基于国医大师洪广祥“气阳学说”辨治咳嗽变异型哮喘1例
A Case of Cough Variant Asthma Based on the Academic Thought of Chinese Medicine Master Hong Guangxiang's "Theory of qi and yang"
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1.江西中医药大学,南昌 330004
2.江西中医药大学附属医院呼吸与危重症医学科,南昌 330006
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许越淇, 刘良徛. 基于国医大师洪广祥“气阳学说”辨治咳嗽变异型哮喘1例[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406255&Fpath=home&index=0
Xu YQ, Liu LJ. A Case of Cough Variant Asthma Based on the Academic Thought of Chinese Medicine Master Hong Guangxiang's "Theory of qi and yang"[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406255&Fpath=home&index=0
许越淇, 刘良徛. 基于国医大师洪广祥“气阳学说”辨治咳嗽变异型哮喘1例[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406255&Fpath=home&index=0 DOI:
Xu YQ, Liu LJ. A Case of Cough Variant Asthma Based on the Academic Thought of Chinese Medicine Master Hong Guangxiang's "Theory of qi and yang"[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406255&Fpath=home&index=0 DOI:
病史摘要,2,患者于2020年12月2日初诊。咳嗽、鼻塞流涕1周。现病史:患者近1年来反复干咳,当地医院诊断为“咳嗽变异型哮喘”并收治住院,干咳症状经用糖皮质激素药物后缓解。1周前着凉后出现鼻塞、咳嗽,于当地医院治疗后鼻塞症状减轻,但仍咳嗽,期间使用糖皮质激素及苏黄止咳胶囊后症状不减。患者平素怕冷易于感冒,易自汗,尤以气温变化或遇刺激性气味时干咳极易诱发或加重,当气温升高时症状可减轻。患者有过敏性鼻炎病史。四诊信息 咳嗽,夜间加重,闻及刺激气味咳甚,平卧则咳,咽痒无咽痛,咽中痰滞感,咳白黏痰,痰量多,易咯出,无鼻塞流涕,胸闷无气喘,纳可,寐差,二便平,舌淡苔薄白,脉细滑。中医诊断 慢性咳嗽 寒邪客肺证。西医诊断 咳嗽变异型哮喘。干预措施 以中药内服为主(先治标之寒邪客肺,再治本之气阳虚弱)。疗效转归 治疗共6周,诉咳嗽、怯寒、汗出症状消失,体质状况有明显改善。
Summary of case history, The patient was first diagnosed on December 2, 2020. Cough, stuffy nose and runny nose for 1 week. Patients with hpi: nearly 1 year repeatedly cough, by a hospital diagnosed as "cough variant asthma" and accept the hospitalization, Symptoms of dry cough improvedafter using glucocorticoid drugs, A week ago, she developed nasal congestion and cough after catching a cold.The symptoms of nasal congestion were relieved but still coughafter treatment at a local hospital.Glucocorticoids and Suhuang Zhike capsulewere administered during treatment, but symptoms persisted.Patient usually afraid of cold easy to catch a cold, easy to sweat, especially when the temperature changes or in the case of punant odor, dry cough is easy to induce or aggravated, when the temperature increases the symptoms can be alleviated. The patient had a history of allergic rhinitis.,TCM diagnosis, Chronic cough,cold pathogens and lung syndrome,Western medicine diagnosis, Cough variant asthma,Therapeutic methods, At the early stage, take Chinese medicine to Wenfei decoction, and at the late stage, take YiqiWenyang Huwei Decoction.,Clinical outcomes, After 6 weeks of treatment, the symptoms of cough, cold shyness and sweating disappeared, and the physical condition was significantly improved.
咳嗽变异型哮喘气阳学说温肺煎益气温阳护卫汤国医大师洪广祥
Cough variant asthmatheoryofqiandyangWenfei DecoctionYiqiWenyang Huwei DecoctionChinese Medicine Master Hong Guangxiang
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