慢性咳嗽中医药诊治进展

Diagnosis and Treatment of Chronic Cough Medicine

慢性咳嗽病程长,病机复杂,与外邪侵袭和脏腑功能失调关系密切。中医诊治系统的理论和丰富的临床经验。咳嗽变异性哮喘(CVA)、上气道咳嗽综合征(UACS)、嗜酸粒细胞性支气管炎(EB)、胃食管反流性咳嗽(GERC)4种咳嗽多以五脏为纲进行分型论治,或在辨证基础上拟一基本方加减治疗。结合西医不同病因辨证与辨病相结合,疗效较好,值得推广。因病机复杂、病程长,临床治疗难度大,临症不应固守成方或套用几种分型,当以中医基础理论为核心辨证论治结合,才能达到治疗目的。

Chronic cough is a common respiratory disease, we integrated the domestic literature on the etiology and pathogenesis of chronic cough and treatment profiles summarize the clinical level to improve the diagnosis and treatment of chronic cough to provide evidence. The cause of longer duration, so the pathogenesis is complex, with the evils of the invasion and dysfunctional organs close. There are theories of traditional Chinese medicine diagnosis and treatment of chronic cough and rich clinical experience systems, because cough phenotype, its complex syndromes, therefore, need diagnosis and treatment of the disease, we cough variant asthma （ CVA ）, upper airway cough syndrome （ UACS ）, eosinophilic bronchitis （ EB ）, gastroesophageal reflux cough （ GERC ） 4 kind of cough are discussed, mostly internal organs for the program currently conducted type of treatment, or on the basis of dialectical proposed a basic side treating. Combined on the basis of diagnosis and treatment of different causes of Western medicine dialectical combination of treatment with disease, good effect, is worth promoting. But due to the complexity of the pathogenesis of chronic cough, longer duration, clinical treatment is difficult, therefore, when clinical disease should stick to prescription or apply some type of, when the basic theory of traditional Chinese medicine syndrome differentiation combined with the core in order to achieve therapeutic purposes.