[Fourth Sinoscience Master Medical Road Inheritance] Han Ming's thought of treating lungs

Content source: Chinese Chinese Medicine Reporter: Chen Wei, Zhang Nianzhi Li Zeng Hanhui, the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine

• Han Ming proposed the score of lung qi deficiency syndrome to the first time, reflecting some characteristics of lung qi deficiency evidence from different perspectives, laying the foundation for comprehensive and objective understanding of lung qi deficiency syndrome, and gradually improving the diagnostic standards of lung qi deficiency syndrome.

• Han Mingxiang believes that phlegm and cough are the key content of respiratory diagnosis and have important reference value for clarifying the disease. Clinically, it can be divided into cold sputum, heat sputum, damp sputum, dry sputum, and wind and sputum. It is proposed to treat the five laws of the lungs, or warm, clear, or presented, or moisturizing.

Han Ming, chief physician and professor of the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine for 40 years, have been observed for 40 years. Promote the scores of lung qi deficiency syndrome and improve the diagnostic standards; overall view of coughing cough, use activity to stop coughing; distinguish the characteristics of sputum and establish a cough strategy; R & D Pulmonary Diseases and writing a monograph on pulmonary disease.

1

Promote the deficiency of lung qi and improve the diagnostic standard

"Su Wen · Meridian different theory" said: "The lungs are facing hundreds of pulses, the infusion is in the fur, the hair veins are synthetic, the qi is in the government, the government is spiritual, and the four visions are left." Han Mingxiang believes that the lung qi is more in the human body. The comprehensive manifestations of species of physiological functions, decreased or obstacles of the physiological function of the lung qi, can be clinically manifested as a variety of pathogenesis and evidence of lung qi deficiency. Han Ming observed the clinical observation of lung qi deficiency syndrome for many years and combined with literature research. As early as the early 1990s, the score of lung qi deficiency syndrome was proposed. Understanding the deficiency of lung qi, and the diagnostic standards of gradually improving the diagnosis of lung qi deficiency have laid the foundation.

Han Ming divided lung qi deficiency syndrome into three stages: light, medium, and severe in accordance with the entire process of the development of lung qi deficiency syndrome. Lung qi deficiency syndrome is a manifestation of various physiological dysfunction and obstacles of the lung qi, and has the characteristics of gradual, phased, and multiple organ changes. There are both diseases and syndromes in the lung qi deficiency, medium, and heavy, as well as interconnected between occurrence, development, and evolution.

Mild lung qi deficiency syndrome

Basic pathogenesis is the abroad of the lungs or some main qi function. Its clinical characteristics are repeated colds or chronic cough, accompanied by fatigue, lazy words, evil wind or self -sweat, fat or tooth marks, and weak pulse.

Moderate lung qi deficiency syndrome

Basic pathogenesis is the external function of the lung and the main dysfunction. Its clinical characteristics are the frequency, duration and degree of mild lung qi deficiency, and the duration, duration and degree of duration are increased, and they must show shortage of gas, and they are particularly moved.

Severe lung qi deficiency syndrome

The deficiency of the lungs, the main qi and the regulatory function of the festivals, or the disorders are the basic pathogenesis, so that on the basis of moderate lung qi deficiency, it cannot help the heart of the heart, the water can not be adjusted, the gas machine is chaotic, the lifting abnormality is abnormal Essence The clinical manifestations are palpitations, lip, purple tongue, green tendons in the neck, less urine, edema, abdominal swelling, and even showing faint language, convulsions, vomiting and so on.

2

The overall cough is discriminated, and the dispersion is used to use it.

Cough is a common symptom of lung disease. Han Ming's certificate of coughing is mostly the main prescription for the treatment of exogenous and internal injuries to cough. The risk of enlightening the thief. The overall discrimination is identified, flexible and changing, and every good effect is quite experienced.

Exogenous cough

The "Physical Case of Certificate of Certificate" said: "In the middle of the six qi, the wind can be all five qi ... from the perspective, the cause of the disease is more from the wind." The treatment of exogenous cough is mostly based on expeditions. The lungs are the cover of the five internal organs and six internal organs.

Wind and cold attack Han Mingxiang believes that the exogenous and cold cough, the body's yang is deficient, the greedy is easy to feel cold, and it is easy to suffer from the wind after sweating. Lleel nose, sore bones, evil wind, sweatless, pale tongue, thin white, tight pulse, etc. Wind and cold cough and light syndrome, should stop coughing and plus or subtract; , Cold cold, fever without sweat, should be used with Sanbu Decoction to add cough and disperse.

Wind heat criminals Han Mingxiang believed that the external feeling of wind and heat, or the cold of the wind was in the same heat, the gas machine was not smooth, the gas was applied to the abnormal sputum, the lung guard lost the announcement, and the lung qi was counterattacked and cough. See cough frequency, thick qi, uncomfortable sputum, less phlegm and yellow, sweat when coughing, sore throat and throat, flowing yellow pus, thirsty mouth, headache, or seeing evil wind, body heat, etc. The tongue coating is thin yellow, and the pulse floats. Based on the cough scattered, nepeta, compatible with gold and silver flowers, forsythia, and scutellaria baicalensis.

Wind and dry cough syndrome the lungs and moisturize and dry. See dry cough, itchy throat, dry throat pain, dry lips and nose, no sputum or sputum, and not sticky, or blood wire in sputum, thin white and small tongue, pulse or floating number. Han Ming often dispersed the cough of Xinyan, and was compatible with Nansha ginseng, Ophiopogon, Yuzhu, mulberry leaves, cicada molting, beef gardenia, etc.

Wind and sputum prosecution Han Mingxiang believes that when the wind and phlegm cough, there is no evidence, or there is a test of evidence first. The moss is thin and white, and the pulse is slippery. On the basis of coughing, the two Chen soup is combined to enhance the power of removing wind and phlegm to relieve cough.

Internal injury cough

Han Mingxiang believes that internal injuries cough are mostly evidence of evil and true deficiency and deficiency and reality. According to the primary and secondary primary and secondary as appropriate, "the five internal organs are cough, and the lungs are not the lungs." Internal injuries and cough are mostly accompanied by internal organs, and they are not treated. kidney. The phlegm dampness contains the lungs "the spleen is the source of sputum, and the lungs are the device of sputum storage". Lost support, deficiency of lung qi, and coughing in the festival gradually declined. The symptoms of cough are degraded and sputum, coughing due to sputum, coughing out of phlegm, thick or thick sputum, coughing sputum every morning or eating , The pulse is slippery. Stop cough and dissipate Nepeta, add winter flowers, almonds, fumes, Pinellia, astragalus, atractylodes, etc.

Liver fire and lung syndrome "Suwen · Cough Theory" said, "The shape of liver cough, cough drama is painful under two threats." The contribution must rely on the tone of the gas machine. The cause of the liver and the lungs and lungs, the qi and blood dependence, and the meridians are connected, so the liver dredging is lost, the gas machine rises and loses the harmony, the liver qi stagnation, the heating of the liver or the liver meridian The lungs were cough and cough. Seeing the qi cough against the array, the face is red, the throat is bitter, the chest is painful, and the pain is painful when the cough is painful. Stop cough and dissipate Nepeta, plus mulberry white skin, ground bone skin, scutellaria baicalensis clearing lung heat, mountain gardening, danpi diarrhea liver fire, green daisy, sea clams shells to reduce liver fire, lung qi, and cough to cough The effect.

3

Different phlegm cough, creating the five methods of cure the lungs of the lungs

Han Mingxiang believes that phlegm and cough are the key content of the respiratory diagnosis and have important reference value for clarifying the disease. Clinically, it can be divided into cold sputum, hot sputum, damp sputum, dry sputum, and wind sputum.

Cold phlegm, cough, cough, sputum, white, clear, easy to get out, no smell, mostly with tears, coughing when you are cold; , Pulse tight. The hot sputum cough, sputum, yellow belt green, sticky, hard to come out, and the smell of smell; white sticky sputum is difficult to cough, although there is no smell, it is also hot; Tongue red, yellow moss, pulse number. Wet sputum cough, sputum like oysters, has a lot of sputum, easy to cough; physical fitness, severe limbs, chest tightness, bloating, sorbing, thin stool, slippery tongue, thick tongue, slippery pulse. Dry sputum, cough, sputum, white, and less lust, sticky and not easy to cough. It occurs in autumn. Blood in the sputum is more common in yin deficiency constitution. The wind and phlegm cough suddenly stopped, mainly cough, the sputum foam, the sputum in the throat, seemed to have no evidence, or there was a test of evidence first. The irritating smell, cold air sensitivity, coughing the wind, thin white tongue coating, slippery pulse. "Jingyue Quanshu · Cough" said: "Although there are many cough certificates, it is nothing more than lung disease." Han Ming turned the strategy of distinguishing the sputum, establishing the strategy of coughing, and proposing to treat the five laws of the lungs, or warm, or clear, or propaganda, or or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare, or to declare. Run, or Su.

Proclaim the lungs

The lungs are publicized, the lung qi is not declared, and the lungs are not pronounced. Xuantong's phlegm stagnation in the lungs, divergent external evils, and the lung qi was resumed. Commonly used drugs include almonds, bellflower, dried dried, yellow Jingzi, licorice, nepeta, windproof, Suye, ephedra, cicada, ginger, green onion, etc.

Lung

The lung qi descended into peace, the lung qi did not fall, and the qi was cough against the top. His dirty functional disorders can also affect the lungs, such as the spleen to lose health, the phlegm turbid endogenous, and the upper dryness of the lungs, which can also cause cough. The method of Su lung is often used to explain that it has been solved and coughing, but if the proven is abused, it is easy to make external evil love lungs. , Rotating flowers, half summer, 葶 、 、, Ziru, winter flowers, etc.

Warm lungs

The lungs are delicate, warm and cold, cough and cold, and warm lungs can disperse cold, expectorant, and drink. If you see the cold cough, use the lungs with the lungs; if you encounter cold or cough or asthma, the sputum is thin, the medicinal purple, winter flowers, white mustard seeds, golden boiling grass warm lungs, cough, and phlegm and asthma; Everbone cinnamon branches warm lungs and asthma; sputum foam, white and greasy, drink with ascetic and dry ginger, and drink lungs.

Clear the lungs

The cough syndrome is shown in the cold lung heat and the card of the guest cold, and the method of clearing the lungs should be selected, and it should be used together with the lungs. Medicinal mulberry white skin, ground bone skin, aristoltaus, loquat leaf, scutellaria, reed roots , Coix Seed, Winter melon seeds, mothers, mothers, gypsum, etc. The lungs are the dirt of clearing deficiency, and clearing the lung medicine should be light and clear. The representatives are diarrhea, alpromas, and granite decoction; phlegm heat contains the lungs, cough and qi inverse, phlegm is thick, phlegm yellow, chest tight Try to be greasy, the pulse is slippery.

Moisturize

Dry sputum cough is often used to moisturize the lungs. Pharmaceuticals, purple maggots, winter flowers, winter flowers, Suzi, sand ginseng, Ophiopogon, jade bamboo, melon, raw land, mysterious ginseng, honey, gelatin, etc. Use mulberry soup outside the drying, ginseng Ophiopogonal soup in the inside, cool dry, windproof, purple magpie, and winter flowers, but if the wind is cold, it will stop and prevent the wind. The phlegm is thick and difficult to lubricate the phlegm, the Tianzhu Yellow, Zhuli, Guayu, and Dai Clade San. Han Ming pointed out that if he saw the cold, he could not use the lung method even if he was injured, so as not to be curbed by the cold evil.

4

Treatment of cough and asthma in Xin'an, Gu Benpe Yuan nourishing the spleen and kidney

Han Mingxiang believes that phlegm drinks are pathological factors formed by chronic cough and lung disease such as asthma, asthma, and lung bloating. Its original is in the spleen and kidney deficiency, and it is labeled as an external evil to attack the lungs. The body of the body is deficient in the evil, the phlegm drink is blocked in the airway, and the cough is seen without falling the lung qi. Of course, drinking is yin evil, it is gentle, and when it is cold, it is condensed. Han Ming to Jianzhong Jing's "Disease Drinking Those who use warm medicines" method, according to the theory of "solidarity Pei Yuan" in Xin'an Medicine, from warming coughing cough, nourishing the spleen and kidneys to solidify Pei Yuan. Wenyang's phlegm can cultivate yang, and the warmth of the yang can promote normal effects, while drinking evils and self -leveling. Warm lungs to solve the table, scatter cold and drink

The sputum drinking cough is long and has a long course of the disease. It is easy to recur. It is often induced by the external sensation. It is especially cold. It is mostly cold. It is easy to lead to the internal drinking and seeing cough. In terms of treatment, it is necessary to disperse wind and cold, but also drink internal sputum. For example, Han Mingxiang believes that without merging respiratory tract infection, the killing caused by cold drinking is mostly clinically seen. Especially the wind and cold attacks are mostly induced. The phlegm is blocked to the lungs. Treatment of asthma is more from cold and geese. It is believed that cold sputum and lungs are the main pathological links of asthma. In addition, if lung bloating, it is a lung deficiency, induced by the external evil, and most of the cold evil causes. Just as "The Source of the Diseases · Cough and Short Climate" cloud: "The lung deficiency is injured by slightly cold, the cough, the cough is still bloating between the lungs, the lungs are defamed, and the lungs are deficient, the qi is the qi, the qi is the qi, the qi is the qi, the qi is the qi, the qi is the qi, the qi is the qi, Insufficient, the recovery is the evil, and the 壅 cannot be promoted, so the cough is short. " Dry ginger, asarum and warm lungs, drinking sputum in Pinellia, Epatturum, and calm lungs, but do not blindly emphasize the great hot product, let alone use too much cold agent. And self -cultivation of warm lung drinking recipes (ephedra, white mustard, perilla, white front, gold boiling grass, etc.), most of them are hard -working and warm products. Its standard is to start with the merit of warming.

Warm spleen and qi, cultivate soil

The spleen is the source of sputum, and the lungs are sputum storage, and pathological changes often change. For example, the lesions of lung bloating are first in the lungs, and the followers will affect the spleen. Pathological products. The treatment of phlegm drinking cough and asthma can not be treated simply from lungs, and must take care of the spleen and qi, so as to cultivate soil to grow gold, use the source of Du Yin sputum, alleviate the efficacy of the period, and prevent recurrence. Soup and Liujunzi soup are added and subtracted. In particular, I like to use astragalus to build soup, which has the skills of warming the spleen, spleen, and qi, and the cultivation of the soil is to solidify its own.

Warm kidney drinking, nan qi and asthma

Han Mingxiang believes that lung bloating is based on lung qi and yang deficiency at the beginning, and the kidney yang deficiency is finally caused by the end of the day. And the lungs are the masters of qi, the kidney is the root of qi, and the deficiency of the lungs and kidneys for a long time. Symptoms of cough are breathing, more inhalation, especially movement, the amount of phlegm clear, cold limbs, cold waist and knees, frequent night urine, swollen face and feet, pale and fat tongue Everbright and weak waiting for kidney yang deficiency syndrome. The main water of the kidney, the kidney yang is enduring, can not only warm the spleen, but also turn qi and water, warm the kidney yang to fill the yang of the whole body, Yuanyang is strong and yin dispel, phlegm drinks, cough and asthma. Treatment to relive the kidney drinking, and breath. Han Ming troops to Xiangxi's use of Zhewu Decoction, tonic soup, and Jintui Shenqi Pills, and most of them use pads, Morinda, Epimedium, and antlers cream. "Materia Medica" contains: "Pork tonence, can warm the water, yang in the yin, and the essential medicine of strengthening the soil." It has the effect of nourishing kidney and aphrodisiac, qi and asthma, and can warm the spleen soil. The deficiency of qi and cold and cough are especially good.

5

R & D Lung Disease Experiment, writing a monograph on pulmonary disease

Han Ming's unique insights to discern lung disease, forming many characteristic pulmonary disease medicines, with significant clinical effects. It is quite representative.

The phlegm -lowering capsule consists of drugs such as white mustard, perilla, and golden boiling grass. It is an experience recipe for Han Mingxiang to treat cold phlegm and lung syndrome. White mustard and perillazi are warm lungs and qi, lowering qi and phlegm, relieving cough and asthma; gold boiling grass is also known as rotary stalk, which is the ground part of the rotary flower, which is warm, salty, slightly bitter, and has a having bitterness. The function of soleing lungs and qi, sputum and drunk drinking. The combination of medicines can make phlegm, smooth qi, and the function of warming the lungs, reducing phlegm and asthma.

Ginseng Cordyceps Capsules are designed for lung swelling lungs and kidney deficiency, insufficient qi and yin, blood stasis and lungs, and consisting of American ginseng, Cordyceps sinensis, and Sanqi. Nourish lung and kidney, promoting blood circulation and removing blood stasis, and treating both the specimen. Western ginseng is a king medicine, supplemented by the essence of the lungs and kidneys of Cordyceps sinensis, and the blood circulation and blood stasis of Sanqi to cure the standard. The medicines are combined, and the compatibility is reasonable. The basic pathogenesis of the "dwarf iconic" in the whole cut is not only nourishing the lungs and kidneys, but also promoting blood circulation and removing blood stasis.

Han Ming said to his studies, and wrote the book, saying that the essence of inheritance, not forgetting the original intention, writing a number of monographs of the lung disease, and representative of the "Modern Chinese Medicine Respiratory Diseases" published by the People's Health Publishing House, "Han Mingxiang "Apricot Forest 60 Years" and "Clinical Medicine of Pulmonary Diseases" published by Science Press.

Edit: Dong Juntong

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