王新华运用对药角药治疗慢性咳嗽经验介绍
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R256.11;R249

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浙江省中医药管理局浙江省国医名师传承工作室建设项目(GZS2020005)


Experience Introduction of WANG Xinhua Using Couplet Medicinals and Triple Medicinals Compatibility in Treatment of Chronic Cough
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    摘要:

    介绍王新华教授运用对药角药治疗慢性咳嗽的经验。王新华教授认为,对药及角药在辨证正确的情况下,若配伍得当,往往可以起到取长补短、此呼彼应的效果。常用的对药有旋覆花-代赭石、苍耳子-辛夷、薏苡仁-半夏,常用的角药有金荞麦-鱼腥草-炒黄芩、浮萍-蝉蜕-僵蚕,均各有其妙。旋覆花-代赭石可用于气上冲感者,或食管反流引起的慢性咳嗽;苍耳子-辛夷可用于治疗由过敏性鼻炎、鼻后滴漏综合征引起的咳嗽咳痰,取肺鼻同治之义;薏苡仁-半夏常用于治疗咳嗽痰多者,有燥湿不伤津、祛邪不伤正之用;金荞麦-鱼腥草-炒黄芩,誉为“清肺三斧”,用于治疗咳嗽痰多痰黄者,无论病程长短,均可使用;浮萍-僵蚕-蝉蜕可用于表现为干咳、咽干咽痒、咽痒难耐作咳者。

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    Abstract:This paper introduces Professor WANG Xinhua's experience of using couplet medicinals and triple medicinals compatibility in the treatment of chronic cough. Professor WANG holds that medicines of couplet medicinals and triple medicinals compatibility can complement each other under the condition of correct syndrome differentiation and proper combination. Common couplet medicinals include Flos Inulae- Haematitum, Fructus Xanthii- Flos Magnoliae, and Semen Coicis-Rhizoma Pinelliae;common triple medicinals compatibilities include Rhizoma Fagopyri Dibotryis-Herba Houttuyniaestir Radix Scutellariae,and Herba Spirodelae-Periostracum Cicada-Bombyx Batryticatus;all these herbal combinations have their own advantages. The combination of Flos Inulae-Haematitum can treat patients with qi rishing,and those with chronic cough induced by gastroesophageal reflux. Fructus Xanthii-Flos Magnoliae can be used for cough and expectoration caused by allergic rhinitis and postnasal drip syndrome, which reflects the idea of treating the lung and the nose simultaneously. Semen Coicis-Rhizoma Pinelliae is usually used for patients with cough and excessive phlegm,because it can dry dampness without any damage to fluid and eliminate the pathogenic factors without any damage to the healthy qi. Rhizoma Fagopyri Dibotryis-Herba Houttuyniae-stir Radix Scutellariae,known as “three Chinese medicines with strong effect in clearing the lung”,is usually used for the treatment of patients with cough and excessive yellow phlegm regardless of the course of the disease. Herba Spirodelae-Bombyx Batryticatus-Periostracum Cicada is applied for patients with symptoms of wind cough of Chinese medicine, including dry cough, dryness and itching of throat, cough induced by intolerable throat itching, the aggravation of cough by wind or stimulants,and frequent cough at night.

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王玉清,指导:王新华.王新华运用对药角药治疗慢性咳嗽经验介绍[J].新中医,2021,53(20):192-195

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  • 在线发布日期: 2021-10-22
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