"Ahem, ahem, ahem, ahem, ahem, ahem. "Cough seems to be a "curse" that cannot be escaped all year round, some people may be cured in a few days, and some people may not be cured for more than ten days or even months, so it is important to master the treatment of cough. The cough suppressant experience prescriptions of 3 masters of traditional Chinese medicine are introduced as follows for the benefit of colleagues.
( Master of Traditional Chinese Medicine Zhu Liangchun )
▲Zhu Liangchun, Master of Traditional Chinese Medicine (1917.8-2015.12)
Professor Zhu has extensive experience in the treatment of cough and has created a number of famous prescriptions for cough.
1. For those with wind-heat influenza, or long-term cough with pneumonia and phlegm fever, Professor Zhu created his own lung-clearing and cough decoction recipe based on years of clinical experience. The specific prescriptions are as follows: 20g of golden buckwheat, 15g of Houttuynia cordata (lower back), 20g of white snake tongue, 12g of syrup shell, 10g of loquat leaves, 6g of orange red, 10g of Xanthium fungus, 6g of raw licorice. The whole prescription is always based on clearing lung heat, dissolving phlegm and turbidity, and clearing the passage.
2. For those who do not heal for a long time and do not drop lung qi as the main pathogenesis, Professor Zhu often uses long-term cough pills to add or subtract treatment, and uses poppy husk and schisandra to suppress cough, and alum to dispel stubborn phlegm, almond puree can not only relieve cough and asthma, but also moisten the intestines and laxative, which can prevent the disadvantages of poppy husk and astringent intestines. The whole prescription is mainly based on the lungs and reducing qi, and still follows the meaning of "cough for a long time, and its potential does not come off, so it can be astringent", so it is suitable for those who have been coughing for a long time and have less phlegm, and take it every night. However, those who have not been purified from external evils should not take this prescription.
3. Professor Zhu also has rich experience in children's wheezing and coughing, and has created Wuzi Ding Cough Soup, which is composed of 6g of Tianzhu seed, 1g of Liuaxizi seed, 6g of Baisu seed, 10g of Huangjing seed and 10g of psyllium. This prescription is good at cough and spasmodic, and is clinically especially suitable for children with whooping cough and chronic bronchitis who have a long cough and less phlegm.
4. Professor Zhu made his own ginseng clam powder to treat deficiency cough, and used red ginseng (or 30g of prince ginseng), 15g of northern sand ginseng, 15g of schisandra chinensis, 1 pair of clams, 10g of wheat winter, 10g of orange red, 24g of purple river car, and take it with fine grinding. It can be used for patients with internal injuries and long-term cough or hypothetical cough.
In addition, Professor Chu is good at using insect medicine to treat intractable cough.
1. Professor Zhu believes that the clam is a good product for warming the kidneys and nourishing the lungs. And it is mostly used in clinical treatment for intractable deficiency cough, and powder or pill is generally used in the process of use.
2. Professor Zhu also made good use of beehives to treat intractable cough during clinical trials. Take 3~5g of beehive and mix it with 1 egg (shelled), beat well, put it in the pot and stir-fry over low heat, without oil and salt, stir-fry, take it once after meals, 1~2 times a day, for about 1 week.
However, it is worth noting that the taste of insect medicine is more dry, so it is often compatible with products that nourish blood and nourish yin, such as generally suitable for use with Rehmannia or Dendrobium;
( Master of Traditional Chinese Medicine Yan Zhenghua )
▲Yan Zhenghua, Master of Traditional Chinese Medicine (1920.2-)
Professor Yan's experience in treating cough is mostly reflected in "caution" and "skill".
1. If the patient is a group of heat evil blocked in the upper coke, and the symptoms are still not relieved, it is necessary to pay attention to avoid skullcap, coptis and other products that enter the medicine when taking medicine.
2. For the symptoms of colds caused by the evil of wind and cold, or the cough caused by prolongation, Professor Yan often refuses to cough.
3. If you see that the evil qi of cold drinking and the evil of lung heat exist at the same time, and the stagnation of drinking evil is heavier than that of hot evil, use Xiaoqinglong soup and gypsum;
4. For cough with lung yin deficiency as the main evidence, Professor Yan Zhenghua imitated Zhang Zhongjing's method of dispatching Mai Dong Tang, and used Beisha Shen, Mai Dong, Zhimu, Sichuan Fritillary, and Baibu to nourish yin and moisten the lungs, Codonopsis, Yam, and Atractylodes macrocephalus to nourish lung qi, and use all kinds of lung tonifying and qi-nourishing medicines.
5. "The lungs and the large intestine are on the same surface", in the process of clinical treatment of cough, Professor Yan pays special attention to the problem of whether the patient's stool is smooth or not, such as cough and intestinal qi blockage, which is manifested as dry stool that is difficult to solve, and commonly uses almonds, whole melons and other drugs that benefit the lungs and clear the intestines, and are not easy to consume the righteous qi;
( Master of Traditional Chinese Medicine Li Zhenhua )
▲Li Zhenhua, Master of Traditional Chinese Medicine (1924.11-2017.5)
Professor Li believes that internal injury and cough are mostly evidence of the intermingling of deficiency and reality, and in the process of clinical treatment, in addition to treating the cold, heat, deficiency and reality of the lungs, we should also pay attention to the conditioning of other viscera. Professor Li believes that the liver, spleen and kidney are the most closely related to cough.
1. Treat phlegm to treat cough. Professor Li treats cough caused by the weakness of the spleen and stomach and the dysfunction of the spleen, which leads to the poor discharge of phlegm and dampness, and the storage in the body.
2. Cure qi to cure cough. For patients who often feel uncomfortable, sad and depressed, or anxious and irritable in their lives, they can choose Bupleurum chinensis, Citrus aurantium, Tulip, Magnolia officinalis, Xiangfu and other drugs to relieve the liver and promote qi at the same time, but the dosage of such drugs should be cautious and not too much, so as not to consume qi and hurt yin. If there is a stagnation of liver qi, which causes depression to turn into heat and fire, and burns the lungs, the treatment should be treated with prunella, melon, cicada, gardenia, peony skin and other drugs that clear the liver and relieve fire.
3. For those who have a long-term cough with kidney deficiency and are not solid, or the kidney element is deficient and cannot nourish the lung yin, Professor Li often makes good use of steamed shouwu, dendrobium, dogwood and other medicines to achieve both mother and child.
Zheng reiterates:
Due to the different constitutions and conditions of each person, the treatment plan in this case is only applicable to the patient's condition at that time. Without TCM syndrome differentiation diagnosis and treatment, the treatment plan in this case must not be completely copied. If necessary, readers should go to a regular hospital for diagnosis and treatment to avoid delaying their condition. ■
[Source: Yue Reading Traditional Chinese Medicine, the content is selected from "Clinical Diagnosis and Treatment of Cough in Traditional Chinese Medicine" published by China Traditional Chinese Medicine Press, edited by Xue Hanrong]