基于咳嗽相关指南及“五脏六腑皆令人咳”理论认识慢性咳嗽辨治要点  

Understanding the key points of chronic cough treatment based on the cough guide and the‘cough is caused by multiple viscera'theory

作　　者：王文洁 王敏[1] 王蕾[1] WANG Wenjie;WANG Min;WANG Lei(Pneumology Department,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院呼吸科,北京100053

出　　处：《中华中医药杂志》2023年第12期5861-5864,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.81473613)。

摘　　要：结合咳嗽指南从病因角度探讨慢性咳嗽现代诊疗。《黄帝内经》提出“五脏六腑皆令人咳,非独肺也”理论,拓宽了咳嗽病位病机认识和诊疗思路。基于对西学东渐的现代医学环境的思考,文章结合慢性咳嗽指南进展和“五脏六腑皆令人咳,非独肺也”理论,将中医经典与西医学诊疗方案进行对比分析,从中医脏腑辨治认识激素敏感性咳嗽、鼻后滴流综合征、胃食管反流性咳嗽、压力性尿失禁、心力衰竭等慢性咳嗽病因,进一步探讨慢性咳嗽辨治要点,以期进一步优化慢性咳嗽的中西医结合诊疗方案。Cough-related guidelines explore the modern diagnosis and treatment of chronic cough from the perspective of etiology.Huangdi Neijing puts forward the theory that cough is caused by multiple viscera,not only lung',which broadens the position of cough and opens up the idea of cough diagnosis and treatment.Based on the thinking of modern medical environment where Western knowledge spread to the East,this article combined with chronic cough guidelines and cough is caused by multiple viscera,not only lung'theory,the classic of Chinese and Western medicine diagnosis and treatment,with the view of traditional Chinese medicine viscera,hormone sensitivity cough,nasal drip syndrome(UACS),gastroesophageal reflux cough(GERC),stress urinary incontinence,heart failure and other chronic cough etiology,further explore chronic cough treatment points,in order to further optimize the chronic cough combine Chinese and Western medicine diagnosis and treatment plan,provide ideas and reference for modern diagnosis and treatment of chronic cough.

关 键 词：慢性咳嗽 咳嗽指南 脏腑咳 中西医结合 激素敏感性咳嗽 鼻后滴流综合征 胃食管反流性咳嗽 

分 类 号：R256.11[医药卫生—中医内科学]