咳喘七子(zi)(zi)(zi)湯 組成:紫蘇子(zi)(zi)(zi)10克(ke)、葶藶子(zi)(zi)(zi)(包)10克(ke)、車前子(zi)(zi)(zi)(包)10克(ke)、光杏仁(打)10克(ke)、萊(lai)菔子(zi)(zi)(zi)(炒打)10克(ke)、五(wu)味子(zi)(zi)(zi)10克(ke)、補骨脂(zhi)1O克(ke)、生(sheng)白術10克(ke)、生(sheng)甘(gan)草10克(ke)
功能:健脾化痰(tan)、溫(wen)腎(shen)納氣、止咳平喘。
主治:急慢性(xing)支氣管(guan)炎。癥見咳嗽咯痰艱辛,痰白或(huo)(huo)黃(huang)(huang)濁,胸悶息短,納(na)食(shi)欠香,大便(bian)粘(zhan)滯不爽(shuang)或(huo)(huo)干結,小(xiao)便(bian)黃(huang)(huang)熱,脈(mo)濡滑,苔薄黃(huang)(huang)膩。
用法(fa):每日一劑,水煎二次,分次飯后飲(yin)。
方(fang)解:咳(ke)喘之證,病(bing)位在肺,肺主氣(qi)(qi),司(si)呼吸,為貯痰(tan)之器,病(bing)變涉及脾(pi)(pi)、腎、大腸。脾(pi)(pi)為生痰(tan)之源,腎主納氣(qi)(qi),肺與(yu)大腸相(xiang)表里,故其治(zhi),蘇(su)子、葶藶子、杏仁降氣(qi)(qi)瀉(xie)肺止咳(ke)平喘;萊(lai)菔(fu)子、白術、甘草健脾(pi)(pi)消(xiao)痰(tan)以調脾(pi)(pi)運;補(bu)骨脂、五味子溫補(bu)腎元斂(lian)肺納氣(qi)(qi);車前子化(hua)痰(tan)利尿,使痰(tan)濁飲邪從膀胱滲泄;蘇(su)子、萊(lai)菔(fu)子、杏仁質潤多(duo)脂潤腸通便,腑(fu)氣(qi)(qi)通,肺氣(qi)(qi)亦降矣。
臨床(chuang)應(ying)用(yong):本方(fang)為咳喘(chuan)而設(she),無論外感咳喘(chuan)或(huo)(huo)(huo)引(yin)動伏(fu)飲(yin)喘(chuan)咳,今之(zhi)急性(xing)支氣管炎、老年慢性(xing)支氣管炎、支氣管哮喘(chuan)均可加(jia)(jia)(jia)減(jian)應(ying)用(yong)而獲效。其辨證要點為咳喘(chuan)痰(tan)(tan)稠(chou)(chou),或(huo)(huo)(huo)黃或(huo)(huo)(huo)白(bai)而艱(jian)咯(ge),胸(xiong)悶(men)息(xi)(xi)促,納少大(da)便結,脈濡(ru)滑,苔黃或(huo)(huo)(huo)膩。加(jia)(jia)(jia)減(jian)法(fa):外感風寒加(jia)(jia)(jia)蜜炙麻黃10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、防風10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)解表宣肺;感受風熱(re)咽紅(hong)燥(zao)痛(tong)加(jia)(jia)(jia)銀花10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、黃芩(qin)10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、板藍根20克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、清熱(re)解毒(du)利咽;咳甚痰(tan)(tan)多視痰(tan)(tan)色而定(ding),痰(tan)(tan)清稀如涎沫加(jia)(jia)(jia)細(xi)辛3克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、干(gan)姜2克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)溫(wen)化痰(tan)(tan)飲(yin);痰(tan)(tan)白(bai)粘而易(yi)咯(ge)加(jia)(jia)(jia)法(fa)半夏10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、云(yun)茯苓10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、橘紅(hong)10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)健(jian)脾(pi)化痰(tan)(tan);痰(tan)(tan)黃稠(chou)(chou)艱(jian)咯(ge)加(jia)(jia)(jia)黃芩(qin)10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、百部20克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、海浮石(shi)10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)清肺消痰(tan)(tan);胸(xiong)悶(men)或(huo)(huo)(huo)胸(xiong)痛(tong)加(jia)(jia)(jia)白(bai)芥子(zi)10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、枳(zhi)殼10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、瓜簍皮10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、丹參10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)化痰(tan)(tan)瘀、寬(kuan)胸(xiong)止痛(tong);久咳肺虛,動則汗出、息(xi)(xi)短(duan),面色蒼(cang)黃加(jia)(jia)(jia)黃芪15克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、防風10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、黨參10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)益氣固表;肺陰不足(zu),咽干(gan)舌紅(hong),大(da)便燥(zao)結加(jia)(jia)(jia)元參15克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、麥冬10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、生地(di)10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)滋陰潤燥(zao)通腑;腎虛腰酸,咳喘(chuan)息(xi)(xi)促,神(shen)疲(pi)氣力,脈細(xi)苔薄加(jia)(jia)(jia)熟地(di)10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、山萸肉10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、菟絲子(zi)10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)、胡桃肉10克(ke)(ke)(ke)(ke)(ke)(ke)(ke)(ke)補(bu)腎納氣。臧堃堂
臧堃(kun)堂(tang),男,1935年(nian)8月生、江蘇無錫人,解放(fang)軍(jun)(jun)第一軍(jun)(jun)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)大學(xue)(xue)(xue)(xue)專家組成員、授、主任(ren)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi),碩士研究(jiu)(jiu)生導(dao)(dao)師(shi)(shi),第二批(pi)全國(guo)(guo)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)(shi)承(cheng)制導(dao)(dao)師(shi)(shi),第三屆中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)國(guo)(guo)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)(yao)(yao)學(xue)(xue)(xue)(xue)會理事,享受政府特殊津帖。曾任(ren)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)國(guo)(guo)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)(yao)(yao)學(xue)(xue)(xue)(xue)會中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)學(xue)(xue)(xue)(xue)會副主任(ren)委(wei)員,全軍(jun)(jun)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)學(xue)(xue)(xue)(xue)會中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)專業委(wei)員會主任(ren)委(wei)員,北京中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)(yao)(yao)大學(xue)(xue)(xue)(xue)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)學(xue)(xue)(xue)(xue)博(bo)士導(dao)(dao)師(shi)(shi)。1989年(nian)被評為總后(hou)優(you)秀教師(shi)(shi)。幼承(cheng)家學(xue)(xue)(xue)(xue),隨(sui)祖習中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)(yao)(yao),畢業于上海中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)學(xue)(xue)(xue)(xue)院,從事中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)臨床(chuang)和方(fang)(fang)(fang)藥(yao)(yao)(yao)(yao)(yao)教學(xue)(xue)(xue)(xue)四十余年(nian),治學(xue)(xue)(xue)(xue)嚴謹,科(ke)學(xue)(xue)(xue)(xue)作風強,深入研究(jiu)(jiu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)方(fang)(fang)(fang)劑古今應用(yong),熟悉中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)經驗(yan)鑒(jian)別和傳(chuan)統(tong)炮制,并能吸收現代醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)(yao)(yao)新知,開展(zhan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)方(fang)(fang)(fang)劑教學(xue)(xue)(xue)(xue)實驗(yan),促進中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)教學(xue)(xue)(xue)(xue)現代化(hua),獲全軍(jun)(jun)科(ke)技進步三等(deng)獎(jiang),臨床(chuang)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療有獨特用(yong)藥(yao)(yao)(yao)(yao)(yao)風格,擅長中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)內科(ke)疑難雜證,如腫瘤(liu)、咳(ke)喘(chuan)、心(xin)腦(nao)血管病(bing)、消化(hua)系(xi)疾病(bing)的(de)診治,均獲良(liang)效,主編(bian)《中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)古今應用(yong)指導(dao)(dao)》、《中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)臨床(chuang)方(fang)(fang)(fang)劑學(xue)(xue)(xue)(xue)》、《傳(chuan)統(tong)益(yi)壽(shou)精(jing)要》等(deng)專著七部,參(can)(can)編(bian)《中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)藥(yao)(yao)(yao)(yao)(yao)理實驗(yan)》、《中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)國(guo)(guo)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)成藥(yao)(yao)(yao)(yao)(yao)優(you)選》等(deng)四部,發(fa)(fa)表醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)(yao)(yao)論(lun)文(wen)20余篇。開發(fa)(fa)保健藥(yao)(yao)(yao)(yao)(yao)品(pin)”三九正(zheng)元(yuan)”沖劑,參(can)(can)加“福壽(shou)仙”、“隆(long)泰”口服液的(de)研制,批(pi)準生產。投放(fang)市場,取得良(liang)好的(de)社會效益(yi)和經濟效益(yi)。
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