基层中医药

妊娠咳嗽是常见的妊娠合并症，长期咳嗽不仅将影响胎儿的生长发育，甚至会造成预后不良。贵州省名中医刘良丽教授在呼吸系统疾病临床、教学、科研工作中造诣颇深，对于妊娠咳嗽的诊治具有丰富经验。刘良丽教授常运用“阳常有余，阴常不足”理论论治妊娠咳嗽，认为妊娠期妇女血聚胞宫以养胎元，虚热内生，加之外邪侵袭，是妊娠咳嗽的发病之因。基本病机为“阴虚、肺燥、邪扰”，本病属本虚标实之证，治疗常运用轻灵宣透、甘润养阴、预培其损三法，以平调阴阳、祛邪安胎，疗效显著。本文分享刘良丽教授治疗妊娠咳嗽经验，以期为临床提供参考。

Cough is a common complication of pregnancy. Long-term cough will affect the growth and development of the fetus, even leading to poor prognosis. Professor Liu Liangli, a famous TCM doctor in Guizhou Province, has great achievements in clinical, teaching, and scientific research of respiratory diseases, accumulating rich experience in the clinical diagnosis and treatment of cough during pregnancy. Professor Liu often adopts the theory of "yang often being excessive and yin often being insufficient" to treat cough during pregnancy. Professor Liu believes that cough during pregnancy is caused by generation of deficiency and heat upon the accumulation of blood in the uterus to nourish the fetus combined with the invasion of external pathogens. The basic pathogenesis of this disease involves yin deficiency, lung dryness, and pathogen disturbance. Since the disease presents root deficiency and branch excess. The treatment often uses the three methods of dispersing and ventilating, moistening and nourishing yin, and pre-consolidation before damage, which can balance yin and yang, remove pathogens, and calm the fetus, demonstrating significant effect. This paper summarizes Professor Liu's experience in treating cough during pregnancy, aiming to provide reference for clinical practice.