朱生樑基于"通化宣平"理论从"浊阴"论治胃食管反流性咳嗽经验OA
ZHU Shengliang's Experience in Treating Gastroesophageal Reflux Cough Based on"Dredging,Resolving,Diffusing and Balancing"Theory from Perspective of"Turbid Yin"
文章介绍朱生樑基于"通化宣平"理论从"浊阴"论治胃食管反流性咳嗽的临证经验.他认为胃食管反流性咳嗽以胃为本,以肺为标,与脾肝胆肾密切相关,以胃气上逆为基本病机,以气机升降失调为发病的中心环节,以"浊阴"为发病的物质基础.治疗当以和降胃气贯穿始终,以通降、宣化、平降"浊阴"为重中之重,不忘调升降、畅气机.针对"中土不健,浊阴失降""肝胆失疏,浊阴郁滞""肾失开阖,浊阴上冲",以"悦脾和胃,通降浊阴""疏肝利胆,宣化浊阴""纳肾开阖,平降浊阴"之法分型论治,达到"以平为期"的目的.
This paper introduced ZHU Shengliang's clinical experience in treating gastroesophageal reflux cough based on the theory of"dredging,resolving,diffusing and balancing".It is concluded that gastroesophageal reflux cough is based on the stom-ach,involving lung,closely related to spleen,liver,gallbladder and kidney.It takes stomach Qi upturn as the basic pathogenesis,the imbalance of Qi movement as the central link,and"turbid Yin"as the material basis of the disease.In terms of treatment,the method of"descending stomach Qi"should be used throughout,and the priority should be to dredge,resolve,diffuse and balance"turbid Yin",and adjust the rise and fall,smooth Qi.In response to the problems of"unhealthy middle earth,loss of turbid Yin","liver and gallbladder deficiency,stagnation of turbid Yin"and"kidney failure to open and close,with turbid Yin rising and rus-hing",the treatment is classified according to the methods of"pleasing spleen and stomach,promoting the reduction of turbid Yin","soothing liver and bile,promoting transformation of turbid Yin"and"absorbing the opening and closing of the kidney,cal-ming and lowering turbid Yin",achieving the goal of"balancing".
何聪;周秉舵;孔婧;王轶;程传奇;王晓素;朱生樑
上海中医药大学附属岳阳中西医结合医院,上海 200437上海中医药大学附属岳阳中西医结合医院,上海 200437上海中医药大学附属岳阳中西医结合医院,上海 200437上海中医药大学附属岳阳中西医结合医院,上海 200437上海中医药大学附属岳阳中西医结合医院,上海 200437上海中医药大学附属岳阳中西医结合医院,上海 200437上海中医药大学附属岳阳中西医结合医院,上海 200437
医药卫生
胃食管反流性咳嗽浊阴通化宣平朱生樑名医经验
gastroesophageal reflux coughturbid Yindredging,resolving,diffusing and balancingZHU Shengliangfamous doctor's experience
《辽宁中医杂志》 2026 (9)
48-50,3
国家自然科学基金青年科学基金项目(82004324)上海市卫生健康委-朱生樑上海市名老中医学术经验研究工作室项目(SHGZS-202203)上海市青年科技英才扬帆计划项目(20YF1450700)上海市卫生健康委员会-上海市中医药高层次人才引领计划[ZY(2021-2023)-0403]上海市白玉兰人才计划浦江项目(23PJD096)岳阳医院青苗人才培养项目(RY411.07.02.03)
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