首页|期刊导航|世界中西医结合杂志|王成祥教授以"内外相引、风痰互阻"为核心病机论治感染后咳嗽

王成祥教授以"内外相引、风痰互阻"为核心病机论治感染后咳嗽OA

Professor WANG Chengxiang Treats Post-Infectious Coughwith the Core Pathogenesis of"Internal and External Interaction,and Mutual Obstruction of Wind and Phlegm"

中文摘要英文摘要

感染后咳嗽指感染急性期症状消失后,咳嗽仍迁延不愈,持续时间3~8周.王成祥教授提出,感染后咳嗽的核心病机为"内外相引、风痰互阻",即外感邪气引动伏风痰饮,致风痰互阻、缠绵难愈;部分患者出现由实转虚、由寒化热的寒热错杂、虚实并见复杂病机.治疗当遵循"病痰饮者,当以温药和之""外风宜疏,内风宜熄"之法,确立疏风散邪、温肺化饮、解痉息风的总治疗原则,灵活辨治.本文从理论源流、病因病机、中西互参、治疗思路四个方面,系统阐述王成祥教授诊治感染后咳嗽的学术经验.

Post-infectious cough refers to the cough that persists for 3 to 8 weeks even after the acute infection symptoms are resolved.Professor WANG Chengxiang proposes the core pathogenesis of"internal and external interaction,and mutual obstruction of wind and phlegm"This suggests that external contraction and pathogenic qi trigger latent wind and phlegm-fluid retention,resulting in a pathological state of mutual obstruction of wind and phlegm that is prolonged and hard to cure.Some patients may experience a transition from excess to deficiency,or from cold to heat,resulting in complex patterns of cold and heat,deficiency and excess.Therefore,treatment should follow the principles"for pathogenic phlegm-fluid retention,treat with warm medicines"and"disperse external wind,extinguish internal wind".The overall treatment strategy involves dispersing wind and pathogenetic factors,warming lung and resolving fluid retention,and relieving spasm and calming wind.Additionally,the strategies emphasize flexible syndrome differentiation and treatment.This paper systematically elucidates Prof WANG's academic experience in post-infection cough from four perspectives:theoretical origins,etiology and pathogenesis,integration of traditional Chinese and Western medicine,and treatment strategies.

刘燕;李磊;于会勇;王成祥

北京中西医结合医院,北京 100039北京中医药大学第三附属医院,北京 100029北京中医药大学第三附属医院,北京 100029北京中医药大学第三附属医院,北京 100029

医药卫生

感染后咳嗽伏邪风痰互阻温肺化饮、解痉祛风虫药调肝理肺降气止咳

post-infection coughpathogenic factorsmutual obstruction of wind and phlegmwarming lung and resolving fluid retention,relieving spasm and calming windinsect medicinesregulating liver and lungdescending qi and relieving cough

《世界中西医结合杂志》 2026 (4)

663-667,5

北京市中医药管理局第六批北京市级中医药专家学术经验继承工作项目(京中医科字[2021]169号)

10.13935/j.cnki.sjzx.260406

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