湖南中医药大学学报2026，Vol.46Issue(1)：1-6,6.DOI:10.3969/j.issn.1674-070X.2026.01.001
国医大师韩明向从"龙虎回环"理论辨治心因性咳嗽经验
National TCM Master HAN Mingxiang's experience of pattern-based treatment of psychogenic cough under the"dragon-tiger cyclic interplay"theory
摘要
Abstract
This paper aims to summarize the clinical exper ience of National TCM Master HAN Mingxiang in treating psychogenic cough(PC)based on the theory of"dragon-tiger cyclic interplay".Professor HAN classifies PC within the TCM category of"liver-related cough",involving close liver and lung interactions.The core pathogenesis lies in the dysregulation of the ascending and descending qi movements between the liver and lung.It can be classified into four predominant patterns:liver qi stagnation and phlegm dampness accumulating in the lung pattern(dragon-tiger qi stagnation and phlegm retention);liver wood transforming into fire and scorching the lung collateral pattern(dragon-tiger fire and heat contending with each other);liver yin deficiency and lung loss of nourishment and moisturization pattern(dragon-tiger yin fluids insufficiency);internal stirring of liver wind and disturbing the lung metal pattern(dragon-tiger wind agitation and counterflow).Corresponding treatments are implemented as follows:soothing liver qi stagnation and down-regulating lung qi to transform phlegm dampness;clearing liver fire and unblocking lung collaterals to clear fire heat;supplementing liver yin and moistening lung dryness to nourish yin fluids;and extinguishing liver wind and promoting lung metal to soothe the counterflow.All these four approaches have yielded favorable clinical outcomes,as illustrated by a representative case study.关键词
心因性咳嗽/龙虎回环/肝升肺降/国医大师/名医经验/韩明向Key words
psychogenic cough/dragon-tiger cyclic interplay/liver qi ascending and lung qi descending/National TCM Master/famous physician's experience/HAN Mingxiang分类
医药卫生引用本文复制引用
彭丹丹,韩明向,陈炜..国医大师韩明向从"龙虎回环"理论辨治心因性咳嗽经验[J].湖南中医药大学学报,2026,46(1):1-6,6.基金项目
国家中医药管理局第六批全国中医临床优秀人才研修项目(中医药青年拔尖人才培养项目)(国中医药人教函[2025]256号) （中医药青年拔尖人才培养项目）
第四届国医大师传承工作室和第二届全国名中医传承工作室建设项目 （）
安徽省首届"青年江淮名医"人才项目(皖卫函[2022]392号) （皖卫函[2022]392号）
安徽省中医药高水平传承人才支持项目(皖卫传[2023]451号) （皖卫传[2023]451号）
深圳市"医疗卫生三名工程"(SZZYSM202311009) （SZZYSM202311009）
国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函[2023]85号) （国中医药人教函[2023]85号）
安徽省中医药传承创新科研项目(皖中医药函[2025]31号). （皖中医药函[2025]31号）
