| 引用本文: |
杨明珠, 宋若会.宋若会教授运用辛凉养阴法论治喉源性咳嗽经验[J].湖南中医药大学学报,2026,46(7):1421-1426[点击复制] |
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| 宋若会教授运用辛凉养阴法论治喉源性咳嗽经验 |
| 杨明珠,宋若会 |
| (安徽中医药大学第一临床医学院, 安徽 合肥 230031;安徽中医药大学第一附属医院耳鼻咽喉头颈外科, 安徽 合肥 230031) |
| 摘要: |
| 本文总结宋若会教授运用辛凉养阴法论治喉源性咳嗽的辨治思路。宋若会教授指出，本病多起于外感之后余邪未解，郁热留恋咽肺，肺失清肃宣降，津液受损，咽部失濡而咽痒即咳；病程迁延则阴津暗耗，痰黏与瘀滞互结，表现为干咳阵作或痰少、痰黏难咯，并常因用嗓过度、冷空气及刺激性气味诱发或加重。宋若会教授临证强调分期辨治，以辛凉养阴为纲，治当辛凉轻清、宣透余邪，甘润养阴、生津润燥。初期以宣肺利咽、透解余邪兼顾护津为主，常用自拟辛凉养咽汤加减；迁延期以养阴生津为本，兼清润化痰、活血通络，常用自拟辛凉育阴汤加减，并根据咽红灼痛、痰黏难咯、刺痛瘀象及夜间阵咳等化裁。对咽痒突出、局部刺激明显者，酌加吹喉粉类外治以直达病所，内外合治。附验案一则以佐证。 |
| 关键词: 喉源性咳嗽|辛凉养阴|分期论治|郑氏喉科|名医经验|宋若会 |
| DOI：10.3969/j.issn.1674-070X.2026.07.013 |
| 投稿时间：2025-12-24 |
| 基金项目:国家自然科学基金项目（8207151385）；安徽省高校自然科学基金项目（82074501）；国家中医药管理局全国名老中医药专家传承工作室建设项目（国中医药人教函〔2018〕134号）。 |
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| Professor SONG Ruohui's experience in treating laryngeal cough with the method of nourishing yin with pungent cool medicines |
| YANG Mingzhu, SONG Ruohui |
| (The First Clinical Medical College of Anhui University of Chinese Medicine, Hefei, Anhui 230031, China;Department of Otolaryngology, the First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui 230031, China) |
| Abstract: |
| This paper summarizes Professor SONG Ruohui's approach to differentiation and treatment of laryngeal cough with the method of nourishing yin with pungent cool medicines. Professor SONG Ruohui points out that this disease often originates after an exogenous pathogenic invasion, with residual pathogenic factors unresolved, leading to lingering stagnant heat in the throat and lung, which impairs the lung's functions of clearing, dispersing, and descending, damages fluids, and results in malnourishment of the throat, causing throat itching and cough. As the disease lingers, yin fluids are gradually consumed, and sticky phlegm intermingles with stagnation. This manifests as paroxysmal dry cough or scanty, sticky phlegm that is difficult to expectorate, often triggered or aggravated by overuse of the voice, cold air, and irritants. Professor SONG emphasizes stage-based pattern differentiation and treatment in clinical practice, guided by the principle of nourishing yin with pungent-cool medicines. The treatment should employ pungent, cool, light, and dispersing medicines to expel residual pathogenic factors, combined with sweet and moistening medicines to nourish yin, generate fluids, and moisten dryness. In the initial stage, the focus is on dispersing the lung, clearing the throat, resolving residual pathogenic factors, and protecting body fluids. The self-formulated modified Xinliang Yangyan Decoction is often used. In the protracted stage, nourishing yin and generating fluids is the foundation, combined with clearing and moistening to transform phlegm, as well as circulating blood and unblocking collaterals. The self-formulated modified Xinliang Yuyin Decoction is commonly used, tailored to signs such as red, burning throat, sticky phlegm, stabbing pain indicating stasis, and paroxysmal nocturnal cough. For prominent throat itching and pronounced local irritation, external therapies such as throat-powder insufflation are added to deliver treatment directly to the affected area, combining internal and external methods. A verified medical record is included as an illustration. |
| Key words: laryngeal cough|nourishing yin with pungent cool medicines|stage-based treatment|Zheng's School of Laryngology|famous physician's experience|SONG Ruohui |
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