文章摘要
阳常不足,湿常有余论在风温肺热病后期的运用与疗效观察
Application and Efficacy Observation of the Theory of "Frequent Yang Deficiency and Frequent Dampness Excess" in the Late Stage of Wind-Warm Lung Heat Disease
投稿时间:2026-03-02  修订日期:2026-03-20
中文关键词: 苓桂术甘汤  六君子汤  风温肺热  阳虚湿阻型  咳嗽
英文关键词: Linggui Zhugan Decoction  Liujunzi Decoction  Wind-warm lung heat disease  Yang deficiency and dampness obstruction pattern  Cough
基金项目:浙江省中医药科技计划项目(2023ZF054):"阳常不足,湿常有余"论在风温肺热病后期的运用与疗效观察
作者单位邮编
邱丽燕 衢州市中医医院 324001
徐木生 衢州市中医医院 
徐晓霞 衢州市中医医院 
吴向科* 衢州市中医医院 
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中文摘要:
      目的:探讨基于“阳常不足,湿常有余”理论,采用苓桂术甘汤联合六君子汤治疗风温肺热病后期(阳虚湿阻型)咳嗽的临床疗效。方法:选取2023年7月至2024年12月收治的118例风温肺热病后期辨证属阳虚湿阻型咳嗽患者作为研究对象,采用随机数字表法分为观察组与对照组,各59例。对照组给予复方甲氧那明胶囊治疗,观察组在对照组治疗基础上加用苓桂术甘汤合六君子汤。对比两组患者治疗前后的中医证候积分,咳嗽症状积分,炎症指标白细胞介素-6(IL-6)、肿瘤坏死因子-ɑ (IFN-ɑ)及C反应蛋白(CRP),肺功能指标及临床总有效率。结果:治疗后,观察组患者的中医证候积分(包括主证、次证及总分)与咳嗽症状积分(日间、夜间及总分)均显著降低,且降低幅度大于对照组(P<0.05)。同时,观察组炎症指标(IL-6、TNF-α、CRP)水平显著下降,肺功能指标显著改善,改善程度均优于对照组(P<0.05)。观察组的临床总有效率为94.92%,显著高于对照组的76.27%(P<0.05)。结论:苓桂术甘汤合六君子汤治疗风温肺热病后期阳虚湿阻型咳嗽的临床疗效显著,优于单用西药,有效消退症状及体征,改善炎性指标及肺功能。
英文摘要:
      Objective: To evaluate the clinical efficacy of Linggui Zhugan Decoction combined with Liujunzi Decoction, based on the theory of "Frequent Yang Deficiency and Frequent Dampness Excess," in treating cough due to Yang deficiency and dampness obstruction pattern in the late stage of wind-warm lung heat disease.Methods: A total of 118 patients with cough of Yang deficiency and dampness obstruction pattern in the late stage of wind-warm lung heat disease, admitted to our hospital between July 2023 and December 2024, were selected and randomly divided into two groups (59 cases each). The control group received compound methoxyphenamine hydrochloride capsules, while the observation group received the same western medicine plus the combination of Linggui Zhugan Decoction and Liujunzi Decoction. The traditional Chinese medicine (TCM) symptom scores, cough scores, inflammatory markers (Interleukin-6 [IL-6], Tumor Necrosis Factor-alpha [TNF-α], C-reactive protein [CRP]), pulmonary function indices, and overall clinical effectiveness were compared between the two groups. Results: After treatment, the observation group showed significantly greater reductions in TCM symptom scores (primary/secondary/total),cough scores (daytime/nocturnal/total), and levels of inflammatory markers (IL-6, TNF-α, CRP) compared to the control group (P<0.05). The improvement in pulmonary function indices was also significantly greater in the observation group than in the control group (P<0.05). The total clinical effective rate was 94.92% in the observation group, significantly higher than the 76.27% in the control group (P<0.05).Conclusion: The combination of Linggui Zhugan Decoction and Liujunzi Decoction demonstrates significant clinical efficacy in treating cough of Yang deficiency and dampness obstruction pattern in the late stage of wind-warm lung heat disease. It is superior to western medicine alone in alleviating symptoms and signs, improving inflammatory markers, and enhancing pulmonary function.
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