中医药治疗慢性咳嗽的研究进展

Research Progress of TCM in Treating Chronic Cough

慢性咳嗽是临床常见疾病,越来越受到广大医生的关注。中医学认为,五脏六腑皆令人咳,非独肺也,慢性咳嗽属本虚标实之证,发作可因外邪犯肺,内邪干肺,内外合邪。中医药通过内治法,外治法及内外合治疗法能不同程度缓解症状,降低复发率,减少不良反应。但目前相关临床研究存在缺乏高质量的循证医学研究,深层次的中药药理学研究,不良反应报告少见,忽略舒适护理、环境护理、心理护理对迁延不愈的慢性咳嗽的影响等问题。本文通过对近年来中医药治疗慢性咳嗽的研究现状进行综述,旨在为临床诊疗提供更为广阔的思路。

Chronic cough is a common disease in clinic,which has been paid more and more attention to by doctors.According to TCM,the other five zang-organs and six fu-organs make people cough besides Lung.Chronic cough belongs to the syndrome of deficiency of root and excess of manifestation.The attack can be caused by both external evil and internal evil invading Lung,or internal and external combined evil.TCM can relieve symptoms,reduce recurrence rate and adverse reactions in varying degrees through internal treatment,external treatment and combined internal and external treatment.But at present,there are some problems in the related clinical researches,such as lack of high-quality evidence-based medicine researches,deep TCM pharmacological researches and adverse reaction reports.The researches ignore the influence of comfort nursing,environmental nursing and psychological nursing on chronic cough.This study reviewed the research status of TCM in the treatment of chronic cough in recent years,aiming to provide broader ideas for clinical diagnosis and treatment of the disease.