久咳不愈30例临床剖析.docVIP

久咳不愈30例临床剖析 　　中图分类号：R256.11 　　文献标识码： A 　　文章编号： 1672-3783(2008)-9-0047-02? 　　【摘 要】目的 探讨中西医结合治疗久咳不愈的临床疗效。方法 通过对30例久咳不愈患者予中药止咳、化痰、平喘治疗6～12天，不用西药的止咳药。外感咳嗽的基本方为：地骨皮10 g、黄芩12 g、桑白皮10 g、川贝10 g、黄连6 g、黄芪20 g、防风10 g、白术10 g、白及10 g、杏仁10 g、百合10 g、五味子15 g、乌梅6 g、人参6 g、甘草6 g等；畏寒发热者加荆芥，配防风以发汗解表；咽燥声嘶者，加麦冬以清利咽喉；胸膈痛者，加郁金、元胡以舒肝理气止痛。内伤咳嗽的基本方为：炙麻黄6 g、川贝20 g、半夏10 g、白前6 g、款冬花10 g、苏子10 g、葶苈子10 g、核桃仁10 g、人参20 g、杏仁10 g、哈蚧1对、生石膏12 g等；痰多脘闷者，加苍术、厚朴、薏苡仁健脾燥湿化痰；食少腹胀者加莱菔子以消食导滞，气行则痰行。并选用青霉素800万U静脉滴注，0.2％环丙沙星200 ml或氧氟沙星200 ml静脉滴注等进行抗感染治疗2～3天后无显效，改为先锋V或先V。结果 总有效率为95% 。? 　　【关键词】久咳不愈 临床 分析?? 　　 　　30 Cases of Chronic Cough ? 　　HU Yu-cuan? 　　The First Peoples Hosptial of Liangshan Yi? 　　Autonormous Prefectcur,Liangshan 615000 Sichuan China 　　【Abstract】Objective To explore the clinical efficacy.of chronic cough with integrated treatment。Methods 30 patients with chronic cough use chinese medicine to stop-cough, phlegm, asthma treatment for 6 to 12 days, no western medicine。Basic prescription of exogenous cough is：Cortex Lycii 10g、Baicalin 12g、Cortex Mori 10g、Chuanbei 10g、Coptidis Rhizoma 6g、Astragalus 20g、Ledebourellae 10g、Atractylodes Macrocephala 10g、Bletillae Rhizoma 10g、 Almond 10g、Lily 10g、Schisandra 15g、Fructus Mume 6g、Glycyrrhiza Uralensis 6g, etc；Patients with chills and fever use Schizonepeta Tenuifolia，combined with Ledebourellae to induce sweat and dispell exogenous evils；Patients with throat dryness and hoarseness use Ophiopogonis to relieve sore-throat；Patients with diaphragmalgia use Curcumae、Corydalis Tuber to regulate qi and alleviate pain.The basic prescription of internal injury cough is：Sunburn ephedra 6g、 Chuanbei 20g、Pinelliae Yuber 10g、Cynanchi Radix 6g、Common Coltsfoot Flower 10g、 Perillaseed 10g、Pepperweed Seed 10g、Walnut 10g、Ginseng 20g、Almond 10g, Hajie 1 couple、Gypsum 12g，etc；Patients with excessive phlegm and gastric cavity muffled，add Atractylodes、Aagnolia Bark、Coicis Cemen to invigorate the spleen drying dampness and eliminate phlegm；Patients with drinking less abdomi