沈涛教授运用升阳益胃汤加减治疗肺脾两虚证慢性咳嗽的临证举隅OA
Professor SHEN Tao Uses Modified Shengyang Yiwei Decoction to Treat Chronic Cough Caused by Lung-Spleen Deficiency:A Case Study
升阳益胃汤出自李杲,是益气升阳、清热除湿的一张名方,临床中常被用来治疗消化系统疾病、肿瘤、肾系疾病等.笔者导师沈涛教授从异病同治角度,认为该方适合脾胃两虚致肺气虚,痰饮阻滞气机的久咳,辨证应用升阳益胃汤治疗肺脾两虚证的慢性咳嗽,并在临床上取得了一定疗效.本文通过分析肺脾两虚证慢性咳嗽的病因病机特点,并从方药组成结合病案,全面理解方剂运用,以更好指导临床.
Shengyang Yiwei Decoction,developed by LI Gao,is a famous formula for nourishing Qi,elevating Yang,clearing heat,and eliminating dampness.It is often used in clinical practice to treat digestive system diseases,tumors,kidney diseases,etc.From the perspective of treating different diseases with the same method,Professor SHEN Tao believes that Shengyang Yiwei Decoction can be used to treat chronic cough caused by lung Qi deficiency due to spleen-stomach deficiency and Qi obstruction due to phlegm retention.According to syndrome differentiation,Professor SHEN used this decoction to treat chronic cough caused by spleen-stomach deficiency and achieved certain therapeutic effects in clinical practice.This article analyzes the etiology and pathogenesis of chronic cough caused by lung-spleen deficiency and comprehensively understands the prescription based on the composition of the prescription and medical records,aiming to better guide clinical practice.
李林;沈涛
成都中医药大学(四川 成都 610000)成都中医药大学(四川 成都 610000)
升阳益胃汤肺脾两虚证慢性咳嗽
Shengyang Yiwei Decoctionsyndrome of lung-spleen deficiencychronic cough
《基层中医药》 2026 (7)
1-5,5
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