不同季节外感咳嗽中医治疗分析  

Analysis of TCM Treatment of Exogenous Cough in Different Seasons

作　　者：林宁[1] 张彦卿[1] 陈敏[1] 黄晓青[1] 范海媚[1] 

机构地区：[1]广东省第二人民医院,广东广州510317

出　　处：《中华中医药学刊》2012年第6期1415-1416,共2页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:探讨不同季节外感咳嗽的中医治法及用药规律。方法:选取中医诊治的夏季和秋冬季外感咳嗽病例各200例作为两个观察组;观察项目包括:不同季节病例首次中医就诊时应用的中药方剂及各方剂的应用频率;不同季节病例服用中药的剂数;不同季节病例中医治疗后的转归。结果:两组不同季节外感咳嗽病例中医治疗应用常用方剂的频率分布存在显著差异(P<0.01);两组病例平均服药剂数无显著性差异(P>0.05);两组病例中医治疗后的好转率分别为89.5%、86.5%,两组病例转归比较无显著性差异(P>0.05)。结论:夏季发病的外感咳嗽多见湿热证,热象偏重,治疗应注重清热祛湿,化痰止咳;冬季发病者多见燥咳或痰湿阻肺,治疗宜润肺化痰或宣肺理气化痰。Objective： To explore the different TCM treatment and the regularity of herbal medicine using of exogenous cough in different seasons. Methods ：Two groups of exogenous cough cases were selected as objects ：200 cases diagnosed in summer and another 200 cases diagnosed in autumn or winter. The observing items included：the herbal medicine prescrip- tion of each case and the frequency of each prescription;the herbal medicine dose of each ease;the prognosis of each case after TCM treatment. Results ： The using frequencies of eight commonly - used herbal medicine prescriptions in the two groups were significantly different （P 〈0.01 ） ;the mean doses of herbal medicine in the two groups had no significant differ- ence;the recovering rate after TCM treatment in the two groups were 89.5% and 86.5% ;Prognosis of the two groups had no significant difference. Conclusions.： As for the exogenous cough,in summer, more damp- heat syndrome and heat syndrome can be seen, the treatment should attach importance to heat - clearing and damp - removing, cough - relieving and phlegm - resovling; in autumn and winter, more dry - cough and phlegm - dampness syndrome can be seen, the treatment should attach importance to lung - nourishing and phlegm - resovling, lung - dispersing, Qi - regulating and phlegm - resovling.

关 键 词：外感咳嗽 中药治疗 季节 气候 岭南 

分 类 号：R256.11[医药卫生—中医内科学]