Traditional Chinese Medicine Syndrome Differentiation and Treatment of Chronic Cough After Pulmonary Nodule Surgery
10.13288/j.11-2166/r.2025.15.006
- VernacularTitle:肺结节术后慢性咳嗽的中医证治
- Author:
Yun CUI
1
;
Menglei CHEN
1
;
Maorong FAN
1
;
Lili WU
1
Author Information
1. Xiyuan Hospital，China Academy of Chinese Medical Sciences，Beijing，100091
- Publication Type:Journal Article
- Keywords:
pulmonary nodule;
chronic cough;
traditional Chinese medicine therapy
- From:
Journal of Traditional Chinese Medicine
2025;66(15):1543-1547
- CountryChina
- Language:Chinese
-
Abstract:
Chronic cough is one of the common complications after pulmonary nodule surgery. Its etiology and pathogenesis are complex， and syndrome differentiation and treatment in traditional Chinese medicine （TCM） require comprehensive consideration of the distinct characteristics across the preoperative， intraoperative， and postoperative phases. Prior to surgery， there may be healthy qi depletion with lingering pathogens in the lungs； during surgery， metal instruments may injure the body， leading to qi and blood damage； after surgery， the depletion of healthy qi worsens， with dual deficiency of lung and spleen qi and yin as the root condition， often complicated by pathogens such as wind， phlegm， stagnation， and stasis. Treatment should follow the principle of comprehensively considering all three phases with a focus on the postoperative phase. Replenishing deficiency is the primary， particularly by tonifying qi and nourishing yin， as well as supplementing the lung and fortifying the spleen. For different accompanying syndromes， therapeutic methods such as dispelling wind， resolving phlegm， relieving stagnation， and unblocking stasis should be applied accordingly， while aggressive purgative herbs should be used with caution to avoid depletion of qi and blood injury.
