主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

JOURNAL OF BEIJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE ›› 2020, Vol. 43 ›› Issue (6): 482-486.doi: 10.3969/j.issn.1006-2157.2020.06.007

• Theoretical Studies • Previous Articles     Next Articles

Review of pattern and treatment of “cold cough”*

Miao Qing1, Fan Yiling1, Ma Chong2, Cao Qing2, Wang Ning1   

  1. 1 Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China;
    2 Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2019-11-20 Published:2020-07-06
  • Contact: Prof. Miao Qing, M.D., Chief Physician, Doctoral Supervisor. Xiyuan Hospital, China Academy of Chinese Medical Sciences. No.1 Xiyuan Caochang, Zhongzhilu Road, Haidian District, Beijing 100091. E-mail: miaoqing55@sina.com
  • Supported by:
    National Natural Science Foundation of China (No. 81673962), Beijing Natural Science Foundation (No. 7172189), Capital Characteristic Applied Clinical Research Project (No. Z171100001017107)

Abstract: As a commonly encountered clinical symptom, cough may easily develop into chronic cough if treated in an inappropriate way. Pathogenic cold is one of the important causes of cough as is well summarized in the quote “the invasion of cold into the body and drinking cold water impair the lung” from Nanjing (The Classic of Difficult Issues). Descriptions of the pattern and treatment of “cold cough” have been scattered in classics of traditional Chinese medicine and records of clinical practice, but a systematic review is lacking. Therefore, we put forward the following ideas and framework of treating cold cough from the perspective of triple energizer and zang-fu organs. (1)When cold pathogen attacks the lung, Zhisou San (Cough-Stopping Powder), Jinfeicao San (Inula Powder), Mahuang Tang (Ephedra Decoction) and relevant modified formulas should be used according to the severity of the cold pathogen. As for cough caused by cold with fluid retention, Xiaoqinglong Tang (Minor Green Dragon Decoction) and Linggui Zhugan Tang (Poria, Cinnamon Twig, Atractylodes Macrocephala and Licorice Decoction) are preferred. (2)If cold pathogen invades the spleen or stomach in the middle energizer, treatment should be tailored to the spleen, stomach and gallbladder respectively. For cough as a result of attack on the spleen from cold, Lizhong Tang (Center-Regulating Decoction) and similar formulas are suitable. For cough resulting from attack on the stomach by cold, Xiaobanxia Jia Fuling Tang (Minor Pinellia Decoction Plus Poria), Banxia Xiexin Tang (Pinellia Heart-Draining Decoction) and relevant modified formulas should be adopted. For cough with gallbladder heat and spleen cold, we could choose Chaihu Guizhi Ganjiang Tang (Bupleurum, Cinnamon Twig and Dried Ginger Decoction). (3)As for cough due to cold attack on the kidney in the lower energizer, it is key to warm the kidney and dissipate cold with effective formulas such as Erxian Tang (Two Immortals Decoction), Zhenwu Tang (True Warrior Decoction) and Jinshui Liujun Jian (Gold Water Six Gentlemen Decoction). In conclusion, when treating cold cough, we should choose formulas and medicinals based on careful pattern differentiation according to the severity and location of the disease and the affected zang-fu organs.

Key words: cold cough, triple energizer, zang-fu organs, pattern differentiation framework

CLC Number: 

  • R221.1