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苓桂术甘汤治疗咳嗽反复发作病例


2012 年 4 月 1 日 第 4 期 No. 4 1 Apr. 2012 中 医 学 报 第 27 卷 Vol. 27 总第 167 期 Serial No. 167 CHINA JOURNAL OF CHINESE MEDICINE 苓桂术甘汤治疗咳嗽反复发作病例分析 Analysis on the Cases of Recurrent Cough Treated by Lingguizhugan Decoction 吴婷萍 Wu Tingping, 符坤 Fu Kun, 许嵩 Xu Song 江西中医学院, 江西 南昌 330006 Nanchang, Jiangxi, China 330006 Jiangxi College of Traditional Chinese Medicine, 摘要:目的: 探讨苓桂术甘汤治疗咳嗽的临床疗效。方法: 通过运用苓桂术甘汤治疗咳嗽的两个典型病案进行分析。结果: 经 方苓桂术甘汤具有温阳健脾以助化饮、 淡渗利湿以平冲逆之功, 临床应用可随证加减。结论: 苓桂术甘汤加减治疗咳嗽临床 疗效显著。 Abstract: Objective: To investigate the clinical efficacy of Lingguizhugan Decoction in the treatment of cough. Methods: Two typical cases of applying Lingguizhugan Decoction in the treatment of cough were analyzed. Results: Classical prescription Lingguizhugan Decoction had the function of warming yang and acitivating spleen to assist disolving the rention as well as the function of inducing diuresis and draining dampness to soothe the rising and reversing, which could be modifided according to the syndroms in clinical parctice. Conclusion: Lingguizhugan Decoction has marked clinical efficacy in the treatment of cough. 关键词:苓桂术甘汤; 咳嗽; 痰饮; 理中丸; 肾气丸 Key words: linggui zhugan decoction; cough; retention of phlegm and fluid; lizhong pill; shenqi pill 中图分类号 CLC number:R256. 11 文献标识码 Document code:A 文章编号 Article ID:1674 - 8999( 2012) 04 - 0407 - 02 咳嗽是多种肺系疾病的一个重要症状, 又是具有独立性 的一种病证, 引起咳嗽的病因有很多, 当今许多医生辨证思 路往往局限于外感风寒或肺热等常见病因, 而笔者在临床上 发现痰饮为咳的病例不在少数, 用经方苓桂术甘汤加减治疗 以下即其中两则典型病案。 取得满意疗效, 左侧卧咳嗽剧烈, 右侧卧稍缓, 因咳不能安卧, 颇

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