1.山西中医药大学,山西省晋中市高校园区大学街121号,030619
2.山西省中医院
杨晞,E-mail:39449435@qq.com
收稿:2025-10-15,
修回:2025-12-30,
纸质出版:2026-03-17
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郭苏锌,翟文博,张东信等.王晞星从情志论治肺癌术后顽固性咳嗽经验[J].中医杂志,2026,67(06):602-606.
GUO Suxin,ZHAI Wenbo,ZHANG Dongxin,et al.Experience of WANG Xixing in Treating Persistent Cough After Lung Cancer Surgery from the Perspective of Emotional Factors[J].Journal of Traditional Chinese Medicine,2026,67(06):602-606.
郭苏锌,翟文博,张东信等.王晞星从情志论治肺癌术后顽固性咳嗽经验[J].中医杂志,2026,67(06):602-606. DOI: 10.13288/j.11-2166/r.2026.06.003.
GUO Suxin,ZHAI Wenbo,ZHANG Dongxin,et al.Experience of WANG Xixing in Treating Persistent Cough After Lung Cancer Surgery from the Perspective of Emotional Factors[J].Journal of Traditional Chinese Medicine,2026,67(06):602-606. DOI: 10.13288/j.11-2166/r.2026.06.003.
总结王晞星教授从情志论治肺癌术后顽固性咳嗽(PCLS)的经验。认为情志失调为PCLS重要诱发和加重因素,肝失疏泄、肺失宣降为核心病机。治疗主张调情志以安五脏,临床主要分四个证型进行辨治,即少阳枢机不利证,治以疏利少阳、宣畅肝肺,运用自拟柴胡泻白止咳方;太阴气血虚损证,治以建中解郁、养血柔肝,运用自拟芪归合欢止咳方;少阴心肾不交证,治以交通心肾、引火归元,运用自拟黄连阿胶交泰汤;厥阴肝风灼络证,治以调和肝肺,寒热并调,运用自拟乌梅和肺汤。
This paper summarizes professor WANG Xixing's clinical experience in treating persistent cough after lung cancer surgery (PCLS) from the perspective of emotional factors. WANG holds that emotional dysregulation is an important factor in triggering and aggravating PCLS, with impaired liver regulation (failure of dispersion) and dysfunction of lung diffusion and descent as the core pathogenesis. The ther
apeutic principle emphasizes regulating emotions to stabilize the five
zang
-organs. Clinically, treatment is differentiated into four main syndrome patterns,
shaoyang
pivot dysfunction syndrome, treated by smoothing and unblocking
shaoyang
and promoting free flow of the liver and lung, using the self-formulated
Chaihu Xiebai Zhike Formulation
(柴胡泻白止咳方);
taiyin
qi
-blood deficiency syndrome, treated by strengthening the middle, relieving constraint, nourishing blood, and softening the liver, using the self-formulated
Qigui Hehuan Zhike Formulation
(芪归合欢止咳方);
shaoyin
disharmony between the heart and kidney syndrome, treated by harmonizing the heart and kidney and guiding fire back to its origin, using the self-formulated
Huanglian Ejiao Jiaotai Decoction
(黄连阿胶交泰汤); and
jueyin
liver-wind scorching the collaterals syndrome, treated by harmonizing the liver and lung and regulating cold and heat simultaneously, using the self-formulated
Wumei Hefei Decoction
(乌梅和肺汤).
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