阮诗玮辨治咳嗽经验

阮师临证治咳,常备十一法,实证治有八法:(1)辛温散邪法,适于冬日风寒犯卫咳嗽者;(2)辛凉解表法,用于春日风热犯肺致咳者,临证对于风热咳嗽轻症,多用辛凉轻剂桑菊饮;(3)清热涤暑法,用于夏日暑温犯肺、肺络不通而咳者,常兼暑伤气津之症,选方清络饮;(4)润燥止咳法,适用于秋季外燥犯肺或内生燥热咳嗽,多兼见诸窍不利,或伴表证;(5)清化湿热法,适用于长夏湿温犯肺者,常兼见湿邪困表之证,常选用吴塘上焦宣痹汤;(6)清利少阳法,适用于邪犯少阳,三焦不利,饮逆犯肺者,此多伴见少阳证侯;(7)温化解表法,适用于外寒内饮或痰饮内伏,饮逆射肺而咳者;(8)解表通腑法,适用于风热壅盛,腑实内结,上下郁闭而咳者。虚证者,(1)培补卑监法,适用于久咳脾虚痰湿内盛者;(2)养阴润肺法,适用于久病咳嗽,气阴亏耗,失于清降者;(3)补肾摄纳法,方用冯氏全真一气汤,临证对于咳久作喘,肾虚失纳者,颇具功用。

Ruan Shi-wei's Experience of Treating Cough

In terms of treating cough,Professor Ruan usually adopts the following 11 methods,and including 8 for treating excess syndrome.①method of eliminating pathogenic factor with drugs of pungent taste and warm nature:It is suitable for patients with cough attacked bv winter wind and cold.②method of relieving exterior syndrome with drugs of pungent taste and cold nature:It is suitable for patients with cough due to spring wind and heat attacking the lung.For light case,Mulberry Leaf and Chrysanthemum Beverage can be used.③ method of clearing heat and removing summer-heat:It is suitable for patients with cough attacked by summer heat leading to blocking lung meridians,often combined with summer heat hurting qi and fluid.Channel-Clearing Beverage is often used.④method of moisturizing lung to arrest cough:It is suitable for patients with cough due to autumn dryness attacking the lung or dry heat generating inside the body,often combined with blocked orifices or exterior syndrome.⑤method of clearing heat and dissipating damp:It is suitable for patients with cough due to long summer's damp and heat attacking the lung,often combined with pathogenic damp lingering in interior.Professor Ruan usually adopts Wutang Upper-jiao Dissipating Lung Decoction.⑥method of removing shaoyang syndrome:It is suitable for patients with cough due to pathogenic factors attacking shaoyang meridian leading to disorder of san-jiao and hurting the lung,often combined with shaoyang syndrome.⑦method of relieving exterior syndrome by warming:It is suitable for patients with cough due to exogenous cold and interior retention attacking the lung.⑧method of relieving exterior syndrome to dredge fu organs:It is suitable for patients with cough due to excessive wind and heat leading to constipation and stagnation up and down.In terms of treating deficient syndrome:①method of nourishing deficient spleen:It is suitable for patients with long-time cough due to excessive phlegm and damp.②method of nourishing yin and moisturizing lung:It is suitable for patients with long-time cough due to chronic disease leading to deficient qi and yin failing to descending qi.③method of nourishing the kidney:It is suitable for patients with long-time cough and asthma leading to the kidney's disorder.Family Feng Quanzhen Yiqi Decoction (FFQZYQD) is often used and has a very good effect.