益气固表健脾润肺法治疗小儿外感后久咳的临床研究

【作者】 吴铭；

【导师】 郁晓维；

【作者基本信息】 南京中医药大学 ， 中医儿科学， 2005， 硕士

【摘要】 慢性咳嗽是儿科临床上的常见症状，其中以外感后久咳最为常见。本文通过文献整理，从古今两方面探讨了中医对久咳，特别是外感后久咳的病因病机、辨证分型、治疗方法的认识，并总结了现代医学对慢性咳嗽，特别是感染后咳嗽的流行病学、病因、病理机制、诊断及治疗的研究现状。在此研究的基础上，提出肺脾两虚、气阴两伤是小儿久咳的主要病机，治疗应以益气固表健脾润肺为主。在总结导师多年临床经验的基础上，我们以益气固表健脾润肺为大法，配伍了一组验方。通过临床研究，证明该组方剂治疗小儿外感后久咳具有较好疗效。进而说明益气固表健脾润肺法是治疗小儿外感后久咳的一种有效法则。更多还原

【Abstract】 For paediatrists, chronic cough is a very common complaint in clinic. And chronic cough after exogenous attack is most common. Based on the research of ancient and today’s , TCM and west medicine’s literatures about chronic cough , I write this paper and want to discuss the etiology pathogenesis differentiation of the common syndrome and therapeutic methods of this disease through TCM theory. In my paper , I also make a summary of current recognition of chronic cough especially chronic cough after infection. Including the new progress in epidemiology, etiology pathomechanism diagnosis and therapy research of this disease . On the bases of all these research, We think the main pathogenic mechanism of chronic cough in children is deficiency in lung and spleen plus impairment of Qi and Yin .So the main therapeutic principle is tonifying Qi and consolidating superficies, strengthening spleen and moistening lung accordingly. My supervisor, Professor Yu , has profuse clinical experience in treating chronic cough in children. On the light of the principle of tonifying Qi and consolidating superficies , strengthening spleen and moistening lung and the summary of my supervisor’s experience, we modify a formula. Through clinical verification , This formula and the principal both have proved to be effective in treating chronic cough after exogenous attack in children.更多还原