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Professor Yuan Bin’s experience in treating childrens’ new-long cough from“wind-phlegm” |
CAO Bingxue1 YUAN Bin2 |
1.The First Clinical College, Nanjing University of Traditional Chinese Medicine, Jiangsu Province, Nanjing 210023, China; 2.Department of Pediatrics, Jiangsu Provincial Hospital of Traditional Chinese Medicine, Jiangsu Province, Nanjing 210004, China |
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Abstract Professor Yuan Bin inherited the teacher’s theory and made some innovations, on the basis of Professor Wang Shouchuan’s theory of hidden wind, the concept of wind-phlegm cough is put forward. Professor Yuan describes the specific symptoms of this cough. He believes that the key to the pathogenesis is the retention of wind-phlegm in the lung and the imbalance in lung qi. More phlegm and blood in the stasis mutual knot day after day. After consulting ancient and modern literature, Professor Yuan wrote new prescriptions to restore lung qi by reducing phlegm and wind with ephedra and pinellia tuber. Treatment is supplemented with activating the spleen and regulating the liver to coordinate the five internal organs and improve the condition. He attached great importance to the relationship between the lung and the orifices. A distinction between the nose and pharynx should be made, and treatment of organs and orifices should be performed at the same time for internal and external patency. He is skilled in flexible methods with a combination of traditional Chinese medicine and western medicine, though mainly in traditional Chinese medicine. Diagnosis and treatment involve both Chinese and western methods. Professor Yuan bin often attaches importance to the supplementary examination of modern medicine and often combines syndrome differentiation with disease differentiation when diagnosing disease. Professor Yuan Bin’s treatment of the disease is mainly based on traditional Chinese medicine, supplemented by western medicine, and has repeatedly achieved good results.
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[1] 中华医学会儿科学分会临床药理学组,国家儿童健康与疾病临床医学研究中心,中华医学会儿科学分会呼吸学组,等.中国儿童咳嗽诊断与治疗临床实践指南(2021版)[J].中华儿科杂志,2021,59(9):720-729. [2] Lovie-Toon YG,Chang AB,Newcombe PA,et al. Longitudinal study of quality of life among children with acute respiratory infection and cough [J]. Qual Life Res,2018,27(4):891-903. [3] Chang AB,Robertson CF,Van Asperen PP,et al. A multicenter study on chronic cough in children: burden and etiologies based on a standardized management pathway [J]. Chest,2012,142(4):943-950. [4] 中国儿童慢性咳嗽病因构成比研究协作组.中国儿童慢性咳嗽病因构成比多中心研究[J].中华儿科杂志,2012, 50(2):83-92. [5] 洪建国.重视儿童咳嗽病因识别与用药选择[J].中国实用儿科杂志,2016,31(3):161-164. [6] 袁斌,李江全,王明明,等.宣肺祛风汤治疗儿童过敏性咳嗽风痰恋肺证40例临床观察[J].中医杂志,2015,56(16):1398-1400. [7] 各廷秋,张念志,张润.急性气管-支气管炎中西医治疗进展[J].辽宁中医药大学学报,2016,18(11):65-67. [8] 贾飞凡,李磊,刘子馨,等.中医药治疗小儿慢性咳嗽的研究概况[J].中华中医药杂志,2021,36(9):5426-5428. [9] 唐小利,邓红波.儿童常见慢性咳嗽中医辨证治疗思想的研究述要[J].四川中医,2021,39(2):210-213. [10] 李湛,汪受传.应用消风法治疗小儿风咳临证经验[J].中华中医药杂志,2022,37(6):3235-3238. [11] 徐轩,陈国丰.干祖望教授治疗喉源性咳嗽经验[J].江苏中医,1993,14(3):5-6. [12] 凌晓颖,袁斌.袁斌治疗儿童上气道咳嗽综合征[J].长春中医药大学学报,2018,34(3):463-466. [13] 王宪正,汪受传.从“脾健不在补贵在运”论治小儿脾胃病[J].中医儿科杂志,2019,15(33):4-7. [14] Miao SM,Zhang Q,Bi XB,et al. A review of the phytochemistry and pharmacological activities of Ephedra herb [J]. Chin J Nat Med,2020,18(5):321-344. [15] 刘丛颖,丛竹凤,贺梦媛,等.麻黄治疗呼吸系统疾病的研究进展及质量标志物预测分析[J].中华中医药学刊,2022,40(10):175-182. [16] 崔秀荣,马海波,张旗,等.苍耳子的化学成分和临床应用研究进展[J].现代药物与临床,2012,27(6):614-618. [17] 聂安政,高梅梅,贾文瑞,等.苍耳子安全问题探讨与合理用药思考[J].中国中药杂志,2019,44(24):5336-5344. [18] 吴焕章,张晓朦,张冰,等.辛热类有毒示例药致肾损伤风险分级与警戒思考[J].中国药物警戒,2022,19(5):481-485. [19] 冯科冉,李伟霞,王晓艳,等.丹参化学成分,药理作用及其质量标志物(Q-Marker)的预测分析[J].中草药,2022,53(2):609-618. [20] 周园园,戴志娟,张淑君,等.莪术油注射液抗新型冠状病毒作用的体内外研究[J].安徽医科大学学报,2022, 57(4):664-672. [21] 陈龙娇,李裕思,黎敬波.从肠道微生态角度认识中医“食肉则复”理论[J].中华中医药杂志,2018,33(9):3822- 3824. [22] 刘子彰,张声生,李高见.从“食复”理论探讨新型冠状病毒肺炎的病后调护[J].天津中医,2021,38(2):160- 165. [23] 张旭,佟丽,袁怿,等.从中医“食复”理论谈外感热病初愈饮食调理[J].环球中医药,2021,14(3):440-443. [24] 陈向阳,穆爱洁,汪蒙蒙,等.蛋白桑叶多酚提取工艺的优化及其抗氧化,抑菌活性[J].中成药,2020,42(9):2259-2265. [25] 石婧婧.桑叶活性成分及药理作用研究进展[J].生物化工,2023,9(1):179-183. [26] 邹璐,唐凌,韩涵,等.百部治疗呼吸系统疾病的基础研究进展[J].上海医药,2021,42(1):10-13. [27] 董巍郝,王超众,郭丽娜,等.UPLC-Q-TOF/MS法分析对叶百部蜜炙前后化学成分的变化[J].中成药,2016, 38(8):1792-1796. |
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