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再论《黄帝内经》"秋伤于湿,冬生咳嗽"

LIU Cheng-Xin, PENG Chen-Wen,LI Ze-Yun,CAI Bei-Bei,ZHANG Miao-Fen, HUANG Hui-Ting,ZHUANG Hong-Fa,LIU Xiao-Hong,ZHAN Shao-Feng

Journal of Guangzhou University of Traditional Chinese Medicine（2022）

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Abstract
《黄帝内经》"秋伤于湿,冬生咳嗽"是指秋季人体被湿邪所伤,伏邪潜藏至冬,由外寒引动而发咳嗽,湿邪致病是其病发咳嗽的核心病机.湿邪可分为时邪和伏邪,与寒邪一样,本质上皆属于阴邪.四时均可感受湿邪,而非仅仅局限于秋冬季节.对于以内伤于湿为病机特点的咳嗽,可辨证运用二陈汤加减;对以湿邪内蕴、外感风寒(外寒内饮相互引动)为病机特点的咳嗽,可辨证运用小青龙汤加减.
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