摘要
介绍朱世杰教授治疗肺癌术后咳嗽的临证经验。认为肺癌术后咳嗽不同于普通咳嗽,传统止咳药物对其疗效甚微,治疗时应根据疾病的病因病机,结合证候虚实及病情轻重加以论治。病机属本虚标实,以气阴亏虚为本,瘀毒阻络为标,肺的宣肃功能失常是导致肺癌术后咳嗽发生的根本所在。临床治疗以攻补兼施为主,注重宣畅气机,同时应重视调理脾胃。重用海浮石为君药,常用药对如海浮石和旋覆花、牛膝和桔梗、桃仁和芦根等。并附验案1则。
To introduce Professor ZHU Shijie’s experiences in treating cough after lung cancer operation.Professor Zhu believes that cough after lung cancer operation is different from common cough,and traditional cough-relieving medicine has little effect on it.The treatment should be based on the etiology and pathogenesis of the disease,combined with the deficiency and excess of the syndrome and the severity of the disease.The pathogenesis of cough after lung cancer operation is deficiency in the root aspect and excess in the branch aspect,with deficiency of qi and yin as the root,blood stasis and toxin blocking collaterals as the branch,and the dysfunction of the lung in dispersion and descent is the root cause of postoperative cough of lung cancer operation.The clinical treatment is mainly based on the method of simultaneous application of purging and nourishing Chinese medicine,focusing on regulating qi activity and regulating the function of the spleen and stomach.Professor ZHU Shijie often uses a large amount of Haifushi(Pumex)as the monarch drug,and medication pairs such as Haifushi(Pumex)and Xuanfuhua(Flos Inulae),Niuxi(Radix Achyranthis Bidentatae)and Jugeng(Radix Platycodi),Taoren(Semen Persicae)and Lugen(Rhizoma Phragmitis)and so on.One proven case is presented.
作者
姜朋媛
李林潞
于成凤
毛昀
蔡亚芳
褚雪镭
朱世杰
JIANG Pengyuan;LI Linlu;YU Chengfeng;MAO Yun;CAI Yafang;CHU Xuelei;ZHU Shijie(Beijing University of Chinese Medicine,Beijing 100029,China;Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China)
出处
《上海中医药杂志》
2021年第1期23-26,共4页
Shanghai Journal of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(81573915)。
关键词
肺癌术后
咳嗽
中医药疗法
临床经验
朱世杰
cough after lung cancer operation
cough
therapy of traditional Chinese medicine
clinical experience
Zhu Shijie
