文档介绍：久咳不愈30例临床分析久咳不愈30例临床分析中图分类号::A文章编号:1672-3783(2008)-9-0047-02❷【摘要】目的探讨屮西医结合治疗久咳不愈的临床疗效。方法通过对30例久咳不愈患者予中药止咳、化痰、平喘治疗6〜12天,不用西药的止咳药。外感咳嗽的基本方为:地骨皮10g、黄苓12g、桑白皮iog>川贝10g>黄连6g>黄茂20g、防风10g、白术10g、白及10g>杏仁10g>百合10g、五味子15g>乌梅6g>人参6g、甘草6g等;畏寒发热者加荆芥,配防风以发汗解表;咽燥声嘶者,加麦冬以清利咽喉;胸膈痛者,加郁金、元胡以舒肝理气止痛。内伤咳嗽的基本方为:炙麻黄6g>川贝20g、半夏10g>白前6g、款冬花10g、苏子10g>夢苗子10g>核桃仁10g>人参20g、杏仁10g、哈蛤1对、生石膏12g等;痰多腕闷者,加苍术、厚朴、慧戏仁健脾燥湿化痰;食少腹胀者加莱鞭子以消食导滞,气行则痰行。并选用青霉素800万U静脉滴注,%环丙沙星200ml或氧***沙星200ml静脉滴注等进行抗感染治疗2~3天后无显效,改为先锋V或先V。结果总有效率为95%。❷【关键词】久咳不愈临床分析❷❷ough❷HUYu-cuan❷TheFirstPeople'sHosptialofLiangshanYi❷AutonormousPrefectcur,Liangshan615000SichuanChina[Abstract]ObjectiveToexp]oretheclinicalefficacy・ostop-cough,phiegm,asthmatreatmentfor6to12days,nowesternmedicine。Basicprescriptionofexogenouscoughis:CortexLycii10g>Baicalin12g>CortexMori10g>Chuanbei10g>CoptidisRhizoma6g>Astragalus20g>Ledebourellae10g>AtractylodesMacrocephala10g>BletillaeRhizoma10g>Almond10g>Lily10g>Schisandra15g>FructusMume6g>GlycyrrhizaUralensis6g,etc;binedwithLedebourellaetoinducesweatanddispellexogenousevils;PatientswiththroatdrynessandhoarsenessuseOphiopogonistorelievesore-throat;PatientswithdiaphragmalgiauseCurcumae>:Sunburnephedra6g^Chuanbei20g、PinelliaeYuber10g^monColtsfootFlower10g>Perillaseed10g>PepperweedSeed10g>Walnut10g>Ginseng20g>AlmondlOg,Hajie1couple>Gyps