急性支氣管炎中醫治療病例報告

Traditional Chinese Medicine Treatment of Acute Bronchitis: A Case Study

吳炫璋(Hsien-Chang Wu) ； 周怡廷(Yi-Ting Chou)

《台灣中醫臨床醫學雜誌》 15卷2期 (2009/06) Pp. 127-134

https://doi.org/10.6968/TJCCM.200906.0127

摘要

本病例敘述一位女性病患因外感風邪後失治，病情轉變爲急性支氣管炎，症見咳則兩脅下痛、咳甚痰難咳出、痰色白而黏稠等痰熱互結於肝膽，中醫所謂“肝咳”的症狀，經辨證給與宣肺清熱化痰、理氣寬胸散結之科學中藥，二診時咳嗽就已改善。
本文藉由此一案例探討西醫常見咳嗽的診斷、肝咳中醫的治療機理與用藥，並論述中醫在治療咳嗽時不同於現代醫學之觀點。

關鍵字

咳嗽 ； 肝咳 ； 急性支氣管炎 ； 痰熱

並列摘要

This case is a female patient who suffered from acute upper respiratory tract infection treated with western medicine (WM) but in vain. She coughed with sticky sputum, and she also complained of the distending pain over bilateral hypochondrium. According to the symptoms, she was diagnosed with acute bronchitis in western medicine and related to the ”Liver cough” in the Traditional Chinese Medicine (TCM) theory. After prescribed a week of TCM extract granules that primarily used to disperse phlegm and clear heat in the thorax, combined with prompting the dispersing function of the lung, the patient's cough successfully improved in two weeks.
The article discussed about the diagnosis of cough in WM and the mechanism of applying herbs of ”Liver cough” in TCM. Different treatment standpoints between WM and TCM are also discussed.

並列關鍵字

Liver cough ； cough ； acute bronchitis ； Phlegm-Heat