从“木叩钟鸣”探析变应性咳嗽的中医病机与治疗

Analyzing the TCM Pathogenesis and Treatment of Atopic Cough from the Perspective of “Wood Striking the Bell”

摘要: 本文以中医经典理论“肺体属金，譬若钟然，钟非叩不鸣”为指导，结合五行生克与脏腑相关学说，系统探讨变应性咳嗽(atopic cough, AC)的中医病因病机及治法。提出AC的核心病机在于“肝木叩击肺金”，即肝风内动、气道筋膜挛急所致的“肝咳”。并通过梳理肝肺的生理关联、病机转变及临床特点，探讨从肝论治AC的理论依据与临床意义，以期为中医治疗此类疾病提供新思路与方法。

Abstract: This study employs the classical TCM theory that “the lung belongs to metal, like a bell, which does not ring unless struck” as its guiding principle. By integrating the Five-Phase theory of generation and restriction and the doctrine of visceral manifestation, it systematically explores the TCM etiology, pathogenesis, and treatment methods of atopic cough (AC). It proposes that the core pathogenesis of AC lies in “liver wood striking lung metal”, i.e., a “liver-related cough” resulting from internal stirring of liver wind and spasticity of the airway fascia. Furthermore, by examining the physiological relationship between the liver and lung, the transformation of pathological mechanisms, and the clinical features, this paper discusses the theoretical basis and clinical significance of treating AC from the perspective of the liver. The aim is to provide new ideas and approaches for the TCM management of this condition.