张洪春教授中西医结合治疗咳嗽变异性哮喘1例
A Case of Cough Variant Asthma Treated by Professor ZHANG Hongchun
扫 描 看 全 文
1.北京中医药大学,北京100029
2.中日友好医院呼吸中心,中医肺病科,北京100029
扫 描 看 全 文
方晗语, 洪政, 张洪春. 张洪春教授中西医结合治疗咳嗽变异性哮喘1例[DB/OL].(2022-07-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28107354&Fpath=home&index=0
Hanyu FANG, Zheng HONG, Hongchun ZHANG. A Case of Cough Variant Asthma Treated by Professor ZHANG Hongchun[DB/OL].(2022-07-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28107354&Fpath=home&index=0
方晗语, 洪政, 张洪春. 张洪春教授中西医结合治疗咳嗽变异性哮喘1例[DB/OL].(2022-07-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28107354&Fpath=home&index=0 DOI:
Hanyu FANG, Zheng HONG, Hongchun ZHANG. A Case of Cough Variant Asthma Treated by Professor ZHANG Hongchun[DB/OL].(2022-07-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28107354&Fpath=home&index=0 DOI:
病史摘要,2,患者唐某,男,65岁,2021年10月24日因“咳嗽反复发作1年余,加重7 d”就诊。因患者西医规范化治疗效果不佳,为求进一步中西医诊治,遂就诊于中日友好医院中医肺病一部门诊。四诊信息 干咳,恶寒,连声作呛,夜间及凌晨发作加重,持续时间15~30 min,咽痒,痰不易咯出,痰色白;少神,面色苍白,鼻塞,口干,口唇发绀,未见喘息气促、憋闷等不适,睡眠不佳,睡眠时长3~4 h,胃纳可,二便调,舌淡红,苔白腻,舌底络脉迂曲,脉弦弱。中医诊断 咳嗽(风咳)、风盛挛急证。西医诊断 咳嗽变异性哮喘。干预措施 初诊因风邪引动,咳嗽症状加重,且西医常规治疗后效果不佳,以疏风祛邪为要,先予疏风止痉,佐以活血化瘀,清热祛痰之品;缓解期扶正与祛邪并举;同时配合西医常规方案,中西医结合诊治。疗效转归 患者症状得以改善,五次诊治后,夜间咳嗽未发作,睡眠佳;2022年1月6日复查呼出气一氧化氮(FeNO):51 ppb,较上次下降了77.53%;复查肺功能,诊断肺通气功能正常。
Summary of case history, Patient TANG, male, 65 years old, attended the clinic on October 24, 2021, with "recurrent cough attacks for more than 1 year, aggravated for 7 days". TANG sought further comprehensive treatment due to the poor results of standardized western medical treatment, so he consulted the Department of Traditional Chinese Medicine (TCM) for Pulmonary Diseases, Center of Respiratory Medicine, of China-Japan Friendship Hospital. Data obtained from TCM four diagnostic methods: aversion to cold, dry cough, choking, worsening at night and early morning, lasting 15-30 minutes, throat itching, especially pharyngeal discomfort, white phlegm that is not easy to expectorate, insufficient Spirit, aversion to cold, pale complexion, stuffy nose, xerostomia, cyanotic lips, no wheezing, shortness of breath, suffocation or other discomforts; poor sleep, only 3-4 hours of sleep, normal appetite, defecation, and urination, pink tongue with white and greasy coating and tortuous sublingual veins; wiry and weak pulse. ,TCM diagnosis, cough (wind cough) with extensive wind and spasm syndrome.,Diagnosis, cough variant asthma(CVA)., Treatment, At the initial diagnosis, the cough symptoms were aggravated by the wind and conventional western medical treatment didn't alleviate the cough effectively. So it was important to dispel the wind: firstly to relieve wind and spasm, and coordinate with Chinese medicine which can quicken the blood, clear heat and transform stasis. In this way, the symptoms can be restored, together with the conventional western medicine treatment, to strengthen body resistance and eliminate evil at the same time during the remission period helps to control the progress of CVA and reduce the recurrence of symptoms. ,Efficacy outcome: ,The patient slept well and had no coughing episodes at night, Fractional exhaled nitric oxide (FeNO) exhaled nitric oxide was re-examined on January 6, 2022: 51 ppb, a decrease of 77.53% from the previous time. Pulmonary function was diagnosed as normal on recheck.
咳嗽变异性哮喘咳嗽风咳中西医结合
cough variant asthmacoughwind coughintegrated traditional Chinese and Western medicine
Ding H, Xu X, Wen S, et al. Changing etiological frequency of chronic cough in a tertiary hospital in Shanghai, China[J]. J Thorac Dis, 2019, 11(8): 3482-3489.
Lai K, Chen R, Lin J, et al. A prospective, multicenter survey on causes of chronic cough in China[J]. Chest, 2013, 143(3): 613-620.
Cote A, Russell R J, Boulet L P, et al. Managing chronic cough due to asthma and NAEB in adults and adolescents: CHEST guideline and expert panel report[J]. Chest, 2020, 158(1): 68-96.
中华医学会呼吸病学分会哮喘学组. 咳嗽的诊断与治疗指南(2021)[J]. 中华结核和呼吸杂志, 2022, 45(1): 13-46.
梁瀚文,易芳,陈玥晗,等. 中国慢性咳嗽流行病学调查的现状与展望[J]. 中华结核和呼吸杂志, 2022, 45(1): 100-106.
晁恩祥. "风咳"证治探要[J]. 江苏中医药, 2008, 40(7): 8-9.
晁恩祥. 咳嗽变异型哮喘证治[J]. 世界中医药, 2006, 1(1): 37-40.
罗社文. 晁恩祥治疗咳嗽变异性哮喘经验[J]. 中医杂志, 2002(1): 74.
陈燕,张洪春,杨道文,等. 晁恩祥教授"从风论治"哮病的学术思想研究[J]. 中医药管理杂志, 2007(4): 281-282.
张洪春,晁恩祥. 疏风解痉法治疗过敏性支气管哮喘的临床研究[J]. 中国中医急症, 1998(2): 54-58.
Matsumoto H, Niimi A, Takemura M, et al. Prognosis of cough variant asthma: a retrospective analysis[J]. J Asthma, 2006, 43(2): 131-135.
赖克方,易芳,邱忠民,等. 中国慢性咳嗽研究进展与展望[J]. 中华结核和呼吸杂志, 2022, 45(1): 1-5.
张洪春,晁恩祥,孙蓉. 黄龙舒喘颗粒平喘机理的实验研究[J]. 中国医药学报, 2003(6): 346-348.
0
浏览量
29
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构