摘要
通过对收集整理岳美中、沈炎南、方和谦、朱良春、邓铁涛等10位名老中医治咳的医案分析发现,咳嗽无论外感与内伤,病位总以肺为主,肺失宣肃为咳嗽的基本病理机制,痰是引起咳嗽的最重要因素,临床上,几乎所有的咳嗽患者均有痰,因此,治疗咳嗽的高频药物中以化痰药、解表药、止咳平喘药、补气药、理气药运用居多。其中治疗咳嗽的中药共计126味,使用频次885味次;单味药物应用频次最高的药物是杏仁,共计48次(50.5%),其他应用频次较高的药物包括陈皮37次(38.9%)、甘草36次(37.9%)、桔梗36次(37.9%)、半夏28次(29.5%)、茯苓24次(25.3%)、前胡24次(25.3%)、枳壳22次(23.2%)、川贝母20次(21.1%)等,其中药味以苦、甘、辛为主,累计频率达86.8%。药性以寒、温、平为主,累计频率达93.6%。
Objective ：To explore 10 famous veteran doctors of TCM Literature for the Laws and features of Medicine in Application of Cough. Methods：Collecting literature and 95 cough cases treatment of 10 famous veteran doctors of TCM, analyzing the frequency statis- tics of single drug, drug classification and drug resistance in the foundation of constructing the medical prescription database. Results ： 126 kinds of Chinese traditional medicine for curing cough in total,885 times of use frequency;the most frequently applied is almond, 48 times in total （50.5 % ） ;the second frequently used drugs including dried tangerine peel （38.9%）, Glycyrrhizauralensis （37.9%）, Platycodongrandiflorum（ 37.9% ） , Pinellia （ 29. 5% ） , Poria Cocos （ 25. 3% ）, Fructus aurantii （ 23. 2% ）, Sichuan fritillary bulb （21.1% ）. All the drugs have the taste of bitter, sweet and hot, with the frequency up to 86.8%. The drug properties are cold, warm and mild, with frequency up to 93.6%. Conclusion ： The basic pathogenesis of cough is lung loses adjusting function, adverse rising of pulmo- nary qi, the famous veteran doctors of TCM used phlegm resolving drugs, drugs for relieving exterior syndrome, drugs for the treatment of cough and asthma,drugs for tonifying qi and lifting yang and drugs for regulating QI flow in their medical prescription in majority.
出处
《中医学报》
CAS
2014年第3期328-330,共3页
Acta Chinese Medicine
基金
国家自然科学基金项目(编号:81260521)
关键词
咳嗽
岳美中
沈炎南
方和谦
朱良春
邓铁涛
贾钰华
赵绍琴
晁恩祥
施锡璋
陈枢燮
cough
Yue Meizhong
Shen Yannan
Fang Heqian
Zhu Liangchun
Deng Tietao
Jia Yubua
Zhao Shaoqin
Chao Enxiang
Shi Xizhang
Chen Shuxie
