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--> 00:06.326\n各位同道，\n\n00:06.326 --> 00:06.875\n各位朋友，\n\n00:06.875 --> 00:07.526\n大家好，\n\n00:07.875 --> 00:12.475\n今天我来为大家分享一下慢性咳嗽的中药治疗指南。\n\n00:18.514 --> 00:21.114\n我将从以下六个方面来进行分享，\n\n00:21.315 --> 00:21.739\n第一，\n\n00:21.739 --> 00:24.315\n就是慢性咳嗽的一些基础的认知，\n\n00:24.864 --> 00:26.565\n二中药治疗的原理，\n\n00:26.815 --> 00:27.315\n第三，\n\n00:27.315 --> 00:28.614\n经典方剂的应用，\n\n00:28.864 --> 00:29.465\n第四，\n\n00:29.665 --> 00:31.065\n日常调理方案，\n\n00:31.215 --> 00:31.864\n第五，\n\n00:32.314 --> 00:33.715\n治疗误区的澄清，\n\n00:34.014 --> 00:37.514\n还有第六部分就预防预防康复部分。\n\n00:45.408 --> 00:48.682\n第一部分就是慢性咳嗽的基础认知有哪些呢？\n\n00:48.682 --> 00:49.682\n我们来看一下。\n\n00:51.041 --> 00:52.116\n慢性咳嗽呢，\n\n00:52.116 --> 00:54.840\n是指持续时间超过八周的一个咳嗽的症状，\n\n00:55.140 --> 00:57.691\n属于呼吸系统比比较常见的一种病症，\n\n00:57.840 --> 00:59.441\n中医也叫为久咳。\n\n01:00.541 --> 01:02.590\n我们都认为这个它的病位是在肺，\n\n01:02.691 --> 01:04.841\n与脾肾的关系非常密切，\n\n01:05.091 --> 01:08.640\n多是因为外邪没有没有及时清除掉，\n\n01:08.640 --> 01:10.640\n或者脏腑功能失调所导致的。\n\n01:11.339 --> 01:12.940\n他的一些临床的表现呢，\n\n01:12.940 --> 01:17.440\n典型的表现有反复发作的刺激性干咳或伴有少量的黏痰。\n\n01:17.940 --> 01:18.614\n夜间呢，\n\n01:18.614 --> 01:19.864\n结合清晨会咳嗽，\n\n01:19.864 --> 01:20.440\n会加重。\n\n01:20.889 --> 01:21.839\n部分的患者呢，\n\n01:21.839 --> 01:24.440\n也会伴随咽痒胸闷气促等一些症，\n\n01:24.639 --> 01:25.489\n一些症状。\n\n01:26.614 --> 01:27.364\n中医呢，\n\n01:27.764 --> 01:28.489\n湿疹呢，\n\n01:28.489 --> 01:29.290\n我们可以发现呢，\n\n01:29.290 --> 01:31.864\n它会有一个舌苔薄白或黄腻，\n\n01:32.114 --> 01:33.014\n脉象呢，\n\n01:33.114 --> 01:36.514\n多呈现一种纤细或滑硕的一种脉象。\n\n01:37.458 --> 01:39.759\n它与急性咳嗽也有一定的区别。\n\n01:41.120 --> 01:42.870\n例如我们通常认为急性咳嗽呢，\n\n01:42.870 --> 01:44.970\n是指病程小于三周的，\n\n01:45.069 --> 01:46.569\n它是也有感冒的，\n\n01:46.569 --> 01:48.470\n急性感染引起的一些一些。\n\n01:49.595 --> 01:51.294\n原因而慢性咳嗽，\n\n01:51.294 --> 01:52.794\n它因为病程比较迁延呢，\n\n01:52.794 --> 01:54.144\n当然它病程比较长了嘛，\n\n01:54.144 --> 01:55.544\n所以他病程也比较复杂。\n\n01:56.757 --> 01:59.056\n常上的有有一些常见疾病，\n\n01:59.056 --> 02:01.806\n如果如那个鼻后滴漏综合征，\n\n02:01.906 --> 02:02.982\n胃食管反流啊，\n\n02:02.982 --> 02:03.681\n或者咳嗽变异，\n\n02:03.681 --> 02:05.357\n哮喘等等这些慢性的疾病，\n\n02:06.107 --> 02:07.306\n中医辨证上呢。\n\n02:08.537 --> 02:09.337\n急性咳嗽呢，\n\n02:09.337 --> 02:10.337\n多属于实症，\n\n02:10.337 --> 02:13.438\n而慢性咳嗽多属于一种虚实夹杂的一种状态。\n\n02:14.348 --> 02:16.748\n它的好发好发人群和季节呢，\n\n02:16.748 --> 02:20.199\n就是哪些人群比较容易发病呢？\n\n02:20.199 --> 02:21.899\n就是一些免疫力低下的人。\n\n02:22.507 --> 02:24.082\n群体还有过敏体质，\n\n02:24.582 --> 02:31.682\n还有一些长期使用一些激素类药物的患者而发病发病的季节呢，\n\n02:32.082 --> 02:34.382\n它是一年四季是不一样的，\n\n02:34.882 --> 02:37.156\n在冷热交替或者秋冬季，\n\n02:37.156 --> 02:37.582\n它的。\n\n02:38.292 --> 02:39.141\n它发病比较高。\n\n02:41.347 --> 02:42.796\n我们中医怎么认为呢？\n\n02:42.847 --> 02:44.097\n因为这个群体呢，\n\n02:44.097 --> 02:45.447\n但是他抵抗力比较下降，\n\n02:45.447 --> 02:47.097\n它容易受外邪侵袭，\n\n02:47.197 --> 02:51.597\n所以说老人、儿童和肺脾气虚的患者。\n\n02:53.231 --> 02:54.281\n是它的高危人群。\n\n03:02.785 --> 03:05.735\n我们来看一下它的病因病理的分析。\n\n03:07.755 --> 03:08.104\n嗯。\n\n03:09.143 --> 03:10.042\n西医的病因呢，\n\n03:10.192 --> 03:13.992\n它主要包括上气道咳嗽综合征，\n\n03:14.192 --> 03:16.042\n也曾经对它进行一个统计，\n\n03:16.042 --> 03:18.742\n它的比例可能占到24%.87%，\n\n03:19.542 --> 03:21.042\n而咳嗽变异哮喘呢，\n\n03:21.093 --> 03:23.643\n它比例大约在13%.28%。\n\n03:26.434 --> 03:27.533\n胃食管反流呢，\n\n03:27.533 --> 03:29.333\n大约占10%.40%。\n\n03:30.509 --> 03:30.910\n嗯。\n\n03:32.125 --> 03:32.875\n这些病因呢，\n\n03:32.975 --> 03:34.725\n也需要通过一些辅助检查。\n\n03:34.725 --> 03:37.250\n我们例如胸部CT啊，\n\n03:37.250 --> 03:40.524\n肺功能、血常规等一些检查来明确这些病因。\n\n03:42.044 --> 03:45.195\n必要的时候还需要做一下那个喉镜。\n\n03:46.576 --> 03:49.725\n等等常见的一些诱因呢，\n\n03:49.776 --> 03:51.425\n包括一些空气的污染，\n\n03:51.975 --> 03:53.326\n冷空气的刺激。\n\n03:54.626 --> 03:56.175\n先刺激一些粉尘，\n\n03:56.925 --> 03:59.326\n还有就是我们的饮食不节，\n\n03:59.326 --> 04:00.475\n情志失调，\n\n04:00.675 --> 04:02.276\n过度劳累等等原因。\n\n04:03.317 --> 04:05.667\n特别中医我们讲讲强调一句经典的。\n\n04:06.651 --> 04:08.451\n话叫形寒饮冷则伤肺，\n\n04:08.751 --> 04:11.401\n这可以认为是中医的一个治病机理。\n\n04:14.042 --> 04:15.343\n中医的辨证分型呢，\n\n04:15.343 --> 04:16.393\n可以分为五型。\n\n04:18.158 --> 04:18.459\n嗯。\n\n04:19.358 --> 04:20.532\n我们可以看一下，\n\n04:20.532 --> 04:22.208\n第一个就是风寒袭肺型，\n\n04:22.308 --> 04:25.257\n它有一个特点就是咳嗽的的痰是白痰。\n\n04:26.442 --> 04:26.842\n第二个，\n\n04:26.842 --> 04:27.868\n风热犯肺型的，\n\n04:27.868 --> 04:28.842\n因为它是热邪嘛，\n\n04:28.842 --> 04:30.842\n所以痰痰是黄的，\n\n04:31.243 --> 04:32.667\n并且还有咽痛的症状。\n\n04:32.667 --> 04:33.167\n第三，\n\n04:33.167 --> 04:34.292\n痰湿壅肺型，\n\n04:35.042 --> 04:36.893\n这种就是痰多胸闷，\n\n04:36.942 --> 04:38.542\n然后人体型比较。\n\n04:39.292 --> 04:40.643\n胖大的体型，\n\n04:41.893 --> 04:43.268\n肺阴亏虚型呢，\n\n04:43.268 --> 04:45.143\n一般表现为干咳少痰，\n\n04:45.792 --> 04:48.592\n一般比较干瘦的老太太比较多见。\n\n04:49.493 --> 04:52.192\n肝火犯肺型，\n\n04:52.643 --> 04:53.792\n它这个特点呢，\n\n04:53.993 --> 04:54.842\n不仅咳嗽。\n\n04:55.834 --> 04:56.584\n痛的严重的时候，\n\n04:56.584 --> 04:58.484\n还会导致一个胸胁的疼痛，\n\n04:59.484 --> 05:01.209\n因为我们中医的辨证分型不一样，\n\n05:01.209 --> 05:03.035\n所以它用药也会有一些差异。\n\n05:05.734 --> 05:06.183\n但是，\n\n05:06.183 --> 05:07.134\n人正型之间呢，\n\n05:07.683 --> 05:11.058\n它是有一个有可以认为是有一个传变的规律的。\n\n05:11.058 --> 05:14.584\n我们可以看一下它的典型的一个发展过程有哪些呢？\n\n05:15.734 --> 05:16.384\n首先，\n\n05:16.484 --> 05:18.033\n很常见就是外泄犯肺，\n\n05:18.283 --> 05:19.009\n外邪犯肺，\n\n05:19.009 --> 05:23.183\n导导致肺的抒发宣降功能失调，\n\n05:23.183 --> 05:25.334\n就是来到了肺湿宣降阶段。\n\n05:25.984 --> 05:28.433\n然后然后久咳嗽，\n\n05:28.584 --> 05:30.384\n咳嗽时间时间久了呢，\n\n05:30.384 --> 05:31.884\n就会久咳伤气。\n\n05:33.312 --> 05:34.337\n如果病程再久，\n\n05:34.337 --> 05:35.312\n会累积到脾肾。\n\n05:37.934 --> 05:41.035\n这中医的一个发病规律的体现，\n\n05:41.035 --> 05:43.584\n我们来看一下西医的一个特点。\n\n05:43.984 --> 05:45.035\n西医认为呢，\n\n05:45.184 --> 05:49.135\n它可能是从一个局部的炎症发展为一个气道高反应症，\n\n05:49.584 --> 05:53.135\n最最终会导致一个咳嗽敏感性永久的一个改变。\n\n05:57.501 --> 06:00.700\n接下来我们看一下慢性咳嗽一个诊断标准。\n\n06:02.981 --> 06:05.457\n我们在临床怎么来诊断一个慢性咳嗽呢？\n\n06:05.457 --> 06:07.481\n我们要从以下几个方面来。\n\n06:08.812 --> 06:09.161\n来看，\n\n06:10.011 --> 06:10.636\n第一个呢，\n\n06:10.636 --> 06:14.011\n就是我们重点要观察患者的症状和体征，\n\n06:14.261 --> 06:18.111\n例如他咳嗽的声音是洪亮的呢，\n\n06:18.261 --> 06:19.411\n还是低弱的？\n\n06:20.432 --> 06:21.782\n它痰液的性状，\n\n06:21.881 --> 06:25.131\n它患者吐的痰那颜色。\n\n06:26.664 --> 06:31.114\n质质地量的多少等等，\n\n06:31.563 --> 06:33.014\n还有咳嗽的时间，\n\n06:33.014 --> 06:34.364\n有一些有咳嗽，\n\n06:34.364 --> 06:35.713\n一些周期性或规律性，\n\n06:36.164 --> 06:37.563\n还是早晨咳嗽啊，\n\n06:37.563 --> 06:38.713\n还是夜间咳嗽。\n\n06:40.040 --> 06:42.040\n最后你要问一下患者的伴随症状，\n\n06:42.739 --> 06:46.040\n比如有没有出汗、怕冷、发热。\n\n06:48.261 --> 06:50.611\n烧心、反酸等等一些症状，\n\n06:51.161 --> 06:53.361\n还有就是我们中医的舌脉一些特征。\n\n06:55.592 --> 06:56.868\n中医辩证的要点呢，\n\n06:56.868 --> 06:59.768\n它一个流程就可以归纳为问诊之后呢，\n\n06:59.768 --> 07:00.643\n进行一个体检，\n\n07:00.692 --> 07:02.143\n初步的一个实验室检查，\n\n07:02.342 --> 07:04.917\n然后针对一些检查的特殊检查，\n\n07:04.917 --> 07:07.942\n个治一个像支气管激发的一个试验。\n\n07:08.292 --> 07:08.817\n中医呢，\n\n07:08.817 --> 07:10.493\n我们强调一个中医四诊合参，\n\n07:11.092 --> 07:16.368\n特别要注意的就是咳嗽的时间还有痰液的性状等等，\n\n07:16.368 --> 07:19.493\n这是我们辨证论治的一个基础的要点。\n\n07:21.989 --> 07:24.040\n需要做哪些BB病检查呢？\n\n07:24.190 --> 07:24.864\n就是啊，\n\n07:24.864 --> 07:28.690\n例如肺结核、肺癌等一些严重的疾病，\n\n07:28.739 --> 07:30.390\n这要及时要发现的，\n\n07:30.890 --> 07:36.290\n这个体现出肺部CT和临床病史的重要性。\n\n07:36.992 --> 07:37.342\n嗯。\n\n07:38.536 --> 07:38.812\n中药，\n\n07:38.812 --> 07:39.411\n中医呢，\n\n07:39.411 --> 07:40.286\n我们注重比。\n\n07:41.428 --> 07:43.102\n咳嗽病与什么病鉴别呢？\n\n07:43.102 --> 07:45.678\n一个哮病要是喘症来鉴别。\n\n07:47.342 --> 07:47.526\n对，\n\n07:47.526 --> 07:49.942\n我们现在西医里面有一个叫咳嗽变哮喘，\n\n07:50.143 --> 07:51.643\n它虽然以咳嗽为主，\n\n07:51.743 --> 07:55.592\n但病机和哮病相相同，\n\n07:55.592 --> 07:57.192\n所以我们按哮病来治疗。\n\n08:00.657 --> 08:03.106\n那我们要对些进行鉴别诊断，\n\n08:03.506 --> 08:05.457\n鉴别诊断有些包括基础的检查，\n\n08:05.457 --> 08:07.256\n有血常规啊，\n\n08:07.307 --> 08:09.356\n胸片、肺功能。\n\n08:13.123 --> 08:18.023\n如果怀疑有胃食管反流或鼻滴漏综合征的话，\n\n08:18.174 --> 08:19.973\n我们还可以做一些特殊的检查，\n\n08:20.324 --> 08:22.574\n例如24小时食管PH的监测，\n\n08:23.123 --> 08:24.723\n鼻窦部的CT等。\n\n08:25.829 --> 08:26.380\n中医呢，\n\n08:26.380 --> 08:27.579\n现在也有一些通过。\n\n08:28.735 --> 08:30.460\n仪器进行舌脉诊呀，\n\n08:30.460 --> 08:31.811\n经络检测，\n\n08:31.811 --> 08:35.135\n一些辅助的辨证工具来进行辅助治疗。\n\n08:39.551 --> 08:40.450\n第二部分，\n\n08:40.750 --> 08:42.301\n中药治疗的一个原理。\n\n08:49.789 --> 08:51.265\n我们来进行聊天，\n\n08:51.265 --> 08:53.539\n熟悉一下中医理论的一个基础知识。\n\n08:54.927 --> 08:58.026\n就是我们中医对肺和咳嗽是怎么认识的？\n\n09:00.640 --> 09:01.465\n中医认为呢，\n\n09:01.465 --> 09:02.539\n肺脏的功能呢。\n\n09:03.536 --> 09:05.236\n它是主气司呼吸，\n\n09:05.635 --> 09:06.835\n肺为角脏，\n\n09:07.635 --> 09:09.036\n肺外和皮毛。\n\n09:09.435 --> 09:10.210\n肺脏呢，\n\n09:10.210 --> 09:15.335\n通过宣发速降样一个功能调节气机慢性咳嗽呢，\n\n09:15.536 --> 09:20.385\n通大多数是因为肺失宣降气逆上冲所致的。\n\n09:21.036 --> 09:23.036\n现代的研究也证实呀，\n\n09:23.236 --> 09:24.635\n肺和免疫功能。\n\n09:25.776 --> 09:28.075\n水液代谢具有密切相关。\n\n09:29.755 --> 09:32.130\n中医对咳嗽的病机怎么解析的呢？\n\n09:32.130 --> 09:33.104\n我们可以认为，\n\n09:33.505 --> 09:37.054\n慢性咳嗽的核心病机就是风邪敛肺。\n\n09:39.494 --> 09:45.193\n常常见的有风邪夹寒、夹热夹燥等等症型，\n\n09:46.593 --> 09:47.593\n病情迁移呢，\n\n09:47.593 --> 09:48.693\n也可以累积到脾肾，\n\n09:49.393 --> 09:54.193\n形成一个痰湿气虚、阴虚等一些复合的病机。\n\n09:55.380 --> 09:56.229\n当然需要，\n\n09:56.229 --> 09:57.604\n具体这什么阵型呢？\n\n09:57.604 --> 10:00.179\n我们需要结合舌脉来辨证来进行分析。\n\n10:04.026 --> 10:04.427\n嗯。\n\n10:06.354 --> 10:09.354\n我们中医还强调对整体的一个一个调整，\n\n10:10.403 --> 10:13.054\n我们强调五脏相关的一个治疗原则。\n\n10:13.453 --> 10:15.953\n我们治疗咳嗽除了治疗肺之外呢，\n\n10:15.953 --> 10:21.054\n还需要兼顾健脾化痰、补肾纳气、疏肝解郁等等。\n\n10:22.307 --> 10:22.807\n例如，\n\n10:22.956 --> 10:25.007\n对一些脾虚生痰湿的患者呢，\n\n10:25.007 --> 10:27.156\n我们可以配配合六君子糖。\n\n10:27.706 --> 10:28.932\n而肾不纳气呢，\n\n10:28.932 --> 10:32.906\n我们可以加入补骨脂等些纳气平喘的药物。\n\n10:37.505 --> 10:38.405\n对于标本。\n\n10:39.796 --> 10:40.947\n坚持的一个原则呢，\n\n10:40.947 --> 10:41.947\n我们急性期呢，\n\n10:41.947 --> 10:42.947\n以祛邪为主，\n\n10:43.296 --> 10:46.247\n通常使用麻黄、杏仁等一些宣肺的药。\n\n10:46.896 --> 10:47.822\n缓解期呢，\n\n10:47.822 --> 10:49.096\n还注重扶正。\n\n10:50.008 --> 10:52.008\n通常用一些黄芪太子参藤补一样，\n\n10:52.758 --> 10:53.309\n并且呢，\n\n10:53.309 --> 10:55.708\n我们可以根据患者的咳嗽的程度啊，\n\n10:55.708 --> 10:58.758\n痰液的性状也进行一个动态调整。\n\n11:04.531 --> 11:07.130\n我们中药治疗咳嗽有哪些药呢？\n\n11:07.130 --> 11:08.731\n我们可以进行一个大的分类，\n\n11:08.781 --> 11:10.431\n有再加四类、四类。\n\n11:13.331 --> 11:14.932\n第一类就止咳化痰药。\n\n11:16.057 --> 11:17.283\n这类药的经典代表药呢，\n\n11:17.283 --> 11:22.507\n有苦杏仁、紫鸢款冬花这些药物。\n\n11:22.658 --> 11:23.232\n它呢，\n\n11:23.232 --> 11:25.307\n它可以通过抑制咳嗽中枢。\n\n11:26.283 --> 11:28.833\n例如苦杏仁苷的作用，\n\n11:28.833 --> 11:32.033\n或者稀释痰液如紫碗皂苷等来起效。\n\n11:32.482 --> 11:34.033\n适用于痰多咳嗽。\n\n11:35.166 --> 11:36.466\n对于阴虚咳喘呢？\n\n11:37.762 --> 11:43.062\n是要避免谨慎使用的第二类润肺养阴类的。\n\n11:43.062 --> 11:48.211\n它代表药物有呢有麦冬、沙参、川贝等等。\n\n11:49.177 --> 11:50.077\n这药物里面，\n\n11:50.077 --> 11:52.601\n它们含有多糖类的一个成分，\n\n11:52.601 --> 11:54.427\n可以修复呼吸道黏膜，\n\n11:55.026 --> 11:58.827\n尤其适用于一些干咳无痰、咽痒的阴虚型咳嗽。\n\n11:59.801 --> 12:00.676\n秋冬季节呢，\n\n12:00.676 --> 12:02.651\n使用这些药是比较更合适的。\n\n12:04.322 --> 12:06.421\n清热解毒类的代表，\n\n12:06.572 --> 12:10.521\n那代表性药物有黄芩、鱼腥草、金银花等等。\n\n12:10.822 --> 12:11.997\n这些中成药呢，\n\n12:11.997 --> 12:14.622\n它具有一个广谱抗菌抗病毒的一个作用。\n\n12:14.771 --> 12:16.697\n针对痰黄粘稠啊，\n\n12:16.697 --> 12:18.572\n咽痛的一个风热型咳嗽呢，\n\n12:18.872 --> 12:23.721\n现在也研究也证实可以降低白介素六这等这些炎性因子。\n\n12:25.640 --> 12:27.440\n补气健脾类的代表药物呢，\n\n12:27.440 --> 12:31.291\n有黄芪、白术、茯苓等等。\n\n12:32.341 --> 12:34.291\n他们通过提升IGA水平，\n\n12:34.291 --> 12:36.140\n增强呼吸道防御。\n\n12:36.440 --> 12:40.190\n它比较适用于一些咳嗽升低、容易疲劳、气虚型，\n\n12:40.791 --> 12:43.765\n相当于陈皮等一些理气要配合，\n\n12:43.765 --> 12:46.190\n防止过于太过于滋腻碍胃。\n\n12:51.905 --> 12:56.554\n我们来粗略来了解一下中药的一些作用的机制，\n\n12:56.755 --> 12:57.205\n首先，\n\n12:57.205 --> 12:58.955\n它具有调节免疫的功能。\n\n12:59.405 --> 12:59.880\n例如，\n\n12:59.880 --> 13:01.905\n黄芪多糖可以促进体细胞的增殖，\n\n13:02.005 --> 13:05.405\n玉屏风散能升高血清IGG水平。\n\n13:06.304 --> 13:07.854\n临床数据也显示呢，\n\n13:07.854 --> 13:10.030\n可以减少感冒诱发咳嗽的频率，\n\n13:10.030 --> 13:12.804\n尤其对于过敏体质患者更加明显。\n\n13:13.905 --> 13:16.505\n第二部分可以改善气道的炎症，\n\n13:16.804 --> 13:20.354\n例如黄芩素等成分能够抑制。\n\n13:21.627 --> 13:26.328\n肿瘤坏死因子KB通路减轻气道高反应性。\n\n13:29.335 --> 13:33.534\n雾化吸入款冬花提取物可以降低嗜酸性粒细胞浸润，\n\n13:33.784 --> 13:36.135\n对咳嗽变异、哮喘有明确的疗效。\n\n13:36.984 --> 13:39.909\n第三可以修复粘膜的损伤，\n\n13:39.909 --> 13:43.135\n例如麦冬多糖能促进气管上皮细胞增殖，\n\n13:43.434 --> 13:46.135\n川贝母碱可以增加呼吸道粘液分泌，\n\n13:46.135 --> 13:47.885\n保护纤毛的功能。\n\n13:48.484 --> 13:53.434\n电子显微镜观察可显示用药后粘膜完整性明显的可以改善。\n\n13:54.934 --> 13:57.234\n第四部分就是调节神经反射，\n\n13:57.385 --> 14:01.534\n例如苦杏仁苷通过抑制盐水咳嗽中枢降低敏感性。\n\n14:02.484 --> 14:03.710\n半夏生物碱呢，\n\n14:03.710 --> 14:05.734\n可以阻断迷走神经传导，\n\n14:06.135 --> 14:08.534\n对胃食管反流导致的咳嗽呢。\n\n14:09.546 --> 14:10.296\n有缓解作用。\n\n14:11.911 --> 14:12.710\n第三部分，\n\n14:12.710 --> 14:14.210\n经典方剂的应用。\n\n14:18.989 --> 14:19.463\n例如，\n\n14:19.463 --> 14:20.338\n风寒咳嗽，\n\n14:20.439 --> 14:21.789\n我们是止嗽散。\n\n14:22.689 --> 14:30.539\n它是由止止止菀、百部、白前桔梗、荆芥、陈皮、甘草、七味药组成。\n\n14:33.831 --> 14:34.932\n它适用于呢，\n\n14:34.932 --> 14:35.781\n咳嗽声重，\n\n14:35.781 --> 14:36.531\n咽痒，\n\n14:37.331 --> 14:38.531\n卡白稀痰，\n\n14:38.781 --> 14:40.182\n伴有鼻塞、流涕症状。\n\n14:41.744 --> 14:42.994\n舌苔是薄白的，\n\n14:42.994 --> 14:43.994\n脉是浮紧的，\n\n14:44.445 --> 14:45.695\n风热咳嗽呢，\n\n14:45.994 --> 14:47.945\n最常经典方是桑菊饮。\n\n14:49.354 --> 14:53.854\n桑菊蕴含有桑叶、菊花、杏仁、连翘、薄荷、桔梗、芦根、甘草八味。\n\n14:56.021 --> 14:56.947\n主要治咳嗽，\n\n14:56.947 --> 14:57.872\n痰黄粘稠，\n\n14:57.872 --> 14:59.521\n咽喉肿痛伴有。\n\n15:01.453 --> 15:01.953\n发热。\n\n15:04.533 --> 15:07.133\n恶风寒、口渴等。\n\n15:07.184 --> 15:08.133\n这些症状。\n\n15:09.450 --> 15:10.500\n痰湿咳嗽呢，\n\n15:10.500 --> 15:11.500\n我们可以用二陈汤，\n\n15:11.750 --> 15:14.401\n就半夏、茯苓、陈皮、甘草组成。\n\n15:15.301 --> 15:17.051\n它适用于咳嗽反复发作，\n\n15:17.301 --> 15:18.401\n痰多色白，\n\n15:18.401 --> 15:18.976\n容易卡，\n\n15:18.976 --> 15:20.651\n晨起更加明显，\n\n15:20.901 --> 15:22.851\n伴一些痰湿中阻的一个表现。\n\n15:25.030 --> 15:26.130\n日常调理呢，\n\n15:28.130 --> 15:32.429\n这个药膳我们例如可以用一些川贝炖梨的做法呀。\n\n15:33.919 --> 15:36.968\n它这种是比较适合阴虚燥咳患者。\n\n15:37.945 --> 15:39.395\n百合银耳羹呢？\n\n15:41.294 --> 15:44.018\n它适用于夜间咳嗽病加重的患者，\n\n15:44.018 --> 15:45.393\n罗汉果茶饮呢，\n\n15:45.494 --> 15:48.268\n它适合于咽喉干痒性的咳嗽，\n\n15:48.268 --> 15:49.143\n效果比较明显。\n\n15:50.122 --> 15:51.747\n而季节性一些食疗呢，\n\n15:51.747 --> 15:53.771\n像春季可以加一些枇杷叶煮水，\n\n15:53.921 --> 15:54.771\n夏季呢，\n\n15:54.971 --> 15:56.471\n冬瓜皮薏苡仁汤，\n\n15:56.771 --> 15:58.622\n秋天杏仁糊，\n\n15:58.771 --> 15:59.546\n冬季呢，\n\n15:59.546 --> 16:00.747\n姜枣茶等等，\n\n16:00.747 --> 16:02.372\n可以根据时令来进行调整。\n\n16:05.456 --> 16:06.331\n血液保健，\n\n16:06.331 --> 16:08.356\n我们例如天通穴的保健，\n\n16:08.356 --> 16:09.606\n足三里的保健，\n\n16:10.557 --> 16:11.706\n肺腧穴的保健，\n\n16:11.807 --> 16:17.206\n那还有一些中医的家庭的推拿要分推肩胛骨啊，\n\n16:17.706 --> 16:19.956\n揉长小横纹等等。\n\n16:19.956 --> 16:22.906\n对于小儿的慢性咳嗽效果非常好，\n\n16:22.956 --> 16:24.682\n但是要注意皮肤啊，\n\n16:24.682 --> 16:25.656\n涂一些按摩油，\n\n16:25.656 --> 16:26.906\n防止皮肤的擦伤。\n\n16:29.041 --> 16:30.190\n生活调整呢，\n\n16:30.640 --> 16:33.841\n就是我们知道的就是早睡早起，\n\n16:34.091 --> 16:35.841\n房间的湿度要控制一下，\n\n16:35.841 --> 16:37.890\n然后做做一些呼吸的锻炼，\n\n16:37.890 --> 16:40.791\n我们的例如最经典的腹式呼吸的训练。\n\n16:41.987 --> 16:42.788\n就吸气，\n\n16:42.788 --> 16:45.163\n吸气时我们鼓腹保持4秒钟，\n\n16:45.163 --> 16:46.088\n然后屏气两秒，\n\n16:46.487 --> 16:47.737\n然后再缓慢的呼吸，\n\n16:47.838 --> 16:49.187\n然后把打到6秒，\n\n16:49.388 --> 16:52.062\n然后每每天各做3次，\n\n16:52.062 --> 16:53.138\n每次做10组，\n\n16:53.338 --> 16:55.663\n增加它可以增加那膈肌的力量，\n\n16:55.663 --> 16:57.213\n减少咳嗽反射性，\n\n16:57.213 --> 16:58.288\n一个敏感性，\n\n16:59.187 --> 17:01.138\n这最后就要控制一下情绪。\n\n17:01.138 --> 17:03.437\n我们可以练一些中医的八段锦，\n\n17:03.437 --> 17:05.787\n可以梳理肝气。\n\n17:09.329 --> 17:11.380\n接下来我们看一下中医治疗的误区。\n\n17:13.725 --> 17:14.125\n例如，\n\n17:14.125 --> 17:17.176\n我们有些人会认为中药是无毒副作用的，\n\n17:17.176 --> 17:19.526\n就自自行用用药的问题。\n\n17:19.725 --> 17:21.151\n但是这个还是不推荐的，\n\n17:21.151 --> 17:23.375\n还是需要在专业的医生指导下进行治疗。\n\n17:26.056 --> 17:27.456\n更有甚的一些偏方，\n\n17:27.755 --> 17:28.156\n嗯，\n\n17:28.255 --> 17:28.855\n还是。\n\n17:30.484 --> 17:31.234\n不是很推荐的。\n\n17:38.287 --> 17:39.937\n也中西医的结合治疗。\n\n17:41.609 --> 17:44.109\n在什么时候需要中西结合治疗呢？\n\n17:44.560 --> 17:49.584\n例如急性细菌感染性应该使用西医的抗抗感染治疗，\n\n17:49.584 --> 17:51.010\n稳定后再用中药调理。\n\n17:51.609 --> 17:53.209\n如果有支原体肺炎呢，\n\n17:53.209 --> 17:54.234\n可以先用阿奇霉素，\n\n17:54.234 --> 17:57.810\n体温正常后可以改用竹力打痰丸清除淤血。\n\n17:59.485 --> 18:00.586\n在治疗期间呢，\n\n18:00.586 --> 18:03.186\n要每两周复查一次血常规、肝肾功能等等，\n\n18:04.286 --> 18:05.561\n如咳嗽、变性、哮喘呢，\n\n18:05.561 --> 18:07.086\n还需要完善肺功能的检查。\n\n18:08.125 --> 18:09.800\n如果含有麻黄碱类的药物呢，\n\n18:09.800 --> 18:11.125\n还需要检测一下血压。\n\n18:12.722 --> 18:14.072\n这些急症怎么处理呢？\n\n18:14.072 --> 18:17.447\n例如出现咯血憋闷这些急症，\n\n18:17.447 --> 18:19.822\n应该立即停用活血类中药，\n\n18:19.822 --> 18:23.072\n采用支扩支气管扩张剂的西医急救措施，\n\n18:23.072 --> 18:25.421\n病情稳定后再进行中医调理。\n\n18:28.532 --> 18:32.883\n预防与康复我们强调三级的预防体系，\n\n18:33.383 --> 18:33.983\n第一，\n\n18:34.083 --> 18:35.833\n未病先防，\n\n18:36.432 --> 18:36.958\n第二，\n\n18:36.958 --> 18:37.932\n既病防变，\n\n18:38.583 --> 18:39.233\n第三，\n\n18:39.333 --> 18:40.432\n预后防护，\n\n18:40.633 --> 18:41.233\n第四，\n\n18:41.583 --> 18:43.233\n这进行一个年度的调理。\n\n18:43.432 --> 18:45.083\n年度调理最近比较火，\n\n18:45.333 --> 18:45.932\n就是。\n\n18:47.625 --> 18:49.326\n三伏贴、三九贴等等。\n\n18:49.326 --> 18:49.926\n还有一些。\n\n18:51.135 --> 18:52.586\n穴位注射等方法。\n\n18:54.137 --> 18:54.537\n最后，\n\n18:54.537 --> 18:56.887\n我们看一下进行针对体质来进行调理。\n\n18:57.238 --> 18:58.287\n气虚型体质呢，\n\n18:58.287 --> 19:00.338\n我们可以采用四君子汤来进行调整。\n\n19:01.359 --> 19:02.909\n然后还练一些八段锦啊，\n\n19:02.909 --> 19:03.859\n太极拳等等。\n\n19:05.130 --> 19:06.206\n阴虚体质呢，\n\n19:06.206 --> 19:09.130\n我们可以使用使用一些养阴的。\n\n19:10.147 --> 19:10.422\n药物，\n\n19:10.422 --> 19:12.498\n例如沙参麦冬炖瘦肉啊，\n\n19:12.498 --> 19:15.047\n药物是养养阴清肺丸等等，\n\n19:15.797 --> 19:16.897\n痰湿体质呢，\n\n19:16.947 --> 19:18.797\n我们可以服用二陈汤，\n\n19:18.897 --> 19:21.422\n还要配合薏仁山药粥，\n\n19:21.422 --> 19:22.447\n健脾化湿。\n\n19:23.387 --> 19:23.988\n过敏体质呢，\n\n19:23.988 --> 19:25.187\n我们可以使用过敏间。\n\n19:26.437 --> 19:27.562\n在发作期呢，\n\n19:27.562 --> 19:28.937\n可以采用一个脱敏间，\n\n19:28.937 --> 19:30.137\n然后同时呢，\n\n19:30.137 --> 19:32.488\n保持室内环境保持一定的湿度。\n\n19:34.151 --> 19:34.826\n然后空，\n\n19:34.826 --> 19:37.401\n空空调滤网定期清洁。\n\n19:40.526 --> 19:41.225\n自己呢，\n\n19:41.225 --> 19:42.676\n我们要做一下自我监测。\n\n19:44.008 --> 19:47.157\n都可以做自己的笔记来记录一下自己的病情的变化，\n\n19:47.157 --> 19:47.782\n并且呢，\n\n19:47.782 --> 19:48.608\n定期要复查。\n\n19:50.758 --> 19:53.258\n对长期的一些保健保健方案呢，\n\n19:53.258 --> 19:56.657\n我们可以我们要关注一下咳嗽的次数呀，\n\n19:56.657 --> 19:58.307\n痰颜色的变化呀，\n\n19:58.307 --> 20:00.307\n发发作时间的病情变化，\n\n20:00.458 --> 20:03.083\n一些病因的变化来做一个表格来，\n\n20:03.083 --> 20:08.458\n这样有助于为在医生诊疗时提供更多的有效信息。\n\n20:11.572 --> 20:11.973\n好，\n\n20:12.022 --> 20:13.447\n今天的分析就这么多，\n\n20:13.447 --> 20:14.223\n谢谢大家。\n\n","v0247cg10004d714dq2ljhtcv3gfskj0",1220,892,"2026-01-26 11:43:47"," 慢性咳嗽中药治疗全攻略 - 中医秘方与调理方法  \n"," 慢性咳嗽, 中药治疗, 中医调理, 咳嗽偏方, 止咳中药, 呼吸道保健, 中医养生  \n"," 本视频详细讲解慢性咳嗽的中药治疗方案，包括经典方剂、食疗建议和日常调理技巧。从中医角度分析咳嗽病因，提供安全有效的自然疗法，帮助缓解长期咳嗽问题，改善呼吸道健康。适合反复咳嗽、久咳不愈人群观看学习。","2026-04-29 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