ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (4): 301-.

• 综述 • 上一篇    下一篇

中医辨治小儿上气道咳嗽综合征研究进展

上气道咳嗽综合征曾描述为“鼻后滴漏”，是引起1岁及以上儿童慢性湿性咳嗽的主要原因。中医辨治本病具有疗效快、副作用少、复发率低及增强免疫等特色已被广泛认可。通过检索和分析中医药治疗上气道咳嗽综合征的有关文献，总结概括本病病因是风、痰、虚、瘀，核心病机为“肺脾气虚、风痰留恋、痰瘀互结、肺鼻咽喉不利”，主张结合西医诊断和中医辨体论治、辨证论治及经方辨证的“新型辨病与辨证论治”，治以疏风宣肺解表、健脾化痰祛瘀为主线，随症兼以清热、养阴、润燥及消导等，同时重视联合中药外敷、小儿推拿、隔物灸等中医外治法治疗。   

  1. 475003 河南 开封，开封市儿童医院中医科(袁检仔，张莉)；450000 郑州，河南中医药大学第一附属医院儿五科(袁业红，马淑霞)
  • 出版日期:2021-08-25 上线日期:2021-12-10
  • 通讯作者: 马淑霞，E-mail：zyryjz@126.com
  • 作者简介:袁检仔（1990-），男，医师。研究方向：中西医结合治疗小儿呼吸、感染相关疾病
  • 基金资助:
    河南省首批青苗人才培养项目（豫中医科教(2018)16号）；河南省中医药科学研究专项课题(2014ZY02051)

Advances in research on the treatment for upper airway cough syndrome based on TCM syndrome differentiation

Upper airway cough syndrome(UACS) used to be described as "postnasal drip syndrome", which is the main cause of chronic wet cough in children at 1 year old and above. The treatment based on syndrome differentiation for this disease bytraditional Chinese medicine has the characteristics of quick efficacy, few side effects, low recurrence rate andenhanced immunity and has been widely recognized. It is summarized that the cause of the disease is wind,phlegm, deficiency and stasis, and the core pathogenesis is "the deficiency of lung and spleen qi, retention of wind and phlegm, binding of phlegm and stasis, and discomfort in lung, noseand throat". It is suggested that the diagnosis by western medicine should be combined with TCM syndrome differentiation and constitution differentiation, and the treatment should be to disperse wind and relieve the lung and fever, strengthen the spleen and reduce phlegm and stasis, which is the main treatment principle, and the symptomatic treatment, such as clearing fever, nourishing yin, moistening dryness and promoting digestion, can also be used. Meanwhile, pay attention to some TCM exterior therapies, including external application of Chinese medicines, massage for children and indirect moxibustion.   

  1. Children's Hospital of Kaifeng, Kaifeng 475003, China
  • Published:2021-08-25 Online:2021-12-10

PDF (PC)

58

摘要： 上气道咳嗽综合征曾描述为“鼻后滴漏”，是引起1岁及以上儿童慢性湿性咳嗽的主要原因。中医辨治本病具有疗效快、副作用少、复发率低及增强免疫等特色已被广泛认可。通过检索和分析中医药治疗上气道咳嗽综合征的有关文献，总结概括本病病因是风、痰、虚、瘀，核心病机为“肺脾气虚、风痰留恋、痰瘀互结、肺鼻咽喉不利”，主张结合西医诊断和中医辨体论治、辨证论治及经方辨证的“新型辨病与辨证论治”，治以疏风宣肺解表、健脾化痰祛瘀为主线，随症兼以清热、养阴、润燥及消导等，同时重视联合中药外敷、小儿推拿、隔物灸等中医外治法治疗。

关键词: 上气道咳嗽综合征, 慢性咳嗽, 中医药, 儿童

Abstract: Upper airway cough syndrome(UACS) used to be described as "postnasal drip syndrome", which is the main cause of chronic wet cough in children at 1 year old and above. The treatment based on syndrome differentiation for this disease bytraditional Chinese medicine has the characteristics of quick efficacy, few side effects, low recurrence rate andenhanced immunity and has been widely recognized. It is summarized that the cause of the disease is wind,phlegm, deficiency and stasis, and the core pathogenesis is "the deficiency of lung and spleen qi, retention of wind and phlegm, binding of phlegm and stasis, and discomfort in lung, noseand throat". It is suggested that the diagnosis by western medicine should be combined with TCM syndrome differentiation and constitution differentiation, and the treatment should be to disperse wind and relieve the lung and fever, strengthen the spleen and reduce phlegm and stasis, which is the main treatment principle, and the symptomatic treatment, such as clearing fever, nourishing yin, moistening dryness and promoting digestion, can also be used. Meanwhile, pay attention to some TCM exterior therapies, including external application of Chinese medicines, massage for children and indirect moxibustion.

Key words: Upper airway cough syndrome, Chronic cough, Traditional Chinese medicine, Children