小兒外感後咳嗽病例報告

外感後咳嗽是臨床常見的症狀，同時中醫講究辨證論治，也就是同一症狀，由於病因病機不同，其證亦不同，因而治法也不同。本篇討論兩個小兒外感後咳嗽反覆咳嗽的案例。第一例為10歲女童受風熱外感，咽痛、流黃涕、咳嗽，多數症狀在服西藥後皆已改善，唯咳嗽持續；第二例為4歲男童，喜食甜品冰品，在107年6月感冒後，每個月開始反覆外感，且咳嗽久久不癒。藉由這兩個案例的討論來理解中醫“辨證論治”的思維與突顯中醫“同病異治”的精神。

關鍵字

小兒外感；反覆咳嗽；肺氣虛；中藥

並列摘要

Cough after cold is a common symptom. Meanwhile, Traditional Chinese Medicine emphasized treatment based on syndrome differentiation, which means one symptom could lead to many different therapies based on separate etiology and pathogenesis. This report included two cases of repeated cough after common cold in children. The first case is about a 10-year-old girl who got common cold with sore throat, yellow nasal discharge and cough. Most of the symptoms had improved after taking medicine prescribed by local clinic, except for cough, which attacked repeatedly. The second one is about a 4-year-old boy who fond of desserts and ice. He got cold every month since June, 2018, and had coughed from time to time. Via these cases, we could learned the essence of treatment based on syndrome differentiation and treating the same disease with different therapies in Traditional Chinese Medicine theory.

並列關鍵字

common cold ； pediatric ； cough ； Traditional Chinese Medicine (TCM)

參考文獻

UpToDate: The common cold in children: Clinical features and diagnosis。取自：https://autorpa.tpech.gov.tw:2340/contents/the-common-cold-in-children-clinical-features-and-diagnosis?search=children%20cough&source=search_result&selectedTitle=5~150&usage_type=default&display_rank=5。(檢索日期 2019 年 2 月 24 日)