1-30 Common diseases of chronic cough and Taiyin

Chronic cough is common in Taiyin syndrome.

Case Zhang, female, 54 years old. First visit on April 6th, 20 10.

Cough 1 month or more, paroxysmal choking cough, especially at night, enuresis when coughing, excessive phlegm is not suitable.

Accompanied by headache, runny nose, nasal sound, itchy throat, aversion to wind, sweating and dry stool. The tongue coating is white, and the pulse is thin and string.

Bad wind, sweating, headache and nasal congestion, manifested as Guizhi decoction syndrome of sun disease, can reconcile camp and health, sweating stops itself, but never stops.

Guizhi decoction syndrome is characterized by cough, that is, Guizhi thickening Puxingzi decoction syndrome.

But the cough is long, the miscellaneous drugs are thrown around, the tongue coating is white, and the pulse is thin. Considering the existence of internal drink, Banxia Houpu decoction is used to treat Taiyin disease.

Generally speaking, the syndrome differentiation of six meridians belongs to the syndrome of Taiyin, and the syndrome differentiation belongs to the syndrome of Guizhi Thickening Puxingzi Decoction combined with Banxia Houpu Decoction plus Platycodon grandiflorum and roasted loquat leaves.

Prescription: Ramulus Cinnamomi10g, Radix Paeoniae Alba10g, Radix Glycyrrhizae 6g, Rhizoma Pinelliae15g, Cortex Magnolia Officinalis10g, Fructus Perillae10g, Poria12g and Radix Platycodi/kloc. 7 doses, decocted in water.

2010 April 13 second visit:

Cough is obviously relieved, nasal sound is clear, headache disappears, sweating due to fear of wind is not obvious, stool is normal, and throat is still itchy. The tongue coating is white, and the pulse is thin and string.

Treating the sun and the Taiyin at the same time, 7 doses can achieve remarkable curative effect.

This diagnosis shows that the sun disease has been solved, only Taiyin is left, and the prescription is changed to treat Taiyin alone.

As for platycodon grandiflorum for relieving sore throat, roasted loquat leaves for relieving cough, and terminalia chebula for astringing lung, they are all examples of increasing and decreasing with symptoms.

The syndrome differentiation of six meridians belongs to Taiyin disease, and the syndrome differentiation type is Banxia Houpu decoction plus platycodon grandiflorum, almond, roasted loquat leaves, terminalia chebula and roasted licorice.

Prescription: Pinellia ternata 15g, Magnolia Officinalis 10g, Perilla frutescens 10g, Poria cocos 12g, Platycodon grandiflorum 10g, Almond 10g, Loquat Leaves 10g, etc. 7 doses, decocted in water.

After taking the medicine, the itchy throat and cough stopped and recovered.

Learn from experience

Cough is a common "minor illness", but persistent cough often affects patients' work and rest, and also forces doctors to express the feeling that cough is incurable.

When treating cough, it is characterized by distinguishing exogenous diseases from internal injuries and paying attention to treating phlegm.

Treating cough with classic prescriptions is characterized by distinguishing six meridians of Yin and Yang and paying attention to treating drinking.

For itchy throat and paroxysmal choking cough, doctors prefer to use prescription drugs that dispel wind and relieve itching, disperse lung and relieve cough;

If phlegm is unfavorable, I like to add products that can reduce phlegm and relieve sore throat;

Enuresis when coughing, prefer to add products that tonify the kidney;

The nose is unfavorable, the nose is clear, and I like to add products that dispel wind and clear my nose;

Sweating is bad, I like to strengthen products that can inhibit sweating ... This prescription is generous and comprehensive, and it seems to be quite in line with the principles and methods of treating diseases.

Feng Lao pointed out that the treatment of diseases depends on the correspondence between prescriptions and syndromes, rather than symptomatic medication.

1. Exploration on Prescription and Syndrome of Banxia Houpu Decoction

For the prescription of Banxia Houpu Decoction, see Chapter 5 of Synopsis of the Golden Chamber, Treating Women with Miscellaneous Diseases and Pulse Syndrome:

If a woman has a burning sensation in her throat, Banxia Houpu decoction is the main method.

The description of this prescription is extremely simple, and later generations listed this prescription as a special prescription for treating plum blossom qi caused by phlegm-qi stagnation.

However, according to clinical findings, the warm and dry Banxia Houpu decoction is often less used because of less phlegm and blood stasis caused by cold phlegm and more phlegm and blood stasis caused by hot phlegm.

In Hu Xishu's Treatise on Febrile Diseases, Hu Lao pointed out: "This syndrome is described:

If you have a barbecue in your throat, you can't spit it out, you can't swallow it, your heart is full and uncomfortable, and your chest and abdomen are full and uncomfortable. The reason should be caused by two factors: qi stagnation and phlegm drinking. "

Feng Lao's clinical treatment of cough with this prescription always has a good effect.

I can't figure out why so many cough patients are caused by "qi stagnation" and "phlegm drinking".

One day after diagnosis, ask Feng Lao for advice.

Feng Lao smiled and replied: "I used to think it was qi stagnation and phlegm drinking. In recent years, I have re-recognized this prescription in clinical practice and found that perilla leaf and ginger do have the effect of relieving exterior syndrome.

In fact, this prescription is a prescription for treating external pathogen and internal drinking. I tried to treat cough caused by external pathogen and internal drinking, and received good results.

As for why outpatients with cough often see this prescription, it is because most people who come to see a doctor mix the medicine together and throw it around.

Or it was mistakenly treated by previous doctors, and the drugs were mostly cold and clear, which was caused by the injury of the Taiyin.

If the exogenous evil is not obvious, Feng Lao uses fried perilla instead of perilla leaves.

When looking at the Japanese "similarity generalization", I found that it is better to add platycodon grandiflorum "using perilla, better than perilla".

2. Syndrome of Guizhi Thickening Puxingzi Decoction

For the prescription of Guizhi Thickening Puxingzi Decoction, see article 18 of Treatise on Febrile Diseases, "Guizhi Thickening Puxingzi is better for relieving asthma".

Article 43: "Taiyang disease, with mild asthma, the exterior is not solved, and Guizhi Thickening Puxingzi Decoction is the main treatment for cough."

It is generally believed that it is caused by lung qi deficiency, and it is therapeutic.

Ephedra dispersing lung and almond lowering lung have become common combinations, while cassia twig and almond are often ignored by clinicians.

Feng Lao pointed out in the book Interpretation of Zhang Zhongjing's Medicine:

Patients with cough and asthma, whether they are chronic tracheitis, pharyngolaryngitis, colds or other long-term illnesses, can use it as long as they exclude heat syndrome and have a prescription for retrial.

This prescription is often used to treat patients with cough and sweating without obvious fever.

If you have anything to drink, you should use Banxia Houpu Decoction.

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