摘要
肺癌术后咳嗽属于中医学“咳嗽病”范畴,本研究团队将本病病机总结为气阴两虚为本,痰、瘀、毒互结为标。以傅青主医学体系之《辨证录》中的养肺去痿汤为基础方,化裁为养肺止咳汤,治疗肺癌术后咳嗽。方药组成为人参、生地、麦冬、蜜紫菀、炙百部、百合、蜜枇杷叶、天冬、白术、茯苓、桑白皮、五味子、甘草。滋阴养肺、健益脾气、滋养肾水,以期培土生金、金水共调,达益气养阴、化痰止咳之效。又在此方基础上,针对肺癌术后咳嗽气阴两虚、肝火犯肺、气虚痰凝、咳久痰少、肺肾两虚、瘀血阻络6种证型的患者化裁施治,在临床中取得明显疗效。
Postoperative cough in lung cancer falls into the category of“cough disease”in traditional Chinese medicine.Our research team summarizes the pathogenesis of this disease as follows:the root cause is Qiyin Liangxu,while the secondary causes are Tanyudu Hujie.Based on Yangfei Quwei Tang from Bianzheng Lu in FU Qingzhu's medical system,we modified and developed Yangfei Zhike Tang for the treatment of postoperative cough in lung cancer.The ingredients of the Tang include Renshen,Shengdi,Maidong,Miziwan,Zhibaibu,Baihe,Mipipaye,Tiandong,Baizhu,Fuling,Sangbaipi,Wuweizi,Gancao.It functions to Ziyin Yangfei,Jianyi Piqi,Ziyang Shenshui,aiming to achieve the effects of Peitu Shengjin and Jinshui Gongtiao,thereby Yiqi Yangyin,Huatan Zhike.Moreover,on the basis of this Tang,modifications are made for patients with six syndrome types of postoperative cough in lung cancer,namely Feiyin Kuixu,Ganhuo Fanfei,Qixu Tanning,Qiyin Liangxu,Feishen Liangxu,Yuxue Zuluo.Obvious the rapeutic effects have been achieved in clinical practice.
作者
索澳
董雨萌
刘澍蕙
张维骏
SUO Ao;DONG Yumeng;LIU Shuhui;ZHANG Weijun(The First Clinical College of Shanxi University of Chinese Medicine,Taiyuan 030000,China;Fushan College of Shanxi University of Chinese Medicine,Jinzhong 030600,China)
出处
《医学研究与教育》
2026年第1期50-55,共6页
Medical Research and Education
基金
山西省中医药管理局科研课题项目(2022ZYYC260)
2020年度山西教育厅项目(2020W100)
山西省研究生教育教学改革课题(2024JG171)
山西中医药大学研究生教育教学改革项目(X2024JG005)。
关键词
肺癌术后咳嗽
养肺去痿汤
辨证录
傅青主医学体系
cough after lung cancer surgery
Yangfei Quwei Tang
Bianzheng Lu
the medical system of FU Qingzhu
