1麻杏二陈汤煮散治疗小儿特禀质咳嗽的临床研究.pdfVIP

reatment of fourth days and seventh days of clinical symptoms and signs of change, and the index of health economics evaluation. Results: Two pieces of two Tang Group and cooked powder group on the intrinsic quality of children with cough syndromes have imp roved, before and after the treatment of TCM syndrome integral gro up oneself to compare two groups of special P0.05; intrinsic qualit y of children with cough before treatment and after treatment of C hinese medicine symptom integral P0.05, prompting the difference was not statistically significant; two group therapy dosage, cost, dec octing time comparison, p0.05, prompting the difference was statist ically significant. Conclusion: Both two pieces and boil Tang powder in the treatmen t of children cough intrinsic quality effectively, and two two Chen Tangzhu scattered pieces can save more than medicine, reduce cost, reduce the decocting time.. Key words ﹕Maxin Erchentang Decoction ﹔ Cough in children wit h allergic constitution ﹔Herbal powder ﹔ Herbs 3 引 言 特禀质[1]多类似于过敏体质，由于其特殊的体质特点及对外界刺 激的反应，特别是易为冷空气、异味的刺激、呼吸道病毒感染等而引 发咳嗽，特禀质小儿不仅具有小儿肺常不足，易感外邪的特点，同时 还具有对不良刺激过度敏感易引发伏痰的特征，故特禀质咳嗽可见于 西医学的咳嗽变异性哮喘(CVA )及既往有哮喘、过敏性鼻炎、湿疹、 荨麻疹等素体痰湿内蕴的病理基础小儿因外感引发的咳嗽。其常因遇 冷及过度活动后或感受外邪引发或诱发咳嗽，而其咳嗽不论外感或内 伤咳嗽均有夜间或清晨发作性阵咳的特点，故也常称为痰湿质咳嗽。 小儿特禀质咳嗽在儿科临床中占有较大比例，近年来发病有增多趋 势。 导师王力宁教授结合多年的临床实践经验，根据小儿咳嗽的中医 辨病辩证特点及特禀质小儿的生理、病理特点，总结出治疗小儿特禀 质咳嗽的有效方剂—麻杏二陈汤[2]，前期临床试验证实麻杏二陈汤中 药饮片汤剂治疗小儿特禀质咳嗽、咳嗽变异性哮喘取得较好的近期疗 效，但其存在中药饮片汤剂有煎煮费时、服用不便的不足。 将麻杏二陈汤饮片汤剂改为煮散剂，能否在减少中药饮片剂量与 节约药源的同时达到有效治疗作用，并能在方便患儿服用等方面产生