[**Guangdong Provincial Bureau of Traditional Chinese Medicine, Great Doctor Sincerity].
Zhou Chaofan, National Famous Traditional Chinese Medicine Practitioner (1936-).
Zhou Chaofan, a national famous Chinese medicine doctor, chief physician of the Institute of Basic Theory of Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, member of the Expert Committee of the China Academy of Chinese Medical Sciences, and researcher. Zhou Chaofan has a deep clinical attainment in the clinical manifestation of pulmonary diseases, which are the diseases of cough. Now its clinical ** pulmonary method is organized as follows for the benefit of colleagues.
Zhou Chaofan believes that cough is a disease named after symptoms, which can occur in men, women and children all year round, and is more common in winter and spring. The course of the disease can be as short as a few days or as long as several months, and in severe cases, it may not heal for many years, which is very harmful to the health and life of patients. The pathogenesis of cough is quite complex, and it can cause disease if there are six external sensations, seven internal injuries, phlegm and qi stasis, food stagnation, and atrioventricular injury. The pathogenesis of cough can be divided into two categories: first, cough caused by external sensation;The second is cough caused by internal injury. Although the symptoms involve the five internal organs, the cough is mainly in the lungs, and it is most closely related to the spleen and kidney. Regardless of the cause of the cough, it must start in the lungs or involve the lungs from other organs. Clinically, cough can be subdivided into more than 10 syndrome types, among which there are both commonalities and individualities. In terms of commonality, a basic formula (general formula) was explored: forebear, bellflower, almond, skullcap, and licorice. In terms of personality, it is added or subtracted with the syndrome and the symptoms to make it more consistent with the syndrome type, so that the prescription and the syndrome correspond, and the medicine changes with the symptoms.
Wind chill cough. Main pulse symptoms]: cough, white and thin sputum, heavy and turbid cough, fever and chills, no sweating, nasal congestion and runny nose, headache, body pain, aching limbs, pale tongue, thin white moss, and tight pulse.
Syndrome type]: Wind and cold attack the lungs, and the lungs lose their sustenance.
Treatment]: Evacuate the wind and cold, promote the lungs and relieve cough.
Drug]: On the basis of the basic formula, choose to add nepeta, perilla leaves, asaroxin, white Zhejiang fritillary, Qingbanxia, and tangerine peel as appropriate.
Tangerine peel. Wind-heat cough.
Main pulse symptoms]: cough, yellow phlegm and thick, sticky and unpleasant, fever and chills, fever and cold, headache, redness, swelling and pain in the throat, dry mouth, sweating, nasal congestion and runny nose, yellow urine, red tongue, yellow moss, pulse floating.
Syndrome type]: Wind and heat attack the lungs, and the lungs are not cleared.
Rule]: Clear away heat and dissipate wind, promote lung and relieve cough.
Drug]: On the basis of the basic formula, add honeysuckle, forsythia, chrysanthemum, mint, burdock, and Zhejiang fritillary as appropriate.
Cough in the heat of the heat. Main pulse symptoms]: summer cough, chest tightness and phlegm, dizziness and tiredness, fever and chills, headache and weight, body heat and thirst, yellow urine, pale tongue, white and greasy, pulse number.
Syndrome type]: Summer dampness attacks the lungs, and the lung qi is obstructed.
Treatment]: Clearing heat and dampness, promoting lung phlegm.
Drug]: On the basis of the basic formula, choose patchouli, peilan, magnolia, qingbanxia, poria cocos, atractylodes, cocos, sand kernel, and coix seed as appropriate.
Fiery cough. Main pulse symptoms]: fever and cough, red face and sweat, irritability and thirst, chest tightness and coarse breath, dry cough with little phlegm, even blood in the sputum, sometimes constipation, red and dry tongue, thin yellow greasy, strong pulse.
Syndrome type]: The health qi is hot, and the lungs and stomach are blazing.
Rule]: Clear the health and heat, clear the lungs and stomach fire.
Drug]: On the basis of the basic formula, choose honeysuckle, forsythia, gardenia, Houttuynia cordata, raw gypsum, zhimu, bamboo leaves, Zhejiang fritillary, and raw rhubarb.
Honeysuckle. Phlegm-damp cough.
Main pulse symptoms]: cough with a lot of phlegm, white and sticky color, easy to cough up, less appetite, chest tightness, nausea and vomiting, loose stool, pale and tender tongue, white and thick greasy, pulse wet or slippery.
Syndrome type]: spleen deficiency and dampness, phlegm and dampness disturb the lungs.
Treatment]: Strengthen the spleen and dampness, regulate qi and dissolve phlegm.
Drug]: On the basis of the basic formula, choose and add tangerine peel, Qingbanxia, Poria cocos, atractylodes, atractylodes, magnolia bark, and coix seed as appropriate.
Phlegm-fever cough. Main pulse symptoms]: fever, cough, phlegm, yellow thick sputum, blood in the sputum, chest and diaphragm fullness, chest and flank pain, dry urine and yellow urine, red tongue and greasy coat, pulse slippage.
Syndrome type]: phlegm, heat, depression of the lungs, and the lungs are not cleared.
Treatment]: Clear away heat and phlegm, clear the lungs and relieve cough.
Drug]: On the basis of the basic formula, choose honeysuckle, Coptis chinensis, melon peel, Houttuynia cordata, Qingbanxia, Zhejiang fritillary, Zhimu, and tangerine peel as appropriate.
Warm cough. Main pulse symptoms]: hot and dry in autumn, dry cough with little phlegm, unpleasant cough with phlegm, blood in sputum, chest pain caused by cough, dry throat and dry nose, thirst, dry tongue and little jin, red tongue, moss yellow, and slippery pulse.
Syndrome type]: Warmth and dryness hurt the lungs, and the lungs lose their moisture.
Treatment]: Clear the lungs and moisten dryness, dissolve phlegm and relieve cough.
Drug]: On the basis of the basic formula, choose and add northern sand ginseng, wheat winter, melon, Sichuan fritillary, burdock root, Dai clam powder, and gardenia as appropriate.
Wheat Dong. Cool cough.
Main pulse symptoms]: sudden arrival of autumn coolness, dry cough without phlegm, body heat and sweating, itchy throat, chest pain caused by cough, aggravated in the morning and evening, unable to sleep, dry mouth and tongue, dry stool, fatigue, pale red tongue, thin white moss, thin pulse.
Syndrome type]: Autumn cool bundle lungs, dry lungs.
Treatment]: Moisten the lungs, warm the lungs and relieve cough.
Drug]: On the basis of the basic formula, go to the skullcap, and choose to add Nansha ginseng, honey winter flower, honey yuanzhi, spiral flower, Sichuan fritillary, angelica, and succulent ginseng.
Liver fire cough. Main pulse symptoms]: Qi reversal cough, phlegm thick and difficult to cough, high-pitched cough, chest and flank fullness, irritability, red tongue, thin yellow and dry moss, pulse number of strings.
Syndrome type]: Liver fire commits the lungs, and the lungs are depressed.
Treatment]: Clear the liver and reduce fire, diarrhea and cough.
Drug]: On the basis of the basic formula, choose gentian, indigo, sea clam shell, mulberry white bark, gardenia, and radix radix as appropriate.
Cough that obstructs the lungs.
Main pulse symptoms]: chest tightness and tingling, coughing up sputum with blood or blood foam, coughing and not being able to lie down, cyanosis of the lips, dull complexion, dark eyes, palpitations, chest tightness and tingling, purple and dark tongue or ecchymosis, heavy pulse or slow chord generation.
The tongue is purple and dark or has ecchymosis, and the pulse is heavy and sluggish or the chord is delayed.
Syndrome type]: stasis obstruction of the lungs, qi reversal cough.
Treatment]: Promote blood circulation and eliminate blood stasis, reduce qi and relieve cough.
Drug]: On the basis of the basic formula, choose to add Angelica sinensis and three as appropriate.
7. Tulip, melon peel, coria seed, perilla seed, orange.
Angelica. Cough with lung qi deficiency.
Main pulse symptoms]: weak cough, thin phlegm, fatigue, self-sweating and fear of wind, easy to catch a cold, pale tongue, thin and white moss, weak pulse.
Syndrome type]: Lack of lung qi, qi deficiency and cough.
Treatment]: Nourish lung qi, cough and phlegm.
Drug]: On the basis of the basic formula, choose to add astragalus, prince ginseng, atractylodes, schisandra, crane grass, banxia, and aster as appropriate.
Yin deficiency cough. Main pulse symptoms]: dry mouth and throat, hoarseness, dry cough with no or little phlegm, blood in the sputum, unpleasant cough, hot flashes and night sweats, five heart irritations, insomnia, red tongue, little lichen, thin pulse.
Syndrome type]: Lack of lung yin, loss of lung moisture.
Treatment]: Nourish yin and moisten the lungs, and calm cough and cough.
Drug]: On the basis of the basic formula, choose and add northern sand ginseng, wheat winter, asparagus, lily, zhimu, Sichuan fritillary, white and powder as appropriate.
Lungs and spleen qi deficiency cough.
Main pulse symptoms]: cough and phlegm, lack of breath and lazy speech, fatigue and fatigue, easy to sweat when moving, stomach is not fragrant, abdominal distension after eating, shortness of breath, cough and wheezing weakness, easy to catch a cold, loose stool, pale tongue, pale moss, thin pulse.
Syndrome type]: lung and spleen qi deficiency, spleen deficiency and phlegm, phlegm disturbance and cough.
Treatment]: Nourish the lungs and spleen, dissolve phlegm and relieve cough.
Medicine]: On the basis of the basic formula, go to skullcap, and add ginseng, astragalus, fried atractylodes, poria cocos, yam, angelica, tangerine peel, and schisandra as appropriate.
Radix astragali. Yang deficiency cough.
Main pulse symptoms]: cough shortness of breath, shortness of breath when moving, or cough when feeling qi running from the umbilicus, coughing up thin sputum, foamy sputum, fatigue, white edema, cold sweat of limbs, pale tongue, pale moss, thin pulse.
Syndrome type]: Kidney Yang deficiency, kidney does not accept qi.
Treatment]: Warm the kidneys and absorb qi, warm phlegm and drink.
Drug]: On the basis of the basic formula, choose and add aconite, cinnamon, dried ginger, asaroxin, ginseng, clams, schisandra, and Morinda as appropriate.
Zheng reaffirmed that since each person's constitution and condition are different, the prescription and dosage in this case are only applicable to the patient's condition at that time. Without TCM syndrome differentiation diagnosis and treatment, the prescription and dosage in this case must not be copied. If necessary, readers should go to a regular hospital for diagnosis and treatment to avoid delaying their condition.
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