小儿咳喘案
Infantile Cough and Asthma Case
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鄭思嘉. 小儿咳喘案[DB/OL].(2023-09-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42279619&Fpath=home&index=0
CHENG Sijia. Infantile Cough and Asthma Case[DB/OL].(2023-09-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42279619&Fpath=home&index=0
病史摘要,2,1岁患儿于2020年9月初诊,彼时已咳喘月余,始则发热、咳嗽、气喘、痰鸣、夜间出汗,经某院儿科医生诊为喘息性支气管炎,以头孢曲松钠等药静脉滴注7天无效,迁延半月,仍咳喘不止。就诊时视其舌上苔薄黄,舌质红。拟麻杏石甘汤与葶苈大枣泻肺汤合用。复诊时诉服前方3剂后症即减,5剂而止。后因受凉而咳嗽,伴喷嚏,流清涕1周再次就诊,以金水六君煎合五柴胡饮,5剂而咳止。经随访,迄今未再发咳喘。中医诊断 肺炎喘嗽,痰热闭肺证西医诊断 小儿肺炎干预措施 中药:麻杏石甘汤合葶苈大枣泻肺汤;金水六君煎合五柴胡飲。疗效转归 良好。
Summary of case history, This 1-year-old child was initially diagnosed in September 2020 and had been coughing and wheezing for more than a month. Initially, he developed fever, coughing, wheezing, gurgling with sputum, and sweating at night. He was diagnosed as asthmatic bronchitis by a pediatrician at a certain hospital, and intravenous infusion of ceftriaxone sodium and other drugs was ineffective for 7 days. However, he continued coughing and wheezing for half a month. When seeking medical attention, the tongue coating should be thin and yellow, with a red tongue texture. Propose to use Maxing Shigantang in combination with Tingli Dazao Xiefeitang. During the follow-up visit, the symptoms decreased after taking the first three doses, and stopped after taking five doses. Later, he coughed due to catching a cold, accompanied by sneezing, and had a clear discharge for one week. He sought medical attention again and took 5 doses of Jinshui Liujunjian combined with Wuchaihu decoction to stop the cough. After follow-up, there has been no recurrence of cough and asthma so far.,TCM diagnosis, Pneumonia asthma; Phlegm-heat Obstructing the Lung Syndrome.,Western medicine diagnosis, Infantile pneumonia.,Therapeutic methods, Traditional Chinese Medicine. Maxing Shigantang in combination with Tingli Dazao Xiefeitang. Jinshui Liujunjian combined with Wuchaihu decoction.,Clinical outcomes, Good.
儿科肺炎咳喘痰热闭肺证
pediatricspneumoniaasthmaphlegm-heat obstructing the lung syndrome
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