浅述中西医对感染后咳嗽发病机制的认识.pdfVIP

· 研 究 进 展 Western Journal of Traditional Chinese Medicine,2014 Vol.27 No.5 浅述中西医对感染后咳嗽发病机制的认识 * 王云方 1，朱 佳 2△ 1 南京中医药大学，江苏 南京 210046； 2 江苏省中医院呼吸内科 ［摘 要］回顾近年有关感染后咳嗽（postinfectious cough，PIC）的西医发病机制研究及中医病因病 机、治疗的文献，认为 PIC 的发病机制多与气道高反应性（airway hyperresponsiveness，AHR）有关，而中医病 因病机方面各家有从病位而论的，有从脏腑而论的，有从发病因素而论的；指出目前 PIC 西医发病机制研究尚 待完善，希望通过进一步研究各个发病机制引起的 AHR 的不同通路，为临床从 AHR着手治疗 PIC 提供理论指 导；而 PIC 的中医病机相互之间不是独立的，希望各个医家的不同观点能开拓临床中医治疗的思路。 ［关键词］感染后咳嗽；发病机制；中医病机；综述文献 ［中图分类号］R562.250 ［文献标识码］A ［文章编号］1004-6852(2014)05-0132-03 Advances in the Pathogenesis of Postinfectious Cough with Chinese and Western Medicine 1 2△ WANG Yunfang , ZHU Jia 1 Nanjing University of Chinese Medicine, Nanjing 210046, China; 2 Pulmonary Department of Jiangsu Province Hospital of TCM By reviewing the literature of studying the pathogenesis and TCM etiology, and treatment for postinfectious cough (PIC) in recent years, we conclude that the pathogenesis of PIC is related to airway hyperre- sponsiveness (AHR). TCM etiology and pathogenesis are usually discussed from the locations of the disease, the vis- cera or pathogenic factors, PIC pathogenesis needs to be improved with western medicine, and we wish that further study on different paths of AHR induced by the pathogenesis could provide theoretical direction for treating PIC by AHR; TCM mechanisms of PIC are mutually related, different opinions of the doctors could broaden the thinking of clinical therapies with TCM. postinfectious coug