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--> 00:04.764\n中医视角下的咳嗽变异性哮喘，\n\n00:05.465 --> 00:08.765\n辨证论治与综合调护。\n\n00:11.626 --> 00:12.175\n第一，\n\n00:12.175 --> 00:12.826\n咳嗽，\n\n00:12.826 --> 00:15.526\n变异性哮喘的中医认识。\n\n00:15.975 --> 00:16.600\n第二，\n\n00:16.600 --> 00:17.451\n中医病，\n\n00:17.451 --> 00:18.225\n机病。\n\n00:19.409 --> 00:20.709\n解解析，\n\n00:21.110 --> 00:21.735\n第三，\n\n00:21.735 --> 00:24.809\n中医辨证分型与诊断要点，\n\n00:25.059 --> 00:25.610\n第四，\n\n00:25.610 --> 00:27.909\n中医治疗方法与方药，\n\n00:28.860 --> 00:29.659\n第五，\n\n00:29.659 --> 00:30.059\n名，\n\n00:30.059 --> 00:32.459\n医经典与典型医案，\n\n00:32.810 --> 00:35.860\n日常调护与防护策略，\n\n00:36.459 --> 00:37.060\n第七，\n\n00:37.159 --> 00:40.259\n中西医结合与研究进展。\n\n00:42.550 --> 00:46.750\n1变异性咳嗽哮喘的中医认识。\n\n00:48.842 --> 00:49.792\n病名溯源，\n\n00:49.943 --> 00:52.993\n从风咳到哮病的中医解读，\n\n00:53.393 --> 00:54.092\n风咳，\n\n00:54.292 --> 00:56.993\n阵发性干咳的核心特点，\n\n00:57.342 --> 01:01.393\n中医将咳嗽变异性哮喘归属于风格范畴，\n\n01:01.592 --> 01:06.042\n以阵发性干咳咽痒即咳为主要表现，\n\n01:06.292 --> 01:08.392\n符合风邪善行数变，\n\n01:08.593 --> 01:11.292\n风盛则痒的致病特点，\n\n01:11.292 --> 01:13.792\n遇风、冷空气等刺激，\n\n01:13.792 --> 01:16.593\n易诱发或加重哮病。\n\n01:16.792 --> 01:19.042\n伏痰内服的病理本。\n\n01:19.092 --> 01:19.391\n治，\n\n01:19.592 --> 01:22.692\n部分医家认为及其效病相关，\n\n01:22.741 --> 01:25.641\n核心病机在于顽痰内服，\n\n01:25.741 --> 01:27.442\n小儿脾肠不足，\n\n01:27.592 --> 01:28.842\n肾虚水泛，\n\n01:29.041 --> 01:30.241\n肺部不精。\n\n01:31.613 --> 01:32.439\n均可治。\n\n01:32.439 --> 01:35.414\n痰饮内伏内络，\n\n01:35.564 --> 01:38.263\n遇外感风邪引动而发，\n\n01:38.513 --> 01:43.363\n是病情迁延及转为典型哮喘的病理基础。\n\n01:44.346 --> 01:44.896\n久咳，\n\n01:45.195 --> 01:48.695\n病程迁延的临床特点，\n\n01:48.996 --> 01:51.146\n因病情缠绵难愈，\n\n01:51.146 --> 01:52.695\n亦属久咳范畴，\n\n01:52.846 --> 01:54.795\n多因正虚邪恋。\n\n01:56.541 --> 02:01.541\n肺、脾、肾虚、损风痰瘀等病理因素相互交织，\n\n02:02.041 --> 02:04.791\n导致咳嗽持续超过四周，\n\n02:04.942 --> 02:08.292\n常规止咳药效果不佳。\n\n02:09.300 --> 02:12.149\n痉咳气道禁忌的发作特点，\n\n02:12.300 --> 02:15.350\n部分医家提出痉咳特点，\n\n02:15.449 --> 02:19.800\n强调风邪袭肺致气道痉挛表现为。\n\n02:20.667 --> 02:21.768\n痉挛性咳嗽，\n\n02:21.817 --> 02:23.667\n夜间及凌晨加重。\n\n02:23.768 --> 02:29.768\n支气管激发试验常提示气道高反应与风子。\n\n02:30.925 --> 02:32.975\n拘集理论相合，\n\n02:33.776 --> 02:37.376\n中西医病名对照与临床特征。\n\n02:37.876 --> 02:39.026\n西医病名，\n\n02:39.675 --> 02:41.526\n咳嗽变异性哮喘。\n\n02:42.488 --> 02:45.988\n咳嗽变异性哮喘是一种特殊类型哮喘，\n\n02:46.138 --> 02:50.087\n以慢性咳嗽为主要或唯一的临床表现，\n\n02:50.138 --> 02:54.488\n无明显喘息、气促等症状或体征，\n\n02:54.587 --> 02:56.938\n但存在气道高压反应。\n\n02:57.638 --> 03:00.837\n中医病名归属风咳、久咳、哮咳，\n\n03:01.037 --> 03:03.712\n中医无直接对应病名根基。\n\n03:03.712 --> 03:07.938\n正发性干咳、咽痒即咳、遇风加重等特点，\n\n03:07.938 --> 03:10.287\n多属于风咳、久咳范畴，\n\n03:10.438 --> 03:12.388\n部分可参照效咳。\n\n03:12.815 --> 03:13.115\n对。\n\n03:14.908 --> 03:20.559\n核心临床特点慢性干咳以诱发因素主要表现为阵发性干咳，\n\n03:20.658 --> 03:23.958\n常于夜间和清晨发作或加重，\n\n03:24.108 --> 03:29.509\n运动、遇冷空气、接触过敏原后咳嗽加重。\n\n03:29.559 --> 03:30.759\n一般无明显。\n\n03:32.057 --> 03:33.807\n安卓或精油小链。\n\n03:35.173 --> 03:38.473\n咽痰体症与辅助检查特点，\n\n03:38.574 --> 03:40.848\n肺部听诊多无哮鸣音，\n\n03:40.848 --> 03:43.223\n部分可闻及呼吸音增粗。\n\n03:43.473 --> 03:47.373\n肺功能检测显示支气管激发试验阳性，\n\n03:47.373 --> 03:52.373\n或呼吸风流速日变异率大于13%。\n\n03:52.723 --> 03:55.473\n过敏原检测常提示阳性。\n\n03:56.341 --> 03:59.841\n流行病学特点与中医防治优势。\n\n04:01.033 --> 04:08.083\n儿童慢性咳嗽首要病因2012年全国多中心多中心研究显示，\n\n04:08.184 --> 04:13.134\n咳嗽变异性哮喘占儿童慢性咳嗽病因的41.9%，\n\n04:13.384 --> 04:16.933\n是导致儿童长期咳嗽的最常见疾病。\n\n04:17.334 --> 04:20.783\n地域与季节性发作发病特征。\n\n04:21.916 --> 04:25.367\n秋春季节或季节更替时发病率较高，\n\n04:25.367 --> 04:30.766\n东北地区春季发作儿童迁年南方温暖湿润地区后，\n\n04:30.816 --> 04:33.016\n咳嗽症状可明显减轻。\n\n04:33.117 --> 04:36.916\n解释环境因素影响中医整体。\n\n04:37.791 --> 04:38.842\n调理优势，\n\n04:39.191 --> 04:43.441\n强调辨病、辨阶段、辨证相结合。\n\n04:43.592 --> 04:47.092\n针对风痰虚瘀核心病机，\n\n04:47.391 --> 04:49.766\n通过内治、外治结合，\n\n04:49.766 --> 04:51.416\n不仅缓解症状，\n\n04:51.416 --> 04:54.291\n更能调节肺脾肾功能，\n\n04:54.291 --> 04:55.842\n降低复发风险。\n\n04:56.342 --> 05:07.992\n非药物疗法特点包括针灸、肺俞定喘穴、穴位敷贴、三伏贴、三九贴、小儿推拿、拔罐等外治法。\n\n05:08.354 --> 05:12.903\n具有起效快、副作用小、儿童依从性高等特点。\n\n05:13.683 --> 05:14.058\n第二，\n\n05:14.058 --> 05:16.033\n中医病因病机解释。\n\n05:19.161 --> 05:21.962\n外邪侵袭风邪为百病之长。\n\n05:22.161 --> 05:25.062\n风邪的特点与致病特点，\n\n05:25.161 --> 05:27.761\n风邪具有轻身开泄。\n\n05:31.217 --> 05:33.217\n扇形数变等特点。\n\n05:35.544 --> 05:36.694\n易袭阳胃，\n\n05:37.044 --> 05:40.794\n常加寒、热、燥等邪气。\n\n05:41.776 --> 05:46.425\n侵蚀人体是咳嗽变异性哮喘发病的主要诱因之一。\n\n05:46.675 --> 05:47.276\n风邪，\n\n05:47.276 --> 05:51.101\n肩胛寒邪致病季节交替，\n\n05:51.101 --> 05:52.626\n气温变化频繁，\n\n05:52.876 --> 05:55.626\n寒邪易随风侵袭肺系，\n\n05:55.976 --> 05:57.476\n致肺气失宣，\n\n05:57.476 --> 06:02.425\n出现咽痒即咳、胸闷气喘等风寒夹饮症状。\n\n06:03.332 --> 06:04.432\n风邪兼加，\n\n06:04.432 --> 06:06.131\n热邪致病。\n\n06:06.282 --> 06:08.207\n风热之邪侵袭，\n\n06:08.207 --> 06:10.131\n非是清肃热痰，\n\n06:10.332 --> 06:11.631\n热蒸灼痰，\n\n06:11.932 --> 06:18.082\n出现咳嗽凝聚、痰黄咽稠、咽痛口干等症状。\n\n06:18.881 --> 06:20.131\n舌苔薄黄，\n\n06:20.131 --> 06:21.082\n脉浮数。\n\n06:22.286 --> 06:24.485\n风邪与伏痰的相互作用，\n\n06:24.485 --> 06:27.335\n过敏体质人群中常存在伏痰，\n\n06:27.385 --> 06:31.686\n风邪作为诱因接触花粉、尘螨等过敏元素。\n\n06:32.473 --> 06:35.273\n如同触动开关也引发浮痰，\n\n06:35.273 --> 06:36.248\n上扰气道，\n\n06:36.248 --> 06:37.799\n导致气道痉挛，\n\n06:37.799 --> 06:38.773\n咳嗽不止。\n\n06:40.490 --> 06:41.540\n脏腑功能失调，\n\n06:41.841 --> 06:43.841\n肺脾肾虚为本，\n\n06:44.091 --> 06:44.966\n肺气虚，\n\n06:44.966 --> 06:45.990\n胃外不够，\n\n06:46.191 --> 06:47.240\n肺主思。\n\n06:48.895 --> 06:49.246\n呼吸，\n\n06:49.346 --> 06:52.145\n肺气虚则胃外功能减弱，\n\n06:52.295 --> 06:53.971\n易受外邪侵袭，\n\n06:53.971 --> 06:55.621\n导致肺气宣泄，\n\n06:55.621 --> 06:56.895\n引发咳嗽。\n\n06:58.255 --> 06:59.804\n肺脾气虚弱，\n\n06:59.904 --> 07:01.204\n痰湿内生，\n\n07:01.505 --> 07:02.954\n脾为后天之本，\n\n07:03.105 --> 07:04.679\n脾虚运化失常，\n\n07:04.679 --> 07:05.829\n水湿内生，\n\n07:05.829 --> 07:07.105\n聚而成痰，\n\n07:07.204 --> 07:08.755\n上出于肺，\n\n07:08.804 --> 07:10.005\n阻塞气道。\n\n07:10.005 --> 07:10.654\n症状，\n\n07:10.755 --> 07:12.105\n咳嗽痰多，\n\n07:12.105 --> 07:12.730\n胸闷，\n\n07:12.730 --> 07:13.755\n食少便溏。\n\n07:15.834 --> 07:16.783\n肾气虚亏，\n\n07:16.783 --> 07:17.908\n纳气无权。\n\n07:17.908 --> 07:19.183\n肾主纳气，\n\n07:19.384 --> 07:21.984\n肾虚则摄纳失常，\n\n07:22.033 --> 07:23.234\n气浮于上，\n\n07:23.783 --> 07:24.808\n久咳不止，\n\n07:24.808 --> 07:26.033\n动则流甚。\n\n07:26.183 --> 07:27.933\n症见干咳少痰，\n\n07:28.084 --> 07:29.783\n腰酸膝软，\n\n07:30.033 --> 07:31.183\n呼多稀少。\n\n07:32.462 --> 07:33.962\n治一、补肾纳气，\n\n07:34.911 --> 07:36.087\n三脏同病，\n\n07:36.087 --> 07:37.161\n相互影响，\n\n07:37.761 --> 07:39.011\n肺虚及脾，\n\n07:39.161 --> 07:40.411\n脾虚及肾，\n\n07:40.462 --> 07:42.062\n形成恶性循环，\n\n07:42.062 --> 07:46.511\n如肺脾虚气虚致痰湿阻肺，\n\n07:46.661 --> 07:48.562\n日久累积肾阳，\n\n07:48.812 --> 07:49.962\n加重寒阴。\n\n07:49.962 --> 07:52.511\n内服治疗需兼顾三脏，\n\n07:52.611 --> 07:56.161\n用麝干麻黄汤和玉屏风散加减。\n\n07:56.997 --> 07:57.798\n病理产物。\n\n07:58.769 --> 08:00.920\n痰瘀气滞的核心作用。\n\n08:02.644 --> 08:03.045\n痰阻，\n\n08:03.744 --> 08:04.994\n肺脾失调，\n\n08:05.445 --> 08:06.119\n无痰，\n\n08:06.119 --> 08:06.744\n内晕，\n\n08:07.394 --> 08:08.144\n淤血，\n\n08:08.494 --> 08:10.095\n肺湿滞结，\n\n08:10.295 --> 08:11.595\n血行不畅，\n\n08:11.845 --> 08:12.595\n气滞，\n\n08:13.045 --> 08:14.394\n气机失常，\n\n08:14.445 --> 08:15.945\n肺失宣泄。\n\n08:17.682 --> 08:21.481\n情志因素与体质禀赋的影响，\n\n08:22.082 --> 08:25.082\n情志失调致气机易乱，\n\n08:25.481 --> 08:27.657\n过敏体质与浮痰，\n\n08:27.657 --> 08:31.481\n内服先天禀赋不足与发病倾向。\n\n08:32.669 --> 08:33.169\n第三，\n\n08:33.270 --> 08:35.969\n中医辨证分型与诊断要点。\n\n08:37.161 --> 08:38.911\n急性期常见的症状，\n\n08:39.161 --> 08:46.062\n风血犯肺症第一主要的核心症状表现以阵发性干咳、咽痒。\n\n08:46.955 --> 08:48.656\n即咳为主要特征，\n\n08:48.755 --> 08:52.431\n咳嗽常在夜间或清晨发作或加重，\n\n08:52.431 --> 08:56.106\n遇冷空气、异味、运动等因素可诱发加剧。\n\n08:56.306 --> 08:58.255\n一般无明显喘息技术。\n\n08:59.775 --> 09:00.424\n苔淡红，\n\n09:00.875 --> 09:01.875\n苔薄白，\n\n09:01.875 --> 09:03.775\n脉浮紧等数。\n\n09:04.375 --> 09:05.924\n病因病机解析，\n\n09:06.025 --> 09:07.650\n风邪为百病之长，\n\n09:07.650 --> 09:09.375\n以加寒热邪。\n\n09:11.021 --> 09:11.971\n侵袭肺气，\n\n09:12.021 --> 09:13.721\n导致肺气虚宣，\n\n09:13.771 --> 09:14.822\n气道均竭，\n\n09:14.921 --> 09:17.122\n肺气上逆而发生咳嗽。\n\n09:17.271 --> 09:19.771\n肝行、风行、散行数变，\n\n09:19.771 --> 09:21.346\n故咳嗽呈阵发形，\n\n09:21.346 --> 09:22.521\n突发突止，\n\n09:22.771 --> 09:23.971\n风盛则痒，\n\n09:23.971 --> 09:25.521\n故阴阳明显。\n\n09:26.260 --> 09:30.909\n第三治则与代表方剂治疗以疏风宣肺，\n\n09:31.010 --> 09:33.059\n解痉止咳为主。\n\n09:33.460 --> 09:39.409\n代表方苏黄止咳汤有麻黄、紫苏、叶地龙、蝉蜕等组成，\n\n09:39.510 --> 09:41.034\n具有疏风宣肺，\n\n09:41.034 --> 09:44.210\n止咳利咽、解痉平喘之效，\n\n09:44.460 --> 09:47.210\n适用于风邪犯肺所致的咳嗽。\n\n09:47.719 --> 09:48.719\n临床用药，\n\n09:48.719 --> 09:49.219\n加减，\n\n09:49.369 --> 09:50.719\n若咽痒明显，\n\n09:50.719 --> 09:52.369\n可加姜、蚕、薄荷，\n\n09:52.369 --> 09:54.919\n以增强祛风止痒之力，\n\n09:55.320 --> 09:56.369\n咳嗽剧烈，\n\n09:56.369 --> 09:58.919\n可加杏仁、桔梗宣肺止咳，\n\n09:58.969 --> 10:00.919\n若伴有鼻塞、流清涕，\n\n10:01.070 --> 10:03.020\n则可加进阶防风，\n\n10:03.020 --> 10:04.419\n疏散风寒。\n\n10:06.312 --> 10:07.762\n急性期常见症状，\n\n10:07.861 --> 10:09.211\n痰热晕肺者。\n\n10:12.192 --> 10:15.418\n痰热晕肺的核心症状主要表现为咳嗽，\n\n10:15.418 --> 10:17.692\n剧烈气促或咳嗽。\n\n10:19.625 --> 10:20.726\n咳牙痰黄，\n\n10:20.776 --> 10:22.125\n粘稠难克，\n\n10:22.276 --> 10:28.426\n可伴有面红、口渴、发热、咽痛、尿黄、大便干结等症状。\n\n10:29.047 --> 10:33.747\n寒热晕肺症的病因病机多因外邪入里化热，\n\n10:33.848 --> 10:35.047\n或饮食不当，\n\n10:35.098 --> 10:36.348\n过食辛厚，\n\n10:36.547 --> 10:37.622\n辛辣厚味，\n\n10:37.622 --> 10:39.197\n导致肺热壅盛，\n\n10:39.598 --> 10:40.848\n炼液为痰。\n\n10:42.554 --> 10:46.455\n肺热晕肺症的舌苔舌脉诊象，\n\n10:46.554 --> 10:47.380\n舌质红，\n\n10:47.380 --> 10:48.304\n苔黄腻，\n\n10:48.304 --> 10:49.455\n脉象滑数，\n\n10:49.554 --> 10:53.104\n是痰热内阴与肺的典型舌脉表现。\n\n10:53.866 --> 10:58.616\n寒热晕肺症的治疗与推荐方药治疗与清热化痰，\n\n10:58.616 --> 11:00.466\n宣肺止痰为主。\n\n11:01.252 --> 11:04.401\n推荐方药为清金化痰汤加减，\n\n11:04.502 --> 11:07.651\n常用黄芩、栀子、双白皮清肺热，\n\n11:07.702 --> 11:10.252\n贝母、瓜蒌、桔根化痰止咳。\n\n11:11.565 --> 11:16.065\n热晕肺症的食疗辅助方法可食用银翘绿豆汤，\n\n11:16.216 --> 11:17.666\n有金银花15g，\n\n11:17.666 --> 11:18.640\n连翘15g，\n\n11:18.640 --> 11:19.765\n绿豆50g，\n\n11:19.765 --> 11:21.515\n冰糖适量组成。\n\n11:22.492 --> 11:26.742\n具有清热解毒、疏风止疏、散风热的功效。\n\n11:28.437 --> 11:34.687\n缓解期与稳定剂的重症肺脾两虚症核心病机肺气亏虚，\n\n11:34.937 --> 11:36.286\n脾气不足，\n\n11:36.786 --> 11:39.937\n典型症状主要为咳嗽反复。\n\n11:40.997 --> 11:42.047\n咳声低微，\n\n11:42.148 --> 11:43.348\n痰白清晰，\n\n11:43.348 --> 11:45.247\n伴气短乏力，\n\n11:45.648 --> 11:47.497\n畏寒易感冒，\n\n11:47.497 --> 11:48.447\n纳差便溏，\n\n11:48.648 --> 11:50.598\n舌苔嫩有齿印，\n\n11:50.848 --> 11:51.747\n苔薄白，\n\n11:51.747 --> 11:52.598\n脉细数。\n\n11:52.997 --> 11:53.697\n治则，\n\n11:53.797 --> 11:55.197\n健脾益肺，\n\n11:55.197 --> 11:56.497\n化痰止咳。\n\n11:56.961 --> 12:00.812\n推荐的方药六君子汤和玉屏风散加减。\n\n12:02.981 --> 12:03.681\n特殊症状，\n\n12:03.681 --> 12:07.031\n肝火犯肺与肺肾阴虚症，\n\n12:07.531 --> 12:08.880\n肝火犯肺，\n\n12:09.531 --> 12:10.806\n肝火犯肺症。\n\n12:10.806 --> 12:14.330\n情志失调是咳的核心机制。\n\n12:14.431 --> 12:15.481\n中医认为，\n\n12:15.481 --> 12:17.880\n情志不畅指肝气郁结，\n\n12:17.880 --> 12:18.981\n气郁化火，\n\n12:19.031 --> 12:21.580\n木火行经阻伤肺经，\n\n12:21.580 --> 12:22.531\n引发咳嗽。\n\n12:23.132 --> 12:24.432\n现代研究表明，\n\n12:24.481 --> 12:29.231\n精神因素可通过神经内分泌系统影响免疫系统。\n\n12:29.861 --> 12:32.411\n增强哮喘的发作风险，\n\n12:32.810 --> 12:35.710\n其典型表现为咳嗽气逆，\n\n12:35.760 --> 12:36.810\n痰少而黏，\n\n12:36.960 --> 12:38.060\n胸胁胀痛，\n\n12:38.210 --> 12:39.411\n舌红苔黄，\n\n12:39.411 --> 12:40.560\n脉悬数。\n\n12:41.241 --> 12:44.491\n肝火犯肺的辨证要点与治法，\n\n12:44.890 --> 12:51.440\n辨证以情志波动加重面红、口苦、咳嗽引发胸痛为关键特点，\n\n12:51.690 --> 12:53.791\n治疗为清泻肝火，\n\n12:53.841 --> 12:55.041\n理气止咳，\n\n12:55.041 --> 12:58.791\n代表方剂为黛哈散和泻白散。\n\n12:58.940 --> 13:02.491\n食疗可用清代蒸肺饼、柿饼。\n\n13:03.185 --> 13:03.861\n取清淡，\n\n13:03.861 --> 13:06.736\n清肝泻火莫喝，\n\n13:06.835 --> 13:08.885\n梳理头目之效，\n\n13:09.236 --> 13:11.335\n临睡前嚼服，\n\n13:11.335 --> 13:12.935\n辅助缓解症状。\n\n13:17.546 --> 13:20.671\n肺肾阴虚症久病及肾的病理，\n\n13:20.671 --> 13:22.796\n转归风为阳邪弱。\n\n13:23.937 --> 13:26.937\n肺、气、肾或体素体阴亏。\n\n13:27.994 --> 13:29.594\n抑制肺肾阴虚，\n\n13:29.594 --> 13:30.794\n虚火上炎，\n\n13:30.895 --> 13:32.145\n灼伤津液。\n\n13:32.395 --> 13:33.820\n以干咳少痰，\n\n13:33.820 --> 13:34.969\n咽干口燥，\n\n13:34.969 --> 13:36.945\n五心烦热为主要表现。\n\n13:39.059 --> 13:39.635\n肺主气，\n\n13:39.635 --> 13:40.534\n肾纳气，\n\n13:40.534 --> 13:42.409\n久病肾虚必心营，\n\n13:42.609 --> 13:44.210\n影响纳气功能，\n\n13:44.210 --> 13:50.159\n兼顾补肺益肾、补肺益肾的调理方案。\n\n13:51.156 --> 13:51.606\n治一，\n\n13:51.606 --> 13:53.005\n滋阴润肺，\n\n13:53.005 --> 13:54.281\n纳气止咳。\n\n13:54.281 --> 13:55.056\n代表方，\n\n13:55.056 --> 13:58.005\n沙参麦冬汤和百合固精汤。\n\n13:58.255 --> 13:59.505\n食疗推荐，\n\n13:59.505 --> 14:01.005\n川贝炖雪梨。\n\n14:03.658 --> 14:06.008\n医诊断标准与鉴别诊断，\n\n14:06.408 --> 14:07.859\n中医病名归属，\n\n14:07.859 --> 14:15.559\n咳嗽变异性哮喘在中医领域可归属于风咳、久咳、哮咳等范畴。\n\n14:16.059 --> 14:17.508\n核心诊断要点，\n\n14:17.609 --> 14:19.559\n持续咳嗽大于4周，\n\n14:19.559 --> 14:23.158\n常在夜间或清晨发作或加重，\n\n14:23.208 --> 14:24.458\n以干咳为主。\n\n14:24.508 --> 14:29.859\n临床无感染症状或较长时间抗生素治疗无效。\n\n14:30.208 --> 14:33.859\n支气管扩张易诊断为治疗咳嗽症。\n\n14:33.927 --> 14:34.927\n缓解明显。\n\n14:36.893 --> 14:42.044\n辨证分型依据结合症状、舌苔、脉象进行辨证。\n\n14:42.093 --> 14:44.693\n常见症状包括风邪犯、肺。\n\n14:45.802 --> 14:46.802\n痰热晕肺，\n\n14:47.502 --> 14:48.853\n肺脾气虚。\n\n14:49.403 --> 14:50.552\n辨别要点，\n\n14:50.603 --> 14:52.302\n需感染性咳嗽。\n\n14:56.405 --> 14:57.630\n有明显感染史，\n\n14:57.630 --> 14:59.354\n抗感染治疗有效。\n\n14:59.405 --> 15:00.455\n异物吸入，\n\n15:00.505 --> 15:04.104\n有异物吸入时影像可发血异常。\n\n15:04.255 --> 15:06.205\n胃食管反流性咳嗽。\n\n15:07.315 --> 15:08.466\n慢性咳嗽。\n\n15:09.260 --> 15:10.559\n疾病相鉴别。\n\n15:11.523 --> 15:11.924\n第四，\n\n15:11.973 --> 15:13.973\n中医治疗方法与方药，\n\n15:14.174 --> 15:15.723\n经典方剂应用，\n\n15:15.723 --> 15:18.773\n射干麻黄汤的临床应用，\n\n15:19.124 --> 15:22.223\n射干麻黄汤的核心配伍与功效。\n\n15:22.874 --> 15:25.648\n射干麻黄汤主要有射干麻黄，\n\n15:25.648 --> 15:26.198\n生姜，\n\n15:26.198 --> 15:26.749\n细辛，\n\n15:26.749 --> 15:28.124\n紫苑款冬花，\n\n15:28.124 --> 15:28.674\n大枣，\n\n15:28.773 --> 15:29.473\n半夏。\n\n15:30.406 --> 15:35.205\n五味子组成射干麻黄汤的适应症与辨证要点，\n\n15:35.556 --> 15:46.106\n主要是用于变异性咳嗽的风邪犯肺寒饮内服症状以咽痒咳嗽、胸闷气急、遇寒加重为辨证要点。\n\n15:46.697 --> 15:48.648\n临床加减策略。\n\n15:50.450 --> 15:51.489\n咳喘剧烈者，\n\n15:51.489 --> 15:53.301\n可喝三子养心汤，\n\n15:53.301 --> 15:55.700\n增加化痰止咳之功效，\n\n15:56.000 --> 15:58.950\n有热者加柴胡、黄芩清肺，\n\n15:59.351 --> 16:00.500\n清泻肺热。\n\n16:02.828 --> 16:04.479\n寒湿重者喝二陈汤。\n\n16:05.791 --> 16:08.317\n久病肾虚者配功劳叶，\n\n16:08.317 --> 16:11.392\n淫羊藿、菟丝子配益肾。\n\n16:15.517 --> 16:19.367\n辨证加减疏黄止咳汤与紫苏散的运用。\n\n16:20.968 --> 16:22.268\n苏黄止咳汤，\n\n16:22.268 --> 16:24.718\n风邪犯肺症的核心方。\n\n16:25.169 --> 16:28.018\n疏黄止咳汤的随针加减。\n\n16:29.320 --> 16:33.770\n紫苏散通过治疗咳嗽的基础方加味。\n\n16:33.770 --> 16:36.469\n紫苏散在CBA中的应用。\n\n16:37.770 --> 16:39.320\n外治治疗，\n\n16:39.520 --> 16:43.320\n针灸与穴位贴敷治疗。\n\n16:43.520 --> 16:46.469\n针灸治疗主要是疏通肺络，\n\n16:46.469 --> 16:47.669\n解痉止咳，\n\n16:47.919 --> 16:50.869\n穴位贴敷主要是温阳化痰，\n\n16:51.020 --> 16:52.270\n冬病夏治。\n\n16:52.469 --> 16:54.969\n辅助治疗是拔罐与刮痧。\n\n16:57.414 --> 17:01.463\n中药、中成药合理选用与用药注意事项。\n\n17:02.239 --> 17:05.689\n风邪犯肺证主要用疏黄止咳胶囊，\n\n17:05.989 --> 17:09.839\n肺气虚胃表不固的主要用玉屏风散，\n\n17:10.189 --> 17:14.290\n肺阴亏虚主于养阴清肺丸，\n\n17:14.689 --> 17:17.790\n风寒洗肺主要用通宣理肺丸。\n\n17:18.543 --> 17:20.894\n痰湿晕肺症主要有橘红。\n\n17:22.368 --> 17:22.618\n一。\n\n17:24.125 --> 17:26.475\n名医经典与典型医案。\n\n17:28.438 --> 17:34.188\n王坤刚教授主要的是用补气祛风法治疗。\n\n17:37.453 --> 17:42.803\n贾六金教授主要用加味止嗽散在临床上的运用。\n\n17:44.994 --> 17:48.644\n儿童cvi议案解析与用药特色。\n\n17:50.376 --> 17:51.126\n典型医案，\n\n17:51.427 --> 17:53.827\n肺寒咳嗽型CV。\n\n17:55.306 --> 17:57.556\n5岁儿童张某咳嗽一夜，\n\n17:58.005 --> 18:01.355\n夜间及晨起明显痰少难咳，\n\n18:01.406 --> 18:03.005\n遇冷加重，\n\n18:03.656 --> 18:05.806\n能用孟鲁司特效果不佳。\n\n18:06.836 --> 18:13.786\n后改用加味紫苏散和射干麻黄汤将减服药3周后咳嗽大减，\n\n18:14.036 --> 18:15.186\n夜眠安稳。\n\n18:15.635 --> 18:16.686\n核心用药，\n\n18:16.686 --> 18:19.686\n加味紫苏散的灵灵活运用。\n\n18:19.885 --> 18:24.385\n用药特色宣降结合与风痰坠。\n\n18:26.291 --> 18:26.590\n第六，\n\n18:26.590 --> 18:29.890\n日常调护与预防策略。\n\n18:30.708 --> 18:34.708\n饮食调理、辨证施治及忌口原则，\n\n18:34.958 --> 18:39.208\n风寒袭肺症主要是温肺散寒的药膳，\n\n18:39.458 --> 18:42.858\n风热犯肺症主要是清热润肺食疗。\n\n18:43.707 --> 18:46.357\n痰湿阴肺肾主要是健脾化痰，\n\n18:46.357 --> 18:47.756\n散湿肺。\n\n18:47.756 --> 18:51.457\n肾阴虚症主要是滋阴润燥方。\n\n18:53.078 --> 18:53.878\n通用忌口，\n\n18:54.228 --> 18:58.027\n忌食生冷、甜腻、辛辣及海鲜发物，\n\n18:58.427 --> 19:00.878\n避免接触已知过敏食物。\n\n19:01.378 --> 19:05.578\n起居调色主要是环境的控制与过敏原的规避。\n\n19:07.703 --> 19:13.353\n情志调畅与运动的康复主要是情志调畅的重要性。\n\n19:13.703 --> 19:16.853\n中医认为情志可导致肝气郁结，\n\n19:16.853 --> 19:18.378\n气郁发化，\n\n19:18.378 --> 19:21.427\n化火灼伤肺津液，\n\n19:21.427 --> 19:22.402\n引发咳嗽。\n\n19:22.802 --> 19:28.777\n所以现代研究精神因素可通过神经内分泌系统影响免疫系统，\n\n19:28.777 --> 19:30.302\n增加哮喘的。\n\n19:30.891 --> 19:31.842\n发病风险，\n\n19:32.092 --> 19:33.592\n保持心情舒畅，\n\n19:33.592 --> 19:35.491\n避免过度情绪波动。\n\n19:35.541 --> 19:37.192\n可通过听音乐，\n\n19:37.192 --> 19:37.741\n阅读。\n\n19:39.313 --> 19:40.913\n方式来疏解压力，\n\n19:41.713 --> 19:44.463\n适当的运动可增加肺功能。\n\n19:44.813 --> 19:46.038\n运动应避寒，\n\n19:46.038 --> 19:48.864\n寒冷、大风、雾霾等不良天气，\n\n19:49.463 --> 19:51.251\n运动前应做好热身，\n\n19:51.251 --> 19:53.663\n运动后应及时擦干汗，\n\n19:53.663 --> 19:54.338\n保暖，\n\n19:54.338 --> 19:55.514\n避免受凉。\n\n19:56.854 --> 20:00.703\n季节性的预防主要是三伏天与三九天。\n\n20:03.454 --> 20:07.555\n以及中西医结合的与研究进程。\n\n20:10.979 --> 20:13.928\n中西医结合治疗的优势与路径，\n\n20:14.379 --> 20:18.379\n急性期快速控制与中医辨证相结合。\n\n20:19.317 --> 20:23.017\n如风邪犯肺症选用舒黄止咳汤，\n\n20:23.368 --> 20:24.468\n寒银内服，\n\n20:24.618 --> 20:26.767\n采用射干麻黄汤加减，\n\n20:26.868 --> 20:31.517\n实现快速缓解症状与病因调理的双重效果。\n\n20:32.858 --> 20:34.282\n缓解其固本培元。\n\n20:34.282 --> 20:36.608\n以西医维持的协同。\n\n20:38.229 --> 20:42.930\n中医主要以补肺健脾、益肾固本为主，\n\n20:43.130 --> 20:45.704\n如玉屏风散和六君子汤，\n\n20:45.704 --> 20:47.630\n调理肺脾气虚，\n\n20:47.880 --> 20:49.729\n减少复发风险。\n\n20:51.267 --> 20:54.067\n特色外治法与生活调理的真相，\n\n20:54.167 --> 20:56.917\n主要采取了三伏贴针灸，\n\n20:57.167 --> 21:00.317\n配合西医过敏原的规避治疗，\n\n21:00.817 --> 21:03.493\n构建全方位的防治体系，\n\n21:03.493 --> 21:05.718\n提升整体效果。\n\n21:07.280 --> 21:12.130\n现代研究的中现代研究对中医理论的验证与发展。\n\n21:12.920 --> 21:13.920\n气道第一，\n\n21:13.920 --> 21:16.670\n气道高反应与风邪的关联，\n\n21:16.770 --> 21:22.270\n验证了第二个炎症机制与痰湿阻肺的病理支持。\n\n21:22.670 --> 21:23.270\n第三，\n\n21:23.420 --> 21:28.069\n神经内分泌免疫网络与情志治病的现代诠释。\n\n21:28.369 --> 21:28.969\n第四，\n\n21:29.219 --> 21:32.520\n中药复发的多靶点治疗与探索。\n\n","v0347cg10004d71laq2ljht92d7s4qhg",1300,597,"2026-01-26 12:06:18","中医辩证论治咳嗽变异性哮喘：症状分型与综合疗法解析  ","咳嗽变异性哮喘中医治疗, 中医辩证分型, 哮喘综合疗法, 久咳中医调理, 肺脾肾虚证调理  ","深度解析中医视角下咳嗽变异性哮喘的辩证分型（风邪犯肺、肝火犯肺、肺脾肾虚等）及对应疗法，涵盖中药方剂、穴位贴敷、饮食调理等综合干预方案，提供标本兼治的中医调理思路。","2026-04-26 11:30:00",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":27,"status":17,"createDept":6,"remark":25,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":51,"seoKeywords":52,"seoDescription":53,"contentNum":6,"promotionalPoster":54,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":55,"routerPath":42,"componentInfo":43},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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