张振宇主任医师辨治咳嗽晕厥综合征经验

Experience of Chief Physician Zhang Zhenyu in treating cough syncope syndrome by differention

咳嗽晕厥综合征(Cough Syncope Syndrome,CSS)是指剧烈咳嗽情况下所导致的一过性意识丧失,短时间内能自行恢复的临床综合征,但易因摔倒而受伤。张振宇主任医师认为本病属中医“咳嗽”“厥证”范畴,邪实正虚、痰瘀互结、阴阳之气不相顺接,发而为厥是咳嗽晕厥综合征的基本病机。临证治疗以清肺益气,豁痰化瘀取得满意效果。现文中选取案例一则,显示有较好的疗效。

Cough syncope syndrome is a clinical syndrome that can recover spontaneously in a short time due to transient loss of consciousness caused by severe cough,and is easily injured by falling.Chief physician Zhang Zhenyu believed that the disease belonged to the category of cough and syncope in TCM.The basic pathogenesis of cough syncope syndrome were Xieshi Zhengxu(邪实正虚),Tanyu Hujie(痰瘀互结)and inconsistency of Yinyang Zhi Qi(阴阳之气).The clinical treatment therapy of Qingfei Yiqi(清肺益气)and Huotan Huayu(豁痰化瘀)has achieved satisfactory results.Now,a case was reported,with good efficacy.