桂枝加厚朴杏子湯加減治療小兒感冒後咳嗽之病例報告

The Treatment of Children Postinfectious cough with Gui Zhi Jia Hou Po Xing Zi Tang-A case report

朱常維(Chang-Wei Chu) ； 楊登凱(Deng-Kai Yang) ； 王國輝(Guo-Hui Wang)

《北台灣中醫醫學雜誌》 7卷1期 (2015/09) Pp. 51-58

摘要

感冒後咳嗽遷延不愈在臨床上很常見，其通常對現代醫學止咳藥物治療的反應不甚理想。感冒後咳嗽主要是外邪犯肺，肺氣失宣，治咳之要當從肺論治。此篇病例報告即是一名13歲之男孩，感冒後持續咳嗽未癒約一週，前往本院中醫部就診，經診斷後使用《傷寒論》中之桂枝加厚朴杏子湯加減治療，服用中藥兩天咳嗽即止，說明了以桂枝加厚朴杏子湯解表降氣能有效治療感冒後咳嗽不癒。透過此病例進一步探討相關之病因病機，並試著以神農本草經及本經疏證之觀點分析桂枝加厚朴杏子湯之藥物機轉。

關鍵字

小兒 ； 咳嗽 ； 桂枝加厚朴杏子湯

並列摘要

Postinfectious cough is very common in clinical practice, which is not sensitive to current medical treatment. On traditional Chinese medicine theory, postinfectious cough belongs to ＂nondiffusion of lung＂, and we expect that the traditional Chinese herbal medicine and decoction are effective to postinfectious cough. This case is a thirteen-year-old boy suffered from persistent cough lasting one week after getting cold. After accepting treatment of Decoction of Ramulus Cinnamomi plus Magnoliae Cortex and Apricot Fruit (Gui Zhi Jia Hou Po Xing Zi Tang), his cough symptom has been completely relieved. This case indicated that Decoction of Ramulus Cinnamomi plus Magnoliae Cortex and Apricot Fruit can treat postinfectious cough effectively. This article aims to explore the cause of postinfectious cough, the etiology and pathogenesis of TCM about this boy, and the mechanism of the Decoction of Ramulus Cinnamomi plus Magnoliae Cortex and Apricot Fruit on the basis of Sheng Nong's Herbal Classic.