<p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;">门诊上很多患者都说自己的痰很多，咳不出来，堵着难受。那么痰究竟是怎么来的，该如何化痰？</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;">中医经典《丹溪心法》也提到：<span style="font-size: 18px; font-weight: bold; color: rgb(0, 0, 0);">“痰之为物，随气升降，无处不到。”</span>意思是痰会跟着身体的气机到处跑，<span style="font-size: 18px; text-decoration-line: underline;">堵在肺里就咳嗽痰多，蒙在头上会头晕目眩，停在脾胃会让人没胃口……</span>所以祛痰可不止是“把肺里的痰咳出来”，得找到生痰的根儿，从源头解决才算治本。</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;">今天给大家分析一下常见的三种痰的原因，以及该如何调理。</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="color: rgb(255, 41, 65); font-weight: bold; font-size: 18px;">第一种：白稀痰，根源在肺</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;">不少人一受凉就咳嗽，痰是白色的，稀稀的像泡沫，量还多，这多是风寒伤了肺。</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;">《黄帝内经》说“形寒饮冷则伤肺”，意思是受凉或者吃了太多冷饮，肺气被寒邪困住，没法正常“宣发”（就像水管被堵住，水排不出去），身体里的津液就会<span style="font-size: 18px; font-weight: bold; color: rgb(0, 0, 0);">凝聚成痰。</span></span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px; color: rgb(0, 0, 0);">这时候调理得<span style="font-size: 18px; color: rgb(0, 0, 0);"><span style="font-size: 18px; font-weight: bold;">温肺散寒</span>。医圣张仲景的<span style="font-size: 18px; text-decoration-line: underline;">小青龙汤（现在有颗粒剂</span>）就很合适。古人用“青龙治水”来形容这个方子，就是因为它对付肺里的寒痰水饮特别管用。</span></span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px; color: rgb(0, 0, 0);">除了用药，可以拍拍肺经上的尺泽穴。每天没事拍几分钟，能</span><span style="font-size: 18px; color: rgb(0, 0, 0); text-decoration: underline;">疏通肺气，帮着驱散风寒，对白色稀痰效果尤其明显。</span></p><p style="margin: 15px 8px; line-height: 1.75em; font-size: 19px;"><span style="color: rgb(255, 41, 65); font-weight: bold; font-size: 18px;">第二种：黏痰难咳，根源在脾</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;">要是总觉得嗓子黏糊糊的，痰又稠又黏，大便也黏马桶冲不干净，还总莫名其妙水肿，问题可能出在脾。</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;">中医讲“脾为生痰之源”，脾就像身体里的“运输队”，脾虚了运输能力下降，水湿运不出去，就会聚成痰，往上跑到肺里，就成了黏痰。</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;">这时候得<span style="font-size: 18px; color: rgb(0, 0, 0);"><span style="font-size: 18px; font-weight: bold;">从脾入手</span>。明代医家张景岳说“治痰者，必当温脾强胃”，可以试试二陈丸和平胃丸搭配。<span style="font-size: 18px; text-decoration-line: underline;">二陈丸能化痰，平胃丸能帮脾胃恢复运化</span>，两者一起用，既能消掉已经形成的痰，又能切断生痰的源头。要是还觉得肚子胀、吃不下饭，单独用六君子丸也不错。</span></span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px; color: rgb(0, 0, 0);">粘痰多，按揉<span style="font-weight: bold; font-size: 18px; color: rgb(0, 0, 0);">丰隆穴，</span>位置在外膝眼到外踝尖连线的中点，向外两指宽的地方。每天按揉3-5分钟，既能化痰又能调脾，对付黏痰效果很好。</span></p><p style="margin: 15px 8px; line-height: 1.75em; font-size: 19px;"><span style="color: rgb(255, 41, 65); font-weight: bold; font-size: 18px;">第三种：老痰难除，根源在肾</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;">还有一种痰，<span style="font-size: 18px; color: rgb(0, 0, 0);"><span style="font-size: 18px; text-decoration-line: underline;">少而黏，像粘在喉咙深处，使劲咳也咳不出多少</span>，还常伴有腰酸腿软、手脚冰凉、夜里总起夜上厕所，这多是“老痰”“顽痰”，根子在肾阳不足。</span></span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px; color: rgb(0, 0, 0);">肾是管水液代谢的，肾阳就像身体里的小太阳，太阳不暖了，水液没法正常气化（就像锅里的水烧不开，蒸汽上不去，水也排不出去），就会积成痰。这种痰藏得深、时间长，不好除。</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px; color: rgb(0, 0, 0);">调理得温补肾阳、化气行水。<span style="font-size: 18px; color: rgb(0, 0, 0);"><span style="font-size: 18px; text-decoration-line: underline;">金匮肾气丸、桂附地黄丸</span>这类中成药就很合适。</span></span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px; color: rgb(0, 0, 0);">平时还可以按按太溪穴，每天按揉2-3分钟，能<span style="font-size: 18px; font-weight: bold; color: rgb(0, 0, 0);">激发肾里的阳气，增强水液代谢，对付顽固的老痰效果不错。</span></span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;"><strong style="box-sizing: border-box;"><span style="font-size: 18px; color: rgb(210, 38, 38); box-sizing: border-box;">其他：</span></strong></span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;"><strong style="box-sizing: border-box;"><span style="font-size: 18px; color: rgb(210, 38, 38); box-sizing: border-box;">肺热咳嗽、痰黄黏稠：</span></strong>清气化痰丸、鲜竹沥；</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;"><strong style="box-sizing: border-box;"><span style="font-size: 18px; color: rgb(210, 38, 38); box-sizing: border-box;">痰火重、大便干：</span></strong>礞石滚痰丸。</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><strong><span style="font-size: 18px;">关键是要辨证清楚，对证选药。</span></strong></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;">其实痰的问题，说到底是身体代谢出了偏差。找到根源调理，才能从根本上解决。大家有相关症状，也可以找专业的中医大夫，结合体质具体调理。</span></p><p style="margin: 15px 8px; line-height: 1.75em;"><a href="https://biaodan100.com/web/formview/686767d175a03c4e377c7ad4?ex=%25E4%25BA%25AC%25E5%259F%258E%25E5%25BE%25A1%25E6%2596%25B9%25E5%25A0%2582%25E5%25AE%2598%25E7%25BD%2591" target="_blank" style="text-decoration: underline; font-size: 18px; color: rgb(0, 0, 0);"><span style="font-size: 18px; color: rgb(0, 0, 0);"><span style="color: rgb(0, 0, 0); font-size: 18px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">如果</span><span style="font-size: 18px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgb(64, 118, 0); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 18px; color: rgb(0, 122, 170); box-sizing: border-box !important; overflow-wrap: break-word !important;">你有以下情况</span></strong></span><span style="color: rgb(0, 0, 0); font-size: 18px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="font-size: 18px; color: rgb(0, 122, 170);">，</span>可以戳我咨询问诊<span style="font-size: 18px; color: rgb(0, 122, 170); font-weight: bold;">马云孝主任</span>，帮您少走弯路，缓解疾病带来的烦恼。</span></span></a></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="letter-spacing: 0.578px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 18px; color: rgb(0, 122, 170); box-sizing: border-box !important; overflow-wrap: break-word !important;">1.舌象</span></strong><span style="font-size: 18px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">（舌苔中间有裂纹，胖大舌，有齿痕，舌黄苔腻）</span></span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="letter-spacing: 0.578px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 18px; color: rgb(0, 122, 170); box-sizing: border-box !important; overflow-wrap: break-word !important;">2.状态</span></strong><span style="font-size: 18px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">（气虚乏力，容易累，<span style="font-size: 18px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgb(0, 0, 0);"><span style="font-size: 18px; font-weight: bold;">气喘，</span>爱生病，<strong>免疫力差，失眠多梦，</strong>出虚汗，气血不足、心悸，月经不调<span style="font-size: 18px; font-weight: bold;">，痰多咳嗽</span>）</span></span></span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="letter-spacing: 0.578px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 18px; color: rgb(0, 122, 170); box-sizing: border-box !important; overflow-wrap: break-word !important;">3.脾胃病</span></strong><span style="font-size: 18px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">（脾胃虚弱，虚寒，湿热，<strong>腹泻，便秘，</strong>胃胀胃疼，<strong>消化不良，</strong>口干口苦，反酸，烧心，嗳气，胃气上逆，打嗝，肠鸣…）</span></span></p><p style="margin: 15px 8px; line-height: 1.75em;"><span style="font-size: 18px;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="letter-spacing: 0.578px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 18px; color: rgb(0, 122, 170); box-sizing: border-box !important; overflow-wrap: break-word !important;">4.胃病</span></strong><span style="font-size: 18px; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="font-size: 18px; color: rgb(0, 122, 170);">（</span><strong>胃食管反流，萎缩性胃炎，</strong>肠化生，<strong>肠易激综合征，</strong>胆汁反流，胃溃疡，胃下垂…）</span></span></p>