夏鑫华运用“无热便是寒,治肺不远温”思想治疗慢性咳喘经验介绍
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R249

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第五批全国中医临床优秀人才研修项目(国中医药人教函〔2022〕239号)


Introduction to XIA Xinhua's Experience in Treating Chronic Cough and Asthma with the Thought of "If There Is No Heat, It Is Cold, and Treating the Lung Without Straying from Warmth"
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    摘要:

    介绍夏鑫华教授运用“无热便是寒,治肺不远温”思想治疗慢性咳喘的临床经验。夏鑫华教授认 为,慢性咳喘的主要致病因素为寒痰。因环境和饮食等多重影响易伤脾胃,致脾阳不足,运化失司,水液代谢 失常,上犯于肺,肺失宣降,故现代临床上慢性咳喘患者多见肺脾不足、痰饮蕴肺证。夏鑫华教授在国医大师 洪广祥教授提出的“治肺不远温”的基础上,进一步总结出慢性咳喘病的中医病机及治法,提出“无热便是 寒”的学术思想作为慢性咳喘的理论基础,以“无热便是寒,治肺不远温”的思想指导治疗寒证或寒热错杂类 型慢性咳喘,以桂枝厚朴杏子汤为基础方,随症化裁,疗效甚佳。

    Abstract:

    Abstract: This paper introduces the clinical experience of Professor XIA Xinhua in treating chronic cough and asthma by applying the thought of "if there is no heat,it is cold,and treating the lung without straying from warmth". Professor XIA Xinhua holds that the main pathogenic factor of chronic cough and asthma is cold phlegm. Multiple factors such as environment and diet tend to damage the spleen and stomach, leading to insufficiency of spleen yang, dysfunction in transportation and transformation, and abnormal metabolism of body fluids. The abnormal body fluids then attack the lung upward, resulting in the lung's failure to disperse and descend. Therefore, in modern clinical practice,most patients with chronic cough and asthma present with the syndrome of insufficient lung and spleen as well as phlegm-fluid retention in the lung. On the basis of "treating the lung without straying from warmth" proposed by national traditional Chinese medicine (TCM) master Professor HONG Guangxiang, Professor XIA Xinhua further summarized the TCM pathogenesis and treatment principles of chronic cough and asthma,and put forward the academic thought of "if there is no heat,it is cold" as the theoretical basis for chronic cough and asthma. He guides the treatment of chronic cough and asthma of cold syndrome or mixed cold-heat type with the thought of "if there is no heat,it is cold, and treating the lung without straying from warmth",using Guizhi Houpo Xingzi Decoction as the basic prescription and modifying it according to symptoms,which achieves excellent therapeutic effects.

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侯旭阳,戴灿,林琛,指导:夏鑫华.夏鑫华运用“无热便是寒,治肺不远温”思想治疗慢性咳喘经验介绍[J].新中医,2026,58(2):163-166

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  • 在线发布日期: 2026-01-29
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