中医临床研究2025，Vol.17Issue(24)：32-36,5.DOI:10.3969/j.issn.1674-7860.2025.24.005
国医大师葛琳仪清法辨治咳嗽变异性哮喘经验采撷
Introduction to the experience of traditional Chinese medicine Master GE Linyi in treating cough variant asthma by clearing method
摘要
Abstract
Cough variant asthma(CVA)is a distinct subtype of asthma characterized primarily by chronic irritating dry cough with a protracted and recurrent clinical course,for which conventional Western medicine typically employs glucocorticoids and bronchodilators that may provide short-term symptomatic relief but are associated with long-term risks of drug resistance,adverse effects,and suboptimal efficacy in certain patients,whereas traditional Chinese medicine(TCM)demonstrates unique advantages by employing holistic regulation and syndrome differentiation-based treatment to effectively alleviate cough symptoms while improving constitutional susceptibility and reducing recurrence.Professor GE Linyi,a distinguished Master of Chinese Medicine with over six decades of clinical experience specializing in pulmonary disorders,developed a comprehensive therapeutic approach to CVA based on San Xiao Lun(《三 消 论》)theory that"the lungs are inherently clear,and deficiency leads to warmth"integrated with YE Tianshi's concept of"prolonged illness involving the collaterals".It proposes that the core pathogenesis involves heat stagnation in lung collaterals and lodging of phlegm,blood stasis,and wind pathogens,which differs from conventional exogenous or endogenous cough syndromes by its deeper pathological focus in lung collaterals and predominantly heat-warmth nature.That is resulting from the lungs'inherent delicate and clear physiological state becoming susceptible to heat transformation and dryness when lung Qi(气)is deficient due to external pathogens lingering and transforming into heat or phlegm-dampness accumulating and generating heat that ultimately leads to collateral obstruction and impaired diffusion and descent of lung Qi.The evolution of its pathogenesis can be summarized as"initial illness is in Qi,and long-term illness enters the collateral;heat stagnation is the superficial manifestation,while deficiency of vital energy is the root cause".Professor GE's therapeutic system employs the clearing method as the guiding principle through four flexible approaches,including clearing-diffusing for acute phase focusing on clearing lung heat and restoring lung Qi diffusion/descent,clearing-descending combined with clearing-moistening for chronic phase emphasizing phlegm resolution,stasis dispelling and collateral unblocking,and clearing-tonifying for remission phase prioritizing Qi replenishment and Yin(阴)nourishment to consolidate lung function,which fully embodying the TCM principle of simultaneously addressing root and branch while harmonizing pathogen elimination and healthy Qi reinforcement.Her empirical formula the Qingfei Zhike decoction(清肺止咳汤)is specifically designed to align with lungs physiological preference for clarity and purification while targeting CVA's complex phlegm-stasis-wind-heat pathogenesis.This article combines typical medical case analysis to explore in depth the diagnostic and treatment approach of"using clearing as the method,unblocking meridians and relieving cough",aims to enriches the theoretical system of traditional Chinese medicine lung diseases,and provides renowned doctor's experience for the clinical treatment of CVA.关键词
咳嗽变异性哮喘/清肺止咳汤/名医经验Key words
Cough variant asthma/The Qingfei Zhike decoction/Experience of famous doctor分类
医药卫生引用本文复制引用
高天,骆淳,陈杉杉,孙菊,袁晓..国医大师葛琳仪清法辨治咳嗽变异性哮喘经验采撷[J].中医临床研究,2025,17(24):32-36,5.基金项目
第三届国医大师传承工作室建设项目(国中医药办人教函[2018]119号) （国中医药办人教函[2018]119号）
浙江省中青年临床名中医项目(浙中医药[2021]22号) （浙中医药[2021]22号）
浙江省中医药科技计划项目(2022ZA072). （2022ZA072）
