从“肺开窍于鼻”论宣通鼻窍法治疗鼻后滴流综合征致慢性咳嗽

On the Treatment of Chronic Cough Caused by Postnasal Drip Syndrome through the Method of Unblocking the Nasal Orifices, Based on the Theory That “the Lung Opens Orifices in the Nose”

摘要: 目的：梳理“肺开窍于鼻”的中医理论内涵，探讨宣通鼻窍法治疗鼻后滴流综合征所致慢性咳嗽的理论依据与临床价值，为该病中医论治提供新思路。方法：通过文献梳理、理论溯源、病机剖析、治法阐释，结合中医肺病诊疗思路，展开系统性理论探讨。结果：鼻后滴流综合征致慢性咳嗽核心病机为肺鼻同病、鼻窍壅塞、肺气上逆，“肺开窍于鼻”是肺鼻同治的核心理论支撑，宣通鼻窍法可疏利鼻窍、调畅肺气，从根源缓解慢性咳嗽。结论：基于“肺开窍于鼻”理论运用宣通鼻窍法，契合鼻后滴流相关性慢性咳嗽的病机特点，是中医药防治肺病相关性慢性咳嗽的有效思路，值得临床深化应用。

Abstract: Objective: To sort out the theoretical connotations of the traditional Chinese medicine (TCM) principle that “the lung opens orifices in the nose”, and to explore the theoretical basis and clinical value of the method of unblocking the nasal orifices in the treatment of chronic cough caused by postnasal drip syndrome, thereby providing new perspectives for TCM-based management of this condition. Methods: Through literature review, theoretical traceability, pathogenesis analysis, and treatment interpretation, combined with the traditional Chinese medicine pulmonary diagnosis and treatment ideas, a systematic theoretical discussion was conducted. Results: The core pathogenesis of chronic cough caused by postnasal drip syndrome is lung and nose disease, obstruction of nasal orifices, and lung-qi going up. The theory that “the lung opens orifices in the nose” serves as the key theoretical foundation for the concurrent treatment of the lung and the nose. The method of unblocking the nasal orifices can relieve nasal obstruction, regulate the flow of lung qi, and thereby alleviate chronic cough at its root. Conclusion: The application of the method of unblocking the nasal orifices, grounded in the theory that “the lung opens orifices in the nose”, aligns with the pathogenic characteristics of chronic cough associated with postnasal drip. It represents an effective approach in TCM for the prevention and treatment of chronic cough related to pulmonary conditions, and merits further clinical application and dissemination.