钟坚治疗咳血临床经验浅析
Zhejiang Journal of Traditional Chinese Medicine（2015）
Abstract
钟坚系第三批全国老中医药专家学术经验继承工作指导老师,从事中医临床及教学工作40余年,治学严谨,笔者有幸随钟师学习,受益匪浅.现将其治疗咳血经验作一总结,以飨同道.
1 辨证要点
钟师认为临床常见咯血可分为虚证和实证两大证型,属虚者多由内伤所致,常见为气虚或阴虚,阴虚则火灼肺络,气虚则不能摄血而致咳血,病久可致气阴两虚.实证多属外感邪热或寒邪久郁化热、火热熏灼肺络引起咯血.实证的咳血特点:其血色鲜红,出血多,口干而苦,苔多黄糙,舌尖红,脉洪数.虚证的咯血特点:血色淡而量不多,但持续时间较长,并伴有其他气血阴阳亏虚见证.
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