题名

中醫治療小兒晨起咳嗽嘔痰之病例報告

并列篇名

Treatment of a girl with a phlegmy cough in the morning using Traditional Chinese Medicine: A Case Report

DOI

10.7102/JTCIM.202012_18(2).0009

作者

柯馨婷(Ko, Hsin-Ting);高彗凌(Kao, Hui-Ling);許麗娟(Hsu, Li-Chuan);呂琇蓉(Lu, Hsiu-Jung);王育才(Wang, Yu-Tsai)

关键词

過敏性鼻炎 ; 中醫 ; 中藥 ; 鼻涕倒流 ; 咳嗽 ; allergic rhinitis ; Traditional Chinese Medicine ; herb ; postnasal drip ; cough

期刊名称

中醫內科醫學雜誌

卷期/出版年月

18卷2期(2020 / 12 / 01)

页次

101 - 109

内容语文

繁體中文

中文摘要

過敏性鼻炎,是中醫門診常見疾病,可能發生在各個年齡層,預估兒童的盛行率在2%~25%。造成過敏性鼻炎的原因包括環境與遺傳。過敏性鼻炎是以突然和反復發作鼻塞、鼻癢、噴嚏、鼻流清涕為特徵。以小兒過敏性鼻炎的中醫虛實辨證而言,實證則責之於外感六淫之邪,阻塞肺氣,鼻竅不通;虛證則責之於肺、脾、腎三臟,氣、陰兩虛為患。一般而言,兒童過敏性鼻炎與肺脾氣虛關係較密切,發病初期在肺,病久則為肺脾,較少及於腎。本病例報告一位有過敏性鼻炎家族史的小一女學生,接受中醫治療的歷程,分析患者晨起咳嗽嘔痰的病因病機與運用中藥方劑治療之成效。

英文摘要

Allergic rhinitis is one of the most common diseases in Traditional Chinese Medicine (TCM) clinics. It can happen in all ages; however, its estimated prevalence in children is among 2%~25%. The main causes consist of environment and hereditary. The characteristic features include suddenly and repeatedly stuffy nose, itchy nose, sneezing and running nose. With regard to the deficiency and excess syndrome differentiation based on TCM, the excess syndrome can be ascribed to the six natural evil factors causing the obstruction of lung Qi and stuffy nose; the deficiency syndrome can be caused by Qi and Yin Deficiency in lung, spleen and kidney. In general, allergic rhinitis in children is closely related to Qi Deficiency in lung and spleen. The early stage of the disease is at lung; when the disease lasts for a long time, it involves both lung and spleen; however, it seldom affects kidney. This case report presented the process of a first grade pupil of primary school with family history of allergic rhinitis receiving TCM treatment and analyzed the mechanism of her phlegmy cough and the efficacy of the use of herb treatment.

主题分类 醫藥衛生 > 中醫藥學
参考文献
  1. Asher, MI,Montefort, S,Bjorksten, B(2006).Worldwide time trends in the prevalence of symptoms of asthma, allergic rhino-conjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat mul-ticountry cross-sectional surveys.Lancet,368,733-743.
  2. Bousquet, J,Khaltaev, N,Cruz, AA(2008).Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update.Allergy,63(suppl 86),8-160.
  3. Bousquet, J,Van Cauwenberge, P,Khaltaev, N(2001).Allergic rhinitis and its impact on asthma.J Allergy Clin Immunol,108(Suppl. 5),S147-S334.
  4. Brozek, JL,Bousquet, J,Agache, I(2017).Allergic Rhinitis and Its Impact on Asthma (ARIA) Guidelines- 2016 Revision.Journal of Allergy & Clin Immunol,140(4),950-958.
  5. Dávila, I,Mullol, J,Ferrer, M,Bartra, J(2009).Genetic aspects of allergic rhinitis.J Investig Allergol Clin Immunol,19(Suppl 1),25-31.
  6. Hansel F. Clinical and histopathologic studies of the nose and sinuses in allergy. J Allergy 1929; 1: 43–70.
  7. 吳龍源(2011)。中醫臨床治療過敏性鼻炎的方法經驗探討。北市中醫會刊,17(4),18-26。
  8. 汪育仁(編)(1994).中醫兒科學.知音出版社.
  9. 范愈燕,余文煜,王向東,錫琳,支楠,張善冬,張羅(2013)。脾胃與鼻鼽發病機制的臨床研究。北京中醫藥,32(6),428-430。
  10. 陳旺全(2005)。小兒過敏性鼻炎之中醫治療。臺灣中醫臨床醫學雜誌,11(4),259-264。
  11. 童小燕,叢品(2013)。從肺脾氣虛論治兒童鼻鼽。陝西中醫學院學報,36(2),60-62。
  12. 黃桂鋒,熊大經,謝慧(2014)。試論脾虛與鼻鼽的關係。中醫臨床研究,23(6),34-35。
  13. 鄒建華,汪受傳(2018)。汪受傳教授自擬消風宣竅湯治療小兒鼻鼽經驗。成都中醫藥大學學報,41(4),72-74。
  14. 劉春松(2015)。鼻鼽從脾胃論治。新中醫,47(7),310-311。