中医药研究论丛

211.17 射干麻黄汤治疗咳喘病例报告
TJ TCM.21(1) : 215-228, 2018
射干麻黄汤治疗咳喘病例报告
A Case Report of Cough and Dyspnea with She Gan Man Huang Tang
李宗明*
戴德森医疗财团法人嘉义基督教医院中医部,嘉义,台湾
【摘要】
本医案为64 岁女性,约年前(2007) 才被确诊为气喘,并以支气管扩张剂控制至今。年前(2009) 罹患肺炎後,气喘相关诸症发作愈益频繁。个案约10 天前(2016.07.08) 因咳嗽痰多、喘、鼻过敏等症加剧,前来嘉基中医部就诊。射干麻黄汤临床上常应用於气喘衍生之相关症状如哮鸣或咳嗽,本案以射干麻黄汤为主方进行约周的治疗後,其相关症状明显好转。因此,进一步探讨射干麻黄汤对於气喘相关症状的治疗机转,以及气喘诸症常於夜间加重之原因。
【关键词】咳嗽、喘、哮鸣、气喘、射干麻黄汤
Tsung-ming Li*
1Department of Chinese Medicine,Ditmanson Medical Foundation Chia-yi Christian Hospital,
Chia-yi, Taiwan
【Summary】
A 64-year-old female was diagnosed as asthma about 9 years ago (2007) and began to use bronchodilator. After she suffered from pneumonia 7 years ago (2009), the frequency of asthma-related symptoms increased gradually. 10 days ago, she came to Chinese Medicine Department of Chia-yi Christian Hospital because of intensified cough with sputum, dyspnea, nasal allergy. She Gan Man Huang Tang is often used to treat clinical asthma-related symptoms such as wheezing or cough. The patient was prescribed She Gan Man Huang Tang. After 2 weeks’ treatment, the patient’s asthma-related symptoms were decreased significantly. Therefore, I take further study of the mechanism of She Gan Man Huang Tang in treating asthma-related symptoms and the reason that asthma often aggravates at night.
 
Keywordscough, dyspnea, wheezing, asthma, She Gan Man Huang Tang