摘要
慢性咳嗽是呼吸系统最常见的疾病和症状之一,其发病与肺、脾两脏功能失调密切相关。“培土生金”理论阐述了通过治脾以恢复肺功能的治法,具体包含甘温法、辛温法、甘寒法。参术调中汤出自李东垣《内外伤辨惑论》,功可健脾益肺、止嗽定喘,是治疗慢性咳嗽的经典用方。该方颇有四君子汤、泻白散、生脉散合方之意,弥补了单首方剂的不足,融甘温补益、辛温燥湿、甘寒养阴等法于一体,通过增强脾胃功能达到调节肺脏以治疗慢性咳嗽的目的,体现了“培土生金”之意。
Chronic cough is one of the most common diseases and symptoms of the respiratory system,and its onset is closely related to the dysfunction of the Lung and Spleen.The theory of"Pei Tu Sheng Jin"expounds the treatment method of restoring Lung function by treating the Spleen,including the Ganwen method,the Xinwen method and the Ganhan method.Shenshu Tuozhong Decoction was proposed in Li Dongyuan′s Nei Wai Shang Bian Huo Lun,which can strengthen the Spleen and Lung,stop cough and asthma as a classic prescription for the treatment of chronic cough.This recipe means the combination of the Sijunzi Decoction,Xiebai Powder and Shengmai Powder,which makes up for the shortcomings of any of the single formula mentioned above,and integrates the methods of tonifying with Ganwen,relieving Dampness with Xinwen and nourishing Yin with Ganhan drugs.It achieves the purpose of regulating the Lung to treat chronic cough by enhancing the function of the Spleen and Stomach,which embodies the meaning of"Pei Tu Sheng Jin"method in clinical practice.
作者
王金娥
李光熙
WANG Jin′e;LI Guangxi(Department of Respiratory Medicine,Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing China 100053)
出处
《中医学报》
2025年第9期1860-1863,共4页
Acta Chinese Medicine
基金
中国中医科学院广安门医院所级课题项目(HLCMHPP2023038)。
关键词
慢性咳嗽
参术调中汤
培土生金
《内外伤辨惑论》
李东垣
chronic cough
Shenzhu Tiaozhong Decoction
Pei Tu Sheng Jin
Nei Wai Shang Bian Huo Lun
Li Dongyuan
