| Research objective:By sorting out the cough case of "clinic.al guide medical case",the author analyzes the pathogenesis and the compatibility of prescriptions,and analyzes the academic thought and the characteristics of the medication used by ye tianshi in treating his cough,so as to provide the basis for more effective guidance of clinical syndrome differentiation and prescription medication,so as to improve the clinical efficacy of TCM in the diagnosis and treatment of his cough.Methods:By retrieving and clean up the methods of literature review,and clear Ye Tianshi learning content and classsic writings,by combing cough basis,after parting will be the input data table and the formulas used to sorting,statistics,analysis,sum up Ye Tianshi treating cough academic thought and clinical guidelines basis "cough cough prescription medicine characteristics.Results:1.Typical medical case classification of ye's treatment of cough.External cough:7 cases of cold evil,6 cases of wind evil,13 cases of wind temperature,8 cases of warm evil,6 cases of heat evil,8 cases of heat evil,6 cases of damp evil and 17 cases of dry evil;Internal injury and cough:spleen and kidney deficiency in 8 cases,spleen and stomach incompatibility in 23 cases,stomach Yin deficiency in 11 cases,kidney Yin deficiency in 9 cases,kidney qi deficiency in 5 cases,stomach cough in 3 cases,bile fire in 1 case,depression and fire in 1 case,liver in 1 case,liver wind in 1 case,liver in 1 case,heat in 1 case,Yin deficiency in 1 case.One case of large intestine cough.2.The clinical guidelines basis cough cases 144 cases,136,concomitant medications classification an alysis,adjuvant use frequency is high,such as cold evil cough frequency 25.00%,adjuvant wind evil 18.37%,29.87%wind temperature,heat evil 20.75%,summer heat,30.16%,23.81%,the origin dry evil 29.67%,less than 38.67%of spleen and kidney,spleen and stomach with 34.09%,28.99%stomach Yin deficiency,39.29%kidney Yin deficiency,kidney deficiency 32.61%;The frequency of return of exogenous cough drugs was 36.36%and 21.21%for cold pathogen,42.86%and 19.05%for wind pathogen,31.71%and 21.95%for wind pathogen,38.00%and 28.00%for warm pathogen,38.46%and 21.15%for heat pathogen,31.34%and 23.88%for heat pathogen,35.71%and 23.21%for dampness pathogen,32.35%and 21.57%for dry pathogen.3.There were only 5 antitussive drugs in the treatment of cough,with 55 times of almond,1 time of aster,7 times of white mulberry bark,5 times of loquat leaf and 5 times of aristolochia.4.Ye's treatment of exogenous cough drug compatibility characteristics:(1)Cold cough treatment with xinwen method,external cold and internal heat with xinhan;(2)The wind evil cough evil in the surface treatment with xin powder method,the wind yu heat treatment with xin cool,the wind evil is not in the surface and lung qi blocking treatment with qi expectoration;(3)Blast temperature cool cough commonly used symplectic method or the latter,water drainage,gas heat treated to a XinGan cold method,and their gas heat,hotness dry slightly hurt jin hong in the XinGan cool to law,if the body hurts for xin jin consumption but with cold method of nourishing Yin,if in warm into the stomach,lung fluid injury,is hot on inverse ophiopogon tonga,more warm blood could move blood bleeding,with Yin heat cool blood,nourishing Yin heat often protect the sun be the spirit in the stomach;(4)Wind chill in the table with cassia twig;Wind depression table closed with ephedra;Feeling wind evil,heat is not filled with the su stem;The wind evil heat is su terrier wumulberry white skin,mulberry leaves;Wind warming drying not into the treatment of xin gan cool run with mulberry leaves,fritillary bulb;Hot pot mint,forsythia;(5)Heat evil cough more clamps hot and humid,gan Dan solution table with reed root,heat wind with elsholtzia,hot hot baihu soup to reduce,li shi 61 loose,mix jing zhu sha;(6)Damp evil cough differentiation in the surface in the gas,in the lungs,cold heat;In table wei can xin SAN,zuo light seepage benefit;Wet block lung gas,with the method of eliminating p hlegm;Cold and wet in the middle when the warm medicine and heat sheng when clear,jin injury will be thin taste quiet(7)Dry and evil cough,hot and dry wound jin,to xin liang scattered evil,gan han Yin;Also into the large intestine,nourishing Yin gentle,multi-purpose Yin agent.5.Compatibility characteristics of ye's treatment of cough medicine for internal injury:(1)Spleen and stomach disharmony distinguish Yin and Yang and make up the native gold,spleen Yang deficiency of the deficiency of the work,ying wei disharmony jianzhong soup,spleen deficiency and dampness sheng four gentleman soup plus reducing temperature in spleen dampness and dampness;Stomach Yin deficiency is to use gan han Yin method,with warm in the product,prevent injury in the Yang,lose its transport of the energy;(2)Gallbladder heat,on the contrary against the lung,qingxuan through evil,cold and heat;Blood deficiency and hyperactivity of liver Yang can nourish blood,nourish Yin and subtend Yang.Yu fire makes the stomach,yitu drain wood;Liver and spleen cold and heat mixed,rise and fall abnormal,take the method of suffering;Flank pain is li qi tong Yang;(3)Shenxu cough,on the essence and qi to jinshui phase,shenxu liuwei dihuang pill,qi deficiency heat Yang qi,good use of schisandrae tonifying the kidney and lung,spleen and kidney deficiency,yikiden spleen intestinal acerbity;(4)Shenxu cough,on the essence and qi to jinshui phase,shenxu liuwei dihuang pill,qi deficiency heat Yang qi,good use of schisandrae tonifying the kidney and lung,spleen and kidney deficiency,yikiden spleen intestinal acerbity;(5)Yuan qi has been injured,and the disease does not heal,when and gan yao,then know the reason of Yang qi,when push jianzhong,gu Yin liquid,then cast pulse.Conclusion:1.Ye's medication for external cough is heavy to protect qi and protect blood;Yin Sheng is usually used for dispersing evil spirits to distinguish warm and cool;stratified medication is used for the degree of evil spirits attacking people;dispersing evil spirits isoften combined with sweet taste,and the filling of qi can be used to disperse evil spirits;The virtual weight of the first real inside,in order to protect the qi.2.Ye's treatment of cough causedby internal injury is mainly based on the zang-fu organs,divided between the zang-fu organs and the Yin and Yang,refined qi and blood and semen,and the spleen,stomach and kidney treated with cough due to fatigue and fatigue.Cough cough and hepatobiliary;Xuanqingits heat,gentle accumulation of regulating qi and the golden wood of qi.3.Ye's prescription for treating cough is simple,good at the taste of borrowed medicine,and mostly sweet medicine.Be careful to use xin SAN and cough medicine to prevent lung qi;The medicine does not cure cough,but never leaves the lung4.Ye's clinical diagnosis of cough is to distinguish the inside and outside,to break off qi and blood,to cause disease at the fourth time of Ming dynasty.5.Ye's clinical treatment of cough drugs with distinct layers,to treat the slow,precise use of drugs,medicine should not over the disease,the treatment of cough must seek its origin,not general treatment of cough,injection of Yin liquid,to create a method of nourishing the stomach Yin. |
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