A case report of laryngeal cough caused by exogenous pathogenic wind
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1.The First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing 210023,China
2.Department of Otorhinolaryngology, Affiliated Hospital of Nanjing University of Chinese Medicine, 210023,China
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WU Yongjun, XUE Shanshan. A case report of laryngeal cough caused by exogenous pathogenic wind[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200420&Fpath=home&index=0
病史摘要,2,患者姚某(病例号1001214255),女,34岁。因“咽痒、咳嗽、无痰1年,加重1周 ”于2022年02月18日初诊。患者1年前外感后出现咽痒咳嗽反复,经治疗后症状好转,每于接触辛辣、冷风等异气刺激后加重。四诊信息 神志清,精神可,面色淡白,语声稍有沙哑,回答流畅,对答切题,咽喉瘙痒,时有咳嗽,遇冷风、油烟等刺激加重,伴咽部痰附感,痰黏难咳,量少,色白质黏,胸闷心慌不显,进食吞咽无障碍,纳食少,夜寐安,小便调,大便稍干结,舌淡红,苔薄白,脉弦细。查体:咽峡慢性充血,咽后壁见淋巴滤泡增生,双侧扁桃体一度,表面无充血、脓点,间喉下:会厌阴性,舌根淋巴滤泡增生,声带未窥。两肺呼吸音粗,未闻啰音,心律齐。中医诊断 喉咳(风邪犯肺证)中医治法 祛风止痒、敛肺止咳西医诊断 慢性咽炎;慢性咳嗽干预措施 方剂予自拟祛风止咳方加减,配合穴位敷贴。疗效转归 咽痒咳嗽好转明显
Summary of case history, Patient Yao X (case No.1001214255), a 34-year-old woman. She came to see doctor due to sore throat, cough with no phlegm for 1 year,worsening for 1 week on February 18, 2022. One year ago, she had recurrent itching and cough after exogenous pathogen invasion. After treatment, the symptoms improved and each time she contacted with different qi stimuli such as spicy and cold wind, the symptoms worsened.,Symptoms and signs consciousness, pale complexion, slightly hoarse voice, fluent answers, to the point, itchy throat, cough from time to time, aggravated by cold wind, oil smoke and other stimuli, accompanied by a feeling of attachment of phlegm in the throat, sticky phlegm, small amount,white color, chest tightness, palpitation, no difficulty in eating and swallowing, little appetite, sleeping well at night, moderate urination, slightly dry stool and light tongue. Physical examination: chronic congestion in pharyngeal gorge, hyperplasia of lymphatic follicles in posterior pharyngeal wall, degree of bilateral tonsils, no congestion or pus on the surface, negative epiglottis, hyperplasia of lymphatic follicles at the base of tongue, and no peep of vocal cords. Breathing sounds in both lungs are thick, no rales are heard, and the heart rhythm is even.,TCM disease and syndrome, Laryngeal cough (syndrome of wind pathogen invading lung),TCM treatment, Dispel wind and relieving itch, astringing lung and relieving cough,Western medicine diagnosis, chronic pharyngitis;chronic cough,Therapeutic methods ,The prescriptions were modified from the self-made Qufeng Zhike Decoction, which was combined with acupoint application,Clinical outcomes ,Sore throat and cough obviously improved
喉咳祛风止咳方风邪内伏
Laryngeal coughQufeng Zhike FormulaInsidious wind pathogen
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