扬州谦字门儿科钩藤-荠菜花治疗儿童咳嗽经验

doi:10.20274/j.cnki.issn.1674-3865.2025.06.015

Abstract

Abstract:

As one of Jiangsu Province's intangible cultural heritages, the Qianzimen Pediatrics has exerted profound influence in cities such as Yangzhou, Nanjing, cities in the Huai River Basin, and Beijing. The sixth-generation inheritor Li Yaoqian is honored as a renowned veteran TCM practitioner in Jiangsu. Adhering to the Qianzimen Pediatrics' philosophy of "valuing moderation, simplicity, frugality, and remarkable efficacy", he emphasizes the importance of regulating qi flow and balancing tonification and drainage in treating pediatric pulmonary diseases. Based on the medication characteristics of the Yangzhou Medical School and the principle of analogy, he proposes that the drug pair of Gouteng-Jicaihua possesses antispasmodic and antitussive effects, effectively alleviating childhood cough. Both Gouteng and Jicaihua are commonly used drugs in clinical TCM. Although they are classified under liver-soothing and wind-calming herbs and heat-clearing and dampness-resolving herbs, respectively, the two herbs exhibit synergistic effects in the treatment of cough，and the clinical efficacy is remarkable.

Key words: Cough, Qianzimen pediatrics, Gouteng-Jicaihua, Child

CLC Number:

R725.6

Jingjing WANG, Yaoqian LI. Experience summary of Qianzimen Pediatrics for the treatment of children's cough by using Gouteng-Jicaihua in Yangzhou[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2025, 17(6): 542-545.

Figures/Tables 1

References 31

[1]	乔丽萍, 王佳, 张伟, 等. 重构本草——钩藤[J]. 长春中医药大学学报, 2023, 39(3): 245-247.
[2]	张艺潇, 张捷, 陈秋定, 等. 后疫情时代下钩藤薄荷配伍治疗风热咳嗽的效果观察[J]. 临床医学研究与实践, 2025, 10(18): 122-125.
[3]	陈慧, 汪受传. 江育仁教授辨证论治小儿肺炎经验[J]. 中医儿科杂志, 2019, 15(2): 4-7.
[4]	杜琳麟, 汪永红, 王霞芳. 从小儿哮喘的辨治探讨董氏儿科流派的传承与发展[J]. 上海中医药杂志, 2020, 54(3): 36-38.
[5]	唐鸿, 翟慧媛, 王东旭. 王东旭应用含钩藤方药治疗难治性咳嗽经验[J]. 中国中医基础医学杂志, 2023, 29(3): 482-485.
[6]	沈金梦, 李秋兰, 黄菲. 基于数据挖掘探索任继然治疗温病用药规律及学术思想[J]. 江苏中医药, 2024, 56(3): 58-62.
[7]	樊慧娟, 李文林, 杨丽丽. 荠菜药食两用古今源流考证分析[J]. 食品与药品, 2023, 25(2): 213-219.
[8]	刘俊芳, 周波. 扬州地区儿童慢性咳嗽病因分析[J]. 北方药学, 2011, 8(11): 73.
[9]	申菲菲, 张辉, 金凌. 扬州地区中医流派的特征与传承研究[J]. 江苏卫生事业管理, 2021, 32(10): 1357-1359.
[10]	谭桂玉, 万凌云, 张坤, 等. 钩藤的药理作用及临床应用研究进展[J]. 广西科学, 2024, 31(1): 1-8.
[11]	姚燕琴. 中药内服辨治肝火犯肺型小儿咳嗽临床研究[J]. 浙江中医杂志, 2019, 54(3): 171-172.
[12]	叶兴竹, 李晓丹, 程燕. 儿科临床钩藤应用经验[J]. 江西中医药, 2020, 51(8): 28-31.
[13]	魏家璇, 杨见辉, 冯忠发, 李蓉, 赵舜, 刘巧雅. 从“肺主皮毛”理论及“取象比类”方法论治小儿肺系疾病[J]. 中国中西医结合儿科学, 2025, 17(1): 75-78.
[14]	楚医峰, 马璨, 师燕飞, 等. 陈宪海应用钩藤治咳临证要点[J]. 中医药临床杂志, 2016, 28(2): 169-170.
[15]	郭思妤, 孙婉萍, 谢明. 荠菜性味的考证研究[J]. 湖南中医杂志, 2023, 39(11): 147-151.
[16]	郭思妤, 孙婉萍, 谢明. 荠的本草考证[J]. 中医药导报, 2024, 30(2): 181-187.
[17]	李锦. 麝香草和报春花根干浸膏固定组方对成人伴有咳嗽的急性支气管炎的有效性和耐受性[J]. 国外医药(植物药分册), 2008, 23(2): 85.
[18]	侯从岭, 芦晓帆, 雷小婷, 等. 异钩藤碱上调miR-192-5p对TNF-α诱导的人支气管上皮细胞凋亡和炎症因子释放的作用及其机制[J]. 吉林大学学报(医学版), 2021, 47(3): 595-607.
[19]	王国玉, 渠源, 陈亚飞, 等. 基于网络药理学和分子对接探讨钩藤-全蝎药对治疗支气管哮喘的作用机制[J]. 世界科学技术-中医药现代化, 2021, 23(1): 123-135.
[20]	张晓娟, 左冬冬, 于孙婉琪. 钩藤化学成分和药理作用研究进展[J]. 中医药信息, 2024, 41(2): 81-86.
[21]	刘宇, 李艳辉, 宁伟, 等. 荠菜挥发油的气相色谱-质谱分析[J]. 时珍国医国药, 2009, 20(5): 1050-1051.
[22]	苏力德, 代那音台, 乌恩奇, 等. 蒙药荠菜总黄酮的提取及其抗炎作用研究[J]. 内蒙古民族大学学报(自然科学版), 2016, 31(1): 64-67.
[23]	岳兴如, 阮耀, 赵烨, 等. 荠菜抗炎止血药理作用研究[J]. 时珍国医国药, 2007, 18(4): 871-872.
[24]	闫娟. 荠菜和桂竹香种子抗菌肽的纯化及其性质研究[D]. 福州: 福建农林大学, 2015.
[25]	康秀荣, 王秀兰, 萨础拉. 蒙药荠菜的研究进展[J]. 中国民族医药杂志, 2012, 18(6): 43-46.
[26]	于文静, 张雯, 崔霞, 等. 王素梅教授应用钩藤经验举隅[J]. 中医学报, 2015, 30(8): 1137-1139.
[27]	殷璐瑶,宋朝功,麻京豫,等.钩藤及其药对的研究进展[J/OL].中华中医药学刊,1-11[2025-10-09]..
[28]	蔡金, 华诏召, 张昌容, 等. 异钩藤碱对哮喘小鼠气道炎症的影响[J]. 中国药房, 2023, 34(22): 2740-2744.
[29]	陈朝, 李耀谦. 三拗汤加味治疗外感风寒咳嗽的临床疗效[J]. 中外女性健康研究, 2019(18): 64-65.
[30]	王昌华, 喻本霞, 周华蓉, 等. 藏医学药用报春花科植物药材品种与标准整理研究[J]. 中国中药杂志, 2016, 41(24): 4654-4662.
[31]	周鹏, 宋倍源. 新疆草地资源野生荠菜主要营养及药用价值[J]. 新疆畜牧业, 2016, 31(8): 60-61.

证型	配伍思路	代表方剂
风热咳嗽	钩藤+荠菜花+桑叶+薄荷	桑菊饮加减（增强宣肺止咳）
肝火犯肺咳嗽	钩藤+荠菜花+黄芩+黛蛤散	泻白散合黛蛤散加减（清肝降火止咳）
痉挛性咳嗽	钩藤+荠菜花+僵蚕+地龙	验方（缓解气道高反应性）
痰热咳嗽	钩藤+荠菜花+浙贝母+瓜蒌仁	清气化痰丸加减（清热化痰止咳）

Experience summary of Qianzimen Pediatrics for the treatment of children's cough by using Gouteng-Jicaihua in Yangzhou

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