摘要
慢性咳嗽临床常见且病因复杂,极易被误诊误治。现代医学擅长解剖学病因分类,并在此基础上制定了指南,一定程度上提高了慢性咳嗽的诊疗水平。目前认为慢性咳嗽常见病因有：咳嗽变异型哮喘、上气道咳嗽综合征、嗜酸粒细胞性支气管炎、胃食管反流性咳嗽、感染后咳嗽等。中医中药治疗咳嗽有着悠久的历史与丰富的经验,传统中医重视辨证论治,其病机要素不外乎风、痰、火、虚4端。经方在慢性咳嗽中广泛运用,其治疗重点在于方证对应。该文通过从辨病因、辨病机、辨方证3个角度探讨慢性咳嗽的治疗思路与方法,并附医案3则,以供同道指正。
Chronic cough is a common clinical disease with complex etiology,which is easily misdiagnosed and mistreated. Chronic cough guideline has been developed based on the modern anatomical etiology classification,and it may improve the level of diagnosis and treatment. Common causes of chronic cough are as follows： cough variant asthma,upper airway cough syndrome,eosinophilic bronchitis,gastroesophageal reflux-related cough,post-infectious cough,etc. There is a long history and rich experience in treatment of cough in traditional Chinese medicine which is characterized by syndrome differentiation. The four elements of pathogenesis for chronic cough include wind,phlegm,fire,and deficiency. Classic formula is widely used in the treatment of chronic cough,and the focus is on prescriptions corresponding to syndromes. This article attempts to explore the thought and method of classic formulae in treatment of chronic cough based on three perspectives： differentiation of etiology,pathogenesis and formula-syndrome. Three medical cases are selected at last in order to prove its correction.
作者
苏克雷
张业清
SU Ke-lei;ZHANG Ye-qing(Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine,Nanjing 210028,China)
出处
《中国中药杂志》
CAS
CSCD
北大核心
2018年第12期2435-2441,共7页
China Journal of Chinese Materia Medica
基金
国家自然科学基金项目(81503573)
江苏省青年医学人才项目(QNRC2016632)
江苏省中医药局科技项目(YB2015037)
关键词
慢性咳嗽
经方
思路
方法
chronic cough
Chinese classic formula
thought
method
