滋陰潤燥降火治療慢性咳嗽病例報告

本案患者為81歲男性有胃食道逆流疾病史，就診時逆流症狀不明顯，而以反復慢性咳嗽為主要症狀，並且伴有夜間口乾明顯，以及入眠困難、眠淺易醒。以滋陰潤燥降火之法治療，結果使病患咳嗽、口乾及睡眠均獲得改善。善用辨證論治原則及藥理使病人長期咳嗽得以在兩次治療後明顯改善，因此提出治療經驗，以供臨床上參考和運用。

關鍵字

咳嗽；胃咳；胃食道逆流性咳嗽；安靜的胃食道逆流；滋陰

並列摘要

The 81-year-old male patient had a history of gastroesophageal reflux disease. The symptoms of reflux were not obvious at the time of treatment, and repeated chronic cough was the main symptom, accompanied by obvious dry mouth at night, difficulty in sleeping, and easiness to wake up. The treatment with the method of nourishing yin, moistening dryness, and reducing pathogenic fire improved the patient’s syndromes. The use of principles in differentiation of syndromes and pharmacology to make the patient with long-term cough can be significantly relieved after two treatments, so the treatment experience is proposed for clinical reference and application.

並列關鍵字

Cough ； stomach cough ； gastroesophageal cough ； Silent GERD ； reflux-cough syndrome ； nourishing yin

參考文獻

Kahrilas, Peter J.,Altman, Kenneth W.,Chang, Anne B.(2016).Chronic Cough Due to Gastroesophageal Reflux in Adults CHEST Guideline and Expert Panel Report.Chest.150(6),1341-1360.

Google Scholar

Gibson, Peter,Wang, Gang,McGarvey, Lorcan(2016).Treatment of Unexplained Chronic Cough CHEST Guideline and Expert Panel Report.Eur Respir J. Chest.149(1),27-44.