中醫治療慢性咳嗽之病例報告

慢性咳嗽為中醫門診常見疾患之一，定義上是指咳嗽時間持續3個星期以上，以咳嗽為主要症狀，而胸部X線檢查無明顯異常的臨床症候群。本案例是一位66歲退休男性，菸齡約40年，3年前因太太中風需照顧其生活起居，自覺壓力大，咳嗽加重。初診時主訴咽癢咳嗽約8 年，診斷為肺陰虧耗、肝氣鬱結、中焦陰液不足症，遣方用藥治以滋陰潤肺，清肺平肝，滋補中焦之陰。經過數次治療，其咽癢咳嗽獲得良好改善。

關鍵字

慢性咳嗽；肺陰虧耗；沙參麥門冬湯；中醫

並列摘要

Chronic cough is one of the common diseases in Chinese medicine clinics. It is defined as the clinical syndrome of coughing for more than 3 weeks, with cough as the main symptom and chest X-ray examination without obviously abnormal findings. This case is a 66-year-old retired man with a smoking age of about 40 years. Three years ago, due to his wife's stroke, he needed to take care of her daily life. He felt pressured and then coughed more heavily. In the initial diagnosis, the chief complaint was pharyngeal itching and cough for about 8 years. The diagnosis was the deficiency of lung yin or lung constitution, liver energy stagnation, and insufficiency of yin or constitution over central body. The prescription was used to nourish and clear the lungs, calm the liver, and nourish for the constitution of the central body. After several times of treatment, the pharyngeal itching and cough got well improved.