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The expectorant method series.the

2015年04月21日

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The expectorant method series.the 
 
 
Zhu Guang Henan college of traditional Chinese medicine 
 
 
China's traditional Chinese medicine to 

 

 

    As a kind of pathogenic factors, phlegm is the subtle is no return water, and the condensation of merger and the pathology of product. The more thick muddy, pathogenic widely, the ancients have "everything is all in the sputum cheat", "the strange disease much phlegm". Generations of physicians in the clinical process, therefore, pathogenesis and treatment of phlegm very seriously, and created many expectorant method.
 
    In terms of expectorant method, there are many accounts in ancient medical books, such as phlegm and eliminating phlegm, polyester roll phlegm, phlegm, sputum, pendant, of phlegm, phlegm, phlegm, phlegm, and clear phlegm, chung sputum, etc., is a rich and colorful, intuitive and vivid. But due to lack of these methods are mostly refers to the meaning clearly defined, the application understands, ambiguity of dispute, is difficult to accurately grasp, observed the phenomenon of the actuality.
 
    For this purpose, the doctor of traditional Chinese medicine dictionary made interpretation: "the expectorant method, the method of removing phlegm evil. Differentiation of phlegm, sputum, polyester three categories. According to phlegm evil causes different treatment, or warms, or cleaning, or eliminate ShengTan causes." But that explanation, too, did not make the problem clear, from its classification to interpretation are questionable.
 
    It is generally believed that phlegm is the result of wet, wet from the spleen, and therefore generate the most closely relationship with spleen phlegm, and the source of "the spleen for ShengTan" (" certificate for remit to fill ") said, the so-called "ShengTan pixu (spleen deficient). According to clinical observation, there is a form of "spleen and heavy load ShengTan", its process is roughly: overeating fat GanHou taste, more than the transport capacity of spleen, leading to the continued, into a phlegmy wet, some hyperlipidemia associated with a high-fat diet of deposit on the internal organs, blood vessels, or subcutaneous lipid and other parts, im actually is by the spleen and the heavy load of phlegm. These two ShengTan process, the former belongs to the absolute pixu (spleen deficient), the latter belongs to the relative pixu (spleen deficient).
 
    Has been born of phlegm, can with angry machine lift is less than that, in turn, pathogenic multiterminal, such as sputum aggregates in the lungs to cough and gasp the phlegm, phlegm selfish god faint, epilepsy, phlegm obstruction of spleen and stomach often new bloating, phlegm yu in liver of pharyngeal foreign body sensation, phlegm stagnation in the chest chest stuffy, clip phlegm in the wind and convulsions, phlegm fire knot of scrofula, gall, phlegm obstruction of meridian numbness, hemiplegia, mouth askew, sputum for segments of pain in the joints, deformation, etc. Sputum from the clinical situation, the existence of more than with "phlegm" in the form of "v phlegm" to form the pathological basis, once encounter appropriate etiology, retained in the body of phlegm can be touched, play a role in the disease process.
 
    The author thinks that, according to the production of sputum and direction, expectorant method of no more than two forms, namely the resolve to the in vivo and in vitro, can be referred to as phlegm and phlegm.
 
    phlegm
 
    Phlegm is adopted according to the formation of phlegm and form of regular or basic expectorant method. For the treatment of phlegm, first consideration should be given according to phlegm forms shall be resolved. Due to phlegm with the in vivo environment has the potential of cold and hot, so commonly used method of phlegm is also divided into warms and thanh hoa two kinds. Warms is applicable to cold wet phlegm, phlegm and medication XinWen, pinellia, rhizoma arisaematis, in front of the white, white mustard, Perilla and dried tangerine or orange peel, magnolia bark, rhizoma atractylodis, atractylodes, etc; Thanh hoa is heat phlegm, suitable for hot phlegm, medication experience more, such as fritillaria, hu before, tianzhu yellow, fructus, bamboo shavings, bamboo, etc. Especially platycodon grandiflorum, bitter taste xin ping, can rise to fall, good XuanTong lung qi, "compendium" pursuing think it "lung gas in medicine, for the boat, carried the buoyancy, agent will be bitter discharge under the rolling guide." So regardless of cold phlegm, heat phlegm, all can choose.
 
    Because of phlegm generation process and the characteristics of easy to drag down, the phlegm method, the spleen or facilitating of this such as by brook said: "the method of cure phlegm, spleen, spleen wet, is put to this is it." Ken don king said: "good governance phlegm, not cure phlegm and qi, qi shun is a suit of fluid also shun yi with gas."
 
    Dry phlegm in the state of phlegm-heat type. The Yin, put appropriate runfei phlegm, have the effect of drugs like phlegm, coltsfoot flower only two taste, actually choose a drug formula can adopt the way to use runfei with phlegm and expanding the scope of the selected. Wind phlegm disease, is often the body fell sputum was touched the wind, walk into the complex and eyes see hemiplegia, mouth askew or limbs tic, therefore the phlegm medicine must also can walk line of main and collateral channels, such as rhizoma arisaematis, rhizoma typhonii, batryticated silkworm, etc.
 
 
 
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