前胡、苏子、葶苈子治疗劲咳、郁咳经验——仝小林三味小方撷萃

王涵; 张翠青; 顾成娟

doi:10.13463/j.cnki.jlzyy.2020.11.007

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前胡、苏子、葶苈子治疗劲咳、郁咳经验——仝小林三味小方撷萃

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前胡、苏子、葶苈子治疗劲咳、郁咳经验——仝小林三味小方撷萃
Experience of Peucedanum, Perilla Frutescens and Lepidium Seed in the Treatment of SevereChronic Cough —— Three Prescription by Professor TONG Xiaolin
1.中国中医科学院广安门医院，北京　100053
2.广州中医药大学深圳医院<福田>，广东　深圳　518000
DOI：10.13463/j.cnki.jlzyy.2020.11.007

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王涵, 张翠青, 顾成娟. 前胡、苏子、葶苈子治疗劲咳、郁咳经验——仝小林三味小方撷萃[DB/OL].（2022-11-22）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.jlzyy.2020.11.007

WANG Han, ZHANG Cuiqing, GU Chengjun. Experience of Peucedanum, Perilla Frutescens and Lepidium Seed in the Treatment of SevereChronic Cough —— Three Prescription by Professor TONG Xiaolin[DB/OL].（2022-11-22）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.jlzyy.2020.11.007
王涵, 张翠青, 顾成娟. 前胡、苏子、葶苈子治疗劲咳、郁咳经验——仝小林三味小方撷萃[DB/OL].（2022-11-22）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.jlzyy.2020.11.007 DOI：

WANG Han, ZHANG Cuiqing, GU Chengjun. Experience of Peucedanum, Perilla Frutescens and Lepidium Seed in the Treatment of SevereChronic Cough —— Three Prescription by Professor TONG Xiaolin[DB/OL].（2022-11-22）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.jlzyy.2020.11.007 DOI：

摘要

前胡、苏子、葶苈子三味小方出自仝小林教授所创之前百苏苈汤，临床用于治疗上焦肺气郁闭之劲咳、郁咳有着良好的效果。外感四时寒热之邪，风寒袭肺，或痰热壅肺，或内伤饮停心肺，均易阻滞气机，肺之宣发肃降不利，肺气上逆，常变生为劲咳、郁咳。此类咳嗽经一般的化痰止咳之法疗效欠佳，缠绵恒日，久治难愈，其关键之处在于恢复肺脏正常的宣发肃降功能。前百苏苈汤中前胡、百部宣肺，以止咳缓嗽为主，苏子、葶苈子降气，以化痰蠲饮为要，两药对一升一降，既能通调肺气以治本，又兼祛邪止痉（支气管痉挛）以治标。临床上，前胡常用剂量为9～30 g，以15 g为多，根据咳嗽频度及剧烈程度选择合适剂量；百部常用15～30 g；苏子与葶苈子则依据咳嗽以痰为主或以饮为主来化裁使用，苏子化痰，常用剂量为9～15 g，葶苈子化饮，常用剂量为15～30 g。

Abstract

The Qianbai Suli decoction, clinical use at treating severe chronic cough has good effect. Exogenous pathogenic factors of cold and heat, wind chill invading the lungs, phlegm-heat obstructing the lungs, or internal injury and drink blocking the heart and lung are all easy to block qi, which is unfavorable to the propagation and descending of the lungs, and often changes into vigorous cough and yu cough. This kind of cough by the general method of reducing phlegm and relieving cough is not effective, lingering for a long time, long-term treatment is difficult to recover, the key point is to restore the normal lung function of dispersing pertains transforming. Qian Baisuli decoction, the function of the Qianhu and Baibu is to dispersing pertains lung qi, which is mainly used to relieve cough, Suzi and Tinglizi decline qi. Resolving phlegm and eliminating rheum should be the key. Two drugs should be combined with one ascending and one descending, which can not only regulate lung qi to cure the underlying diseases, but also eliminate pathogenic factors and prevent spasm (bronchospasm) to cure the symptoms. Clinically, the commonly used dose of Qianhu is 9-30 g, mostly 15 g. The usual dosage of Baibu is 15-30 g; Suzi and basis of semen Tinglizi, cough with phlegm or give priority to in order to drink to cut use of. Suzi phlegm, commonly used dose of 9-15 g, Tinglizi resolve the drink, commonly used dose for 15-30 g.

关键词

咳嗽三味小方前胡苏子葶苈子态靶辨证仝小林

Keywords

Coughthree prescriptionpeucedanumperilla frutescenslepidium seedstrategy of "syndrome differentiation & targeted therapy"TONG Xiaolin

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