朱佳辨治上气道咳嗽综合征经验

刘敏; 朱佳

doi:10.16294/j.cnki.1007-659x.2019.04.018

意见反馈

您当前的位置：

首页 >

文章列表页 >

朱佳辨治上气道咳嗽综合征经验

中国中医药临床案例成果库

上一篇: 国医大师夏桂成辨治不孕症学术经验

下一篇: 顽固性面瘫案

朱佳辨治上气道咳嗽综合征经验
ZHU Jia's Experience in Differentiation and Treatment of Upper Airway Cough Syndrome
1.南京中医药大学附属医院，南京210029
DOI：10.16294/j.cnki.1007-659x.2019.04.018

扫描看全文

刘敏, 朱佳. 朱佳辨治上气道咳嗽综合征经验[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.04.018

LIU Min, ZHU Jia. ZHU Jia's Experience in Differentiation and Treatment of Upper Airway Cough Syndrome[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.04.018
刘敏, 朱佳. 朱佳辨治上气道咳嗽综合征经验[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.04.018 DOI：

LIU Min, ZHU Jia. ZHU Jia's Experience in Differentiation and Treatment of Upper Airway Cough Syndrome[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.04.018 DOI：

摘要

朱佳认为上气道咳嗽综合征（UACS）病因不仅包括鼻炎、咽喉疾病，还与胃食管反流性咳嗽（GERC）有一定关联。中医治疗当以辨病与辨证相结合，变应性鼻炎（AR）导致的UACS以祛风抗敏、益气固表为纲；慢性鼻-鼻窦炎（CRS）所致UACS应以清胆泻热通窍、宣肺止咳为首要治则；咽喉部疾患为病因者以理气化痰利咽为大法；GERC所致者则主以降逆止咳。不离乎肺，不止于肺，兼顾鼻咽症状。

Abstract

ZHU Jia believes that the etiology of upper airway cough syndrome (UACS) not only includes rhinitis and throat diseases, but also correlates with gastroesophageal reflux-related cough (GERC) . The treatment of traditional Chinese medicine should be combined with disease differentiation and syndrome differentiation. The treatment of UACS caused by allergic rhinitis (AR) is based on expelling wind and resisting allergy, boosting qi to consolidate the exterior. UACS caused by chronic rhinosinusitis (CRS) should be treated by clearing gallbladder, purging heat, unblocking the orifices, diffusing the lung and relieving cough. For the patients with throat diseases, regulating qi, resolving phlegm and relieving sore-throat are the main methods. The main method of UACS caused by GERC is to direct counterflow downward and relieve cough. In the treatment, attention should be paid to the lung but not limited in the lung. At the same time, nasopharyngeal symptoms should be taken into account.

关键词

上气道咳嗽综合征祛风抗敏益气固表清胆泻热通窍理气化痰利咽降逆止咳朱佳经验总结

Keywords

upper airway cough syndromeexpelling wind and resisting allergyboosting qi to consolidate the exteriorclearing gallbladder purging heat and unblocking the orificesregulating qi resolving phlegm and relieving sore-throatdirecting counterflow downward and relieving coughZHU Jiaexperience summary

references

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(2015)[J].中华结核和呼吸杂志, 2016, 39(5): 323-354.

PRATTER M R. Chronic upper airway cough syndrome secondary to rhinosinus diseases (previously referred to as postnasal drip syndrome): ACCP evidence-based clinical practice guidelines[J]. Chest, 2006, 129 (1 Suppl): 63S-71S.

中华医学会呼吸病学分会哮喘学组.上-下气道慢性炎症性疾病联合诊疗与管理专家共识[J].中华医学杂志, 2017, 97(26): 2001-2022.

NIIMI A. Structural changes in the airways: cause or effect of chronic cough[J]. Pulm Pharmacol Ther, 2011, 24(3): 328-333.

季俊峰, 许莉, 张勇, 等.气道神经源性炎症在上气道咳嗽综合征中的作用[J].实用医学杂志, 2015, 31(9): 1449-1451.

张巧, 马千里, 黄赞胜, 等.上气道咳嗽综合征病因的初步研究[J].中国呼吸与危重监护杂志, 2010, 9(5): 458-461.

王化龙, 李振虎, 徐砚通.中药治疗过敏性疾病的药理作用研究进展[J].中草药, 2015, 46(10): 1542-1555.

华晓东, 尹春晖.抗过敏中药及其作用机制研究进展[J].天津药学, 2009, 21(6): 69-72.

邓德厚, 沈小珩.祛风中药治疗过敏性疾病实验研究进展[J].中国中医药信息杂志, 2007, 14(8): 92-94.

梁云燕.参苓白术散加减方对Ⅱ型鼻窦炎术后促进黏膜上皮化疗效观察[J].新中医, 2012, 44(12): 75-76.

宋小莉, 牛欣.半夏、生姜、甘草三泻心汤君药探讨[J].中国实验方剂学杂志, 2007, 13(9): 66-68.

刘春丽, 赖克方, 陈如冲, 等.胃食管反流性咳嗽患者气道黏膜与分泌物中神经肽含量的变化[J].中华结核和呼吸杂志, 2005, 28(8): 520-524.

贾锐馨, 李国永, 席洪涛, 等.大剂量旋覆代赭汤治疗脾胃虚弱型糖尿病胃轻瘫临床观察[J].辽宁中医药大学学报, 2012, 14(9): 114-115.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

仝小林院士治疗糖尿病肾脏疾病大量白蛋白尿期验案1例

王松龄治疗多巴反应性肌张力障碍的思路与经验

郭维琴治疗慢性心力衰竭经验新思路

李鲤治疗颤证经验总结

李翔治疗药物性角膜炎经验撷英