| 夏雨墨,夏洪墨,杨泽,夏永良.夏永良治疗肺炎后慢性咳嗽验案四则[J].浙江中西医结合杂志,2025,35(9): |
| 夏永良治疗肺炎后慢性咳嗽验案四则 |
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| 投稿时间：2025-03-06 修订日期：2025-05-06 |
| DOI： |
| 中文关键词: 肺炎后慢性咳嗽 半夏厚朴汤 柴胡加龙骨牡蛎汤 栝楼薤白半夏汤 香砂六君子汤 名医经验 验案 |
| 英文关键词:Chronic Cough after Pneumonia Banxia Houpo decoction Chaihu Jia Longgu Muli decoction Gualou Xiebai Banxia decoction Xiangsha Liujunzi decoction famous doctor’s experience medical cases |
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| 中文摘要: |
| [目的]总结夏永良老师临证辨治肺炎后慢性咳嗽的特色及经验。[方法] 通过跟师随诊，整理夏师治疗肺炎后慢性咳嗽的病案，选取四则典型验案，分析并总结夏师辨治肺炎恢复期咳嗽的学术思想及临床经验。[结果] 夏师认为治疗肺炎后慢性咳嗽应从具体病因病机入手，肺经郁热兼气滞痰阻证宜清热宣泄、行气化痰，用升降散合半夏厚朴汤加减；少阳不和、气火郁结证，宜和解少阳、清火解郁，用柴胡加龙骨牡蛎汤加减；痰气互结证兼有胸痹，则通阳散结、祛痰宽胸，用栝楼薤白半夏汤合枳桔散加减。同时还要明辨寒热虚实，不能一味宣散，对肺脾气虚者用香砂六君子汤加减，以补益脾肺。[结论] 夏师辨治肺炎后慢性咳嗽遵从辨证论治宗旨，疗效显著，值得临床学习和借鉴。 |
| 英文摘要: |
| [Objective] To summarize the distinctive features and experiences of Professor Xia Yongliang in diagnosing and treating chronic cough after pneumonia. [Methods] Through following Professor XIA"s outpatient service,sorting out medical cases of Professor XIA"s treatment of chronic cough after pneumonia,selecting four typical cases, to analyze and summarize the academic thought and clinical experience of Professor XIA"s syndrome differentiation and treatment of chronic cough after pneumonia. [Results] Professor Xia asserts that the treatment of chronic cough after pneumonia should focus on specific etiology and pathogenesis. For cases of lung heat stagnation with phlegm obstruction, clearing heat and promoting the flow of Qi and phlegm is recommended, using a modified Banxia Houpo decoction. For Shaoyang disharmony with Qi and fire stagnation, harmonizing Shaoyang and clearing fire should be employed, often utilizing a modified Chaihu Jia Longgu Muli decoction. In instances of phlegm and Qi obstruction accompanied by chest discomfort, promoting yang and dispersing obstruction while eliminating phlegm to broaden the chest is advised, employing a combination of Guolou Xiebai Banxia decoction and Zhiju San. Furthermore, it is essential to differentiate between cold and heat, deficiency and excess; treatment should not focus solely on dispersal. For patients with deficiency of lung and spleen Qi, a modified Xiangsha Liujunzi decoction is recommended to tonify the spleen and lung.[Conclusion] Professor Xia"s approach to diagnosing and treating chronic cough after pneumonia adheres to the principles of treatment based on sydrome differetiation, demonstrating significant efficacy and serving as a valuable reference for clinical practice. |
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