咳嗽的中医治法?一文告诉你!

2021-08-27 中华中医药学会肺系病分会,世界中医药学会联合会肺系病专业委员会 咳嗽中医诊疗专家共识意见

中医杂志2021年8月发布了《咳嗽中医诊疗专家共识意见 ( 2021)》对咳嗽的中医诊治进了进一步规范,一起和小编看看具体都有哪些内容吧!

咳嗽始见于《皇帝内经》,是因邪犯肺系,肺失宣肃,肺气上逆所致的以咳嗽为主要症状的一组病症。它既是一个症状,又是一种独立的疾病。

咳嗽自古分为分外感与内伤,而外邪已去,尚未内伤到脏腑的咳嗽日趋常见,故其病因病机已不局限于外感、内伤。2011 年的专家共识就已淡化 “外感”与 “内伤”的概念,更加注重内外合邪,互为因果的咳嗽。

因此在次专家共识中,咳嗽的病因病机分为感六淫邪气;脏腑功能失调两种

临床的诊断要点为:

1) 以咳逆有声,无痰或咯吐痰液为主要临床症状。

2) 急性咳嗽多由外感引发,起病急、病程短,常伴恶寒发热等表证。亚急性、慢性咳嗽可由外感或其他脏腑功能失调引发,病程较长,可伴有其他脏腑失调的症状。

3) 听诊可闻及双肺呼吸音增粗。

4) 肺部 X 线片检查无明显异常或肺纹理增粗。

咳嗽的分证论治

中成药

疏风散寒,宣肺止咳类——通宣理肺丸

清热化痰,宣肺止咳类——杏贝止咳颗粒;治咳川贝枇杷滴丸;肺力咳胶囊

疏 风 宣 肺,利咽止 咳——苏黄止咳胶囊

养阴清热、利咽解毒类—— 养阴清肺口服

养阴敛肺、镇咳祛痰类 ——强力枇杷露液

针刺

其他

艾灸

选穴:大椎、肺俞(或风门)、膏肓。采用麦粒灸,3~5日治疗1次,5次为1个疗程;或予艾条灸,每日1次,每次5~10min,以皮肤潮红为度,可与针刺配合应用,适用于慢性支气管炎。

穴位贴敷

可用疏风宣肺、止咳化痰药敷贴胸背部腧穴,取穴天突、大椎、肺俞(双)、中府等穴。

本文来源:咳嗽中医诊疗专家共识意见 ( 2021)

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1188083, encodeId=58e71188083f1, content=这编文章写得非常好,实用性强, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Tue Jan 25 18:36:53 CST 2022, time=2022-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071522, encodeId=019910e152280, content=散寒的中成药种类较少, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49175530021, createdName=ms5000001605845118, createdTime=Thu Nov 18 19:56:35 CST 2021, time=2021-11-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012584, encodeId=09da10125847d, content=《黄帝内经》, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dbe85447975, createdName=ms8000000562158253, createdTime=Sun Aug 29 16:36:03 CST 2021, time=2021-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012213, encodeId=bc67101221342, content=认真学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210511/e9408422a23545ef9738dd674abfc4ff/c719925083844b82986bc39d43051172.jpg, createdBy=8eb14795142, createdName=与狼共舞, createdTime=Sat Aug 28 06:17:59 CST 2021, time=2021-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049821, encodeId=3ede1049821e3, content=中医中药,大多被人诋毁,不过梅斯里总是客观公正的, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=运动yd, createdTime=Fri Aug 27 19:54:17 CST 2021, time=2021-08-27, status=1, ipAttribution=)]
    2022-01-25 ms3000000637975859

    这编文章写得非常好,实用性强

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1188083, encodeId=58e71188083f1, content=这编文章写得非常好,实用性强, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Tue Jan 25 18:36:53 CST 2022, time=2022-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071522, encodeId=019910e152280, content=散寒的中成药种类较少, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49175530021, createdName=ms5000001605845118, createdTime=Thu Nov 18 19:56:35 CST 2021, time=2021-11-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012584, encodeId=09da10125847d, content=《黄帝内经》, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dbe85447975, createdName=ms8000000562158253, createdTime=Sun Aug 29 16:36:03 CST 2021, time=2021-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012213, encodeId=bc67101221342, content=认真学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210511/e9408422a23545ef9738dd674abfc4ff/c719925083844b82986bc39d43051172.jpg, createdBy=8eb14795142, createdName=与狼共舞, createdTime=Sat Aug 28 06:17:59 CST 2021, time=2021-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049821, encodeId=3ede1049821e3, content=中医中药,大多被人诋毁,不过梅斯里总是客观公正的, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=运动yd, createdTime=Fri Aug 27 19:54:17 CST 2021, time=2021-08-27, status=1, ipAttribution=)]
    2021-11-18 ms5000001605845118

    散寒的中成药种类较少

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1188083, encodeId=58e71188083f1, content=这编文章写得非常好,实用性强, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Tue Jan 25 18:36:53 CST 2022, time=2022-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071522, encodeId=019910e152280, content=散寒的中成药种类较少, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49175530021, createdName=ms5000001605845118, createdTime=Thu Nov 18 19:56:35 CST 2021, time=2021-11-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012584, encodeId=09da10125847d, content=《黄帝内经》, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dbe85447975, createdName=ms8000000562158253, createdTime=Sun Aug 29 16:36:03 CST 2021, time=2021-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012213, encodeId=bc67101221342, content=认真学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210511/e9408422a23545ef9738dd674abfc4ff/c719925083844b82986bc39d43051172.jpg, createdBy=8eb14795142, createdName=与狼共舞, createdTime=Sat Aug 28 06:17:59 CST 2021, time=2021-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049821, encodeId=3ede1049821e3, content=中医中药,大多被人诋毁,不过梅斯里总是客观公正的, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=运动yd, createdTime=Fri Aug 27 19:54:17 CST 2021, time=2021-08-27, status=1, ipAttribution=)]
    2021-08-29 ms8000000562158253

    《黄帝内经》

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1188083, encodeId=58e71188083f1, content=这编文章写得非常好,实用性强, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Tue Jan 25 18:36:53 CST 2022, time=2022-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071522, encodeId=019910e152280, content=散寒的中成药种类较少, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49175530021, createdName=ms5000001605845118, createdTime=Thu Nov 18 19:56:35 CST 2021, time=2021-11-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012584, encodeId=09da10125847d, content=《黄帝内经》, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dbe85447975, createdName=ms8000000562158253, createdTime=Sun Aug 29 16:36:03 CST 2021, time=2021-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012213, encodeId=bc67101221342, content=认真学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210511/e9408422a23545ef9738dd674abfc4ff/c719925083844b82986bc39d43051172.jpg, createdBy=8eb14795142, createdName=与狼共舞, createdTime=Sat Aug 28 06:17:59 CST 2021, time=2021-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049821, encodeId=3ede1049821e3, content=中医中药,大多被人诋毁,不过梅斯里总是客观公正的, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=运动yd, createdTime=Fri Aug 27 19:54:17 CST 2021, time=2021-08-27, status=1, ipAttribution=)]
    2021-08-28 与狼共舞

    认真学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1188083, encodeId=58e71188083f1, content=这编文章写得非常好,实用性强, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Tue Jan 25 18:36:53 CST 2022, time=2022-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071522, encodeId=019910e152280, content=散寒的中成药种类较少, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49175530021, createdName=ms5000001605845118, createdTime=Thu Nov 18 19:56:35 CST 2021, time=2021-11-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012584, encodeId=09da10125847d, content=《黄帝内经》, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dbe85447975, createdName=ms8000000562158253, createdTime=Sun Aug 29 16:36:03 CST 2021, time=2021-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1012213, encodeId=bc67101221342, content=认真学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210511/e9408422a23545ef9738dd674abfc4ff/c719925083844b82986bc39d43051172.jpg, createdBy=8eb14795142, createdName=与狼共舞, createdTime=Sat Aug 28 06:17:59 CST 2021, time=2021-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049821, encodeId=3ede1049821e3, content=中医中药,大多被人诋毁,不过梅斯里总是客观公正的, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=运动yd, createdTime=Fri Aug 27 19:54:17 CST 2021, time=2021-08-27, status=1, ipAttribution=)]
    2021-08-27 运动yd

    中医中药,大多被人诋毁,不过梅斯里总是客观公正的

    0