Cough is one of the common clinical diseases of the respiratory system. In Chinese medicine, cough is both an independent disease and a symptom of other diseases. The lungs breathe mainly, and the Lord announces that he will be sent down. Cough can be caused not only by the disease of the lung itself, but also by the external evil offending the lung, or the visceral dysfunction, internal evil dry lung, and lung gas. "Su Wen·Ku Lun Pian" said: "Five internal organs and six internal organs are coughing, not just the lungs." This shows that although the occurrence of cough is mainly related to the lungs, it is closely related to the normal function of the five internal organs and six internal organs. If the cause of vaginal organ examination is unknown in the clinic, seeing cough to stop cough and seeing phlegm to treat phlegm is not enough. The author now gives a superficial understanding of the etiology and pathogenesis of all the internal organs that make people cough, and the significance of clinical guidance.

　　1 The etiology and pathogenesis of viscera and viscera are coughing

　　1.1 The main lung cough

　　The lungs are covered with fur, wind, cold, summer, wet, Dryness, fire, six evil spirits are prone to attack the lungs and damage the lung system, causing the lungs to lose their senses, and the lungs are coughed up; and the lungs are canopies, the lungs are delicate, and they are not resistant to cold and heat; , The lungs dominate the qi and breathe. If the turbid gas or other organs are unbalanced and the disease is superior to the lungs, a cough occurs.

　　1.2 The five visceral diseases are passed on to the lungs

　　Physically, the heart is the main blood, the lung is the main qi; the heart is the fire, the lung is the gold, the qi and blood are interdependent, and each other Use, the lungs towards the hundred veins, the sect qi runs through the heart and breathes. In pathology, the heart is too hot and the gram is too much, the lungs are clear, and cough, upset and insomnia can occur. The fire can be calmed and calmed, and the heart can be added or subtracted; if the heart is not strong enough, the heart and yang are weak, unable to promote blood circulation , And blood flow abnormalities caused by heart stasis, etc., will also affect the lung''s provocative and depressive dysfunction, such as cough, palpitations, shortness of breath, blue and purple lips, etc., the cardiopulmonary should be supplemented by treatment, Baoyuan decoction can be added; if Heart and blood stasis symptoms are the main symptoms, can be peach kernel saffron decoction. From the perspective of modern medicine, the relationship between the heart and the lungs is very close, and heart disease can often cause coughing, such as heart failure, lung stasis, coughing, and difficulty breathing.

　　The liver is the main source of drainage, the lung is the main source of relief, and the main treatment section is. The meridian of the liver enters the diaphragm and distributes the ribs. It is injected into the lungs. If the liver qi is stagnant, the excretion is abnormal, the fire will be irritated, the liver fire will infringe the lungs, and blocking the lung gas can cause coughing. In addition, the rise and fall of the spleen and stomach depends on the elimination of liver qi, liver qi stagnation and dereliction of duty, the cardinal is unfavorable, Muke spleen soil, spleen loss of health, water and wet can''t do it, and it turns into sputum, which affects the air decay, lung He coughed up. This is called liver cough. As clinically seen: pleural effusion and cough embolism during cirrhosis decompensation.

　　The spleen and stomach are at the center of focus, which is the pivot of the Qi machine. The spleen is mainly transported, transporting subtle water valleys, and transporting water to wet. Spleen loss of health, water does not change, wet wet sputum, stains on the lungs, dampness of the lungs, obstruction of the airway, lung loss clear, visible cough, asthma, phlegm, which is evidenced by the lungs The spleen is also known as "the spleen is the source of phlegm production, and the lung is the container for phlegm storage". The spleen and stomach are the foundation of the acquired day. For example, acquired deficiencies, high age and body failure, weak spleen and stomach, malnutrition, hypoproteinemia, pleural effusion, and cough embolism.

　　The kidney is connected with the meridian of the lung, which is closely related. The kidney is the basis of qi, the lung is the main source of qi, and the two functions are coordinated to breathe normally. If the kidney is diseased and the kidney qi is not solid, it can affect the lungs and cause coughing. At the same time, the main kidney water, if kidney yang is weak, kidney qi will not change, resulting in impaired function of kidney main water. This can be described as a kidney cough. Clinically visible: pleural effusion and cough embolism during uremia.

　　1.3 The cough of the five internal organs is passed on the six organs

The cough of the five internal organs can involve the corresponding six organs for a long time, and on the contrary, the six organs can be affected by the evil to its own dysfunction and can also affect the five internal organs, causing lung loss Xuansu, cough on his lungs. "Su Wen·Ku Lun" said: "If the spleen coughs, the stomach suffers, the stomach coughs, coughs and vomits, and the vomit grows out. The liver coughs endlessly, the gall bladders, the cough coughs, vomits bile . Endless cough, the large intestine suffers, large intestine cough-like, cough and leave the heart. Endless cough, the small intestine suffers, small-intestine cough-like, cough and gas, both qi and cough lose. Endless cough, the bladder suffers In fact, the bladder is cough-like and coughing and drowning." Clinical examination still has certain guiding significance. If the lung and the large intestine are opposite to each other, the lung is the inside, and the large intestine is the surface. It is difficult to see results, and the method of diarrhea can be used to cure it with Liangge San. To sum up, although the "Internal Classic" is divided into five internal organs cough and six internal organs cough, the occurrence of various coughs is caused by diseases of the lung system. Regardless of whether the external organs or internal organs cause illness, they must be involved in the lungs before coughing can occur. As the "Internal Classic" cloud says: "The five internal organs and the six internal organs are all coughing, not just the lungs." Although the lungs are the main, all the qi against the lungs are coughing. It is not only the lungs, but also the lungs.

　　2 Differential treatment of cough

　　According to the viscera physiological connection and pathological changes, the lung disease itself causes cough, or his organs involve the lungs and cough. In treatment, the cause, Pathological changes are treated by syndrome differentiation. Cheng Guopeng''s "Mind of Medicine" pointed out: "The lungs are gold, for example, Zhong Ran, Zhong Fei knocks. The wind, cold, heat and dryness, the six evils, the evil from the outside, the sound of labor, passion, diet. Fire, also from the internal attack." Therefore, the cough is divided into external feelings and internal injuries. Exogenous cough is generally caused by lungs of foreign evils, which can be divided into wind chill, wind heat and wind dryness. Wind-cold cough, it is advisable to clear the wind and disperse cold, Xuanfei cough, Yisanao decoction, Zhishusan addition and subtraction treatment. Wind-heat cough, it is appropriate to clear the wind and clear the heat, eliminate lungs and phlegm, and add or remove Yisangju drink. Wind-drying cough, it is appropriate to clear the wind and clear heat, moisten dryness and cough, Yisang Xing Tang addition and subtraction treatment. Internal cough, heart disease and lung, clear heart and fire, should be scutellaria, Ophiopogon japonicus, asparagus, habitat, and the like, spleen deficiency and lung, should cultivate earth and gold, tonic spleen and lung, should like Liujunzi decoction, so that its gold water intersect. Liver fire guilty of lung, wood fire punishment, should be cleared of fire and lungs, Yidai clam powder and Xiebai powder and the like. Kidney deficiency and lung, should nourish the kidney and nourish the lung, should be Jinshuibao capsules, Liuweidihuang pills, Heshengmaiyin and the like. "Confucian affair" Jing Yun: "The essence of the five internal organs are all hidden in the kidney, and the Shaoyin kidney vein runs through the liver diaphragm and enters the lungs to follow the throat and tongue, so the deficiency of lung gold is more than that of kidney water. The child is ordered to be empty. Therefore, for the treatment of cough due to strain, it should be mainly based on strong water and nourishing yin, and the lungs are full of qi, and the cough can gradually heal. Yiyin Jian, Zuo Guiyin, ... Liuwei Dihuang Wanzhi The choice is based on the type." No matter from ancient to modern Chinese medicine, in practice, we have realized that the principle of "all internal organs are coughing, not only the lungs", and the treatment is based on the nature of the disease and the cause of differentiation. However, we should not stick to one side, and we should carefully identify the treatment with evidence to achieve good results.