warming yang should be taken because the water retention will be resolved spontaneously when yang qi is flowing smoothly.Corresponding treatment is performed according to the syndromes of exterior,interior,deficiency and excess.For exterior syndrome,method of warming,dispersing and sweating should be taken.For interior syndrome,warming,resolving and promoting diuresis should be taken.For healthy qi deficiency,tonification method should be used.For excess pathogenic factors,purging method should be conducted.For excess pathogen and healthy qi deficiency,simultaneous reducing and tonification should be applied.For complicated water retention and heat,sinultaneous warming and cooling should be applied.Since phlegm retention affecting the ascent and descent of qi activity,and prolonged depression may transform into heat,this disease has differences of complicated qi stagnation and complicated heat.At the meanwhile,water retention and attack of external pathogen is easy to aggravate the condition.For this reason,during treatment,complicated syndromes should be diffferentated.Besides,phlegm retention has the prognosis of attacking the heart,lung and spleen and the course of the disease is long,so there are always mutual transformations between cold,heat,deficiency and excess.Early prevention and treatment should be valued.Professor Li treats cough and asthma with Minor Bupleurum Decoction,Major Bupleurum Decoction,Minor Green Dragon Decoction,Licorice Heart-Draining Decoction,Phragmites Stem Decoction,Ophiopogon Decoction,Pinellia and Officinal Magnolia Bark Decoction,Guiling Wuwei Gancao Qugui Jiajiang Xinxia Deoction and achieves excellent therapeutic effects.关键词
咳喘/经方/李发枝/《伤寒杂病论》/张仲景Key words
cough and asthma/classic prescriptions/Li Fazhi/Treatise on Febrile and Miscellaneous Disease/Zhang Zhongjing分类
医药卫生引用本文复制引用
王炳恒,孙华,崔维,张国海..李发枝运用经方治疗咳喘经验[J].河南中医,2017,37(3):400-403,4.基金项目
国家中医药管理局全国名老中医传承工作室基金资助项目[编号:国中医药人教函(2012)149号] （2012）
