戴仕兵自拟止嗽枇杷汤治疗干咳的临床疗效观察.docVIP

自拟止嗽枇杷汤治疗干咳的临床疗效观察 戴仕兵 [摘要] 目的：观察自拟止嗽枇杷汤治疗干咳的临床疗效，为干咳患者选择中医药方剂治疗做肤浅的探讨。方法：选择我院2012年1月-12月60例干咳患者为观察对象，采用自拟止嗽枇杷汤为基本方剂进行辨证施治，2W为一个疗程，疗程结束观察其疗效。结果：60例患者，痊愈48例，占80%；有效7例，占11.7%，总有效率为91.67%。结论：自拟止嗽枇杷汤辨证施治干咳临床疗效显著，值得临床推广运用。 [关键词]：止嗽枇杷汤；干咳；中医中药；辨证论治 To observe the clinical effect of self-made cough loquat Decoction in the treatment of dry cough. Dai shibing [Abstract] Objective: To observe the clinical effect of self-made cough loquat Decoction in the treatment of dry cough, cough patients choose Chinese medicine prescription for treating make superficial study. Methods: in our hospital in 2012 January -12 months in 60 cases of cough patients as the observation object, using the cough loquat soup as the basic prescription for syndrome differentiation, 2W for a course of treatment, after treatment to observe its curative effect. Results: of the 60 patients, 48 cases were cured, accounting for 80%; effective in 7 cases, accounting for 11.7%, the total effective rate was 91.67%. Conclusion: the clinical efficacy of cough loquat soup significantly stop syndrome differentiation and treatment of cough, is worthy of clinical application. [ keyword ]: cough loquat soup; cough; Chinese medicine; treatment based on syndrome differentiation 咳嗽是肺系疾病的主要症候之一，分别言之，有声无痰为咳，有痰无声为嗽。一般多为痰声并见，难以截然分开，固以咳嗽并称[1]。《景岳全书·咳嗽》篇说：“咳嗽之要，止惟二证，何为二证？一曰外感，一曰内伤而尽之矣。”外感咳嗽为六淫外邪侵袭肺系；内伤咳嗽为脏腑功能失调，内邪干肺[2]。不论邪从外入，或自内而发，均可引起肺失宣肃，肺气上逆作咳。干咳大部分患者都在上呼吸道感染和急性支气管炎等疾病后引发。是临床上常见的病证之一，病因复杂，病程较长，有的患者病程长达数周甚至数月不等。严重影响患者的身心健康。笔者在应用自拟止嗽枇杷汤的基础上随证加减治疗干咳证60例，取得了较好的效果，现总结如下。 1 资料与方法 1.1 一般资料 本组60例均为我院2012年1月-12月门诊病人。其中男性36例，女性24例；年龄在10-51岁之间，平均年龄为21.43岁；病程最短的2周，最长的超过6个月。所有患者均经过正规或非正规西药治疗无效后转中草药治疗。中药治疗入选标准：①临床上表现的主症为干咳无痰，咳时痛引胸胁，咽喉作痒，声嘶音哑，或咳时有少许粘痰。②X线检查：两肺实质清晰，无活动性病症，或仅仅肺纹理增多、增粗。③实验室检查：患者一般外周血象均不高。 1.2辨证施治方法 自拟止嗽枇杷汤组成：枇杷叶15g，紫菀15g，百部10g，桔梗10g，天竺子15g，白前10g，甘草10g。随证加减：口干明显者加麦冬、沙参、石斛、玉竹；汗多者加浮小麦、五味子、黄精；音哑声嘶者加蝉衣、木蝴蝶；咽喉作痒者加山豆根、射干、马勃；大便干结者加火麻仁、杏仁。方剂由我院煎药室制作汤剂，每袋150ml,每日两次，每次1袋，于饭后用热水温热服用，2W为一个疗程。在服用本方之间，禁忌食寒、凉、生、冷、腥、辣等刺激性食物及油腻食物。同时，注意保温保暖。