中藥治療小兒氣喘病例報告

本病例為一名六歲的女性氣喘患者，無特殊過去病史，無特殊過敏病史。父母皆無慢性呼吸道疾病史，亦無特殊過敏史，家中無人吸菸。患者於2017年（約四歲）開始出現日間咳喘，且運動後、飲食冰涼後症狀加劇，夜間睡眠品質因為呼吸道的咳、喘症狀經常性的中斷。患者曾於西醫小兒科就診，透過西藥緩解其臨床症狀（例如：咳、喘、胸悶……等等），期間未曾使用類固醇吸劑。患者2019／07開始透過中醫控制呼吸道症狀，經中藥調養後，患者白天咳、喘症狀緩解，夜間睡眠沒有因呼吸道症狀而中斷。最後討論以現代實證醫學分析中藥、方劑藥理及氣喘患者抽血數據，呈現出不同於傳統中醫對於哮喘辨證論治的想法，故以此病例提出治療經驗，供臨床醫師參考及應用。

關鍵字

兒童；氣喘；中藥

並列摘要

This is a case of 6-year-old female suffering from asthma, who has no special medical history, and has no specific history of allergies. None of her parents had a history of the chronic respiratory disease or a history of special allergies, and no one in her family smoke. The patient had been treated in the Pediatrics Department and relieved her clinical symptoms (eg, cough, breathless, chest tightness, etc.) through Western medicine. During this period, she had not used steroid inhalers. In 2019/07, patient started to control her respiratory symptoms through Traditional Chinese Medicine. After being nursed with Traditional Chinese Medicine, the patients suffered less from coughing and wheezing during the day, and her sleep at night was less interrupted due to respiratory symptoms. In the final discussion, Evidence-based medicine (EBM) presents different ideas from Traditional Chinese Medicine which analyze pharmacology of Traditional Chinese Medicine and take a blood test from clinical asthma patients. We presented the treatment experience of this case to provide a useful reference for clinical doctors.