主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2015, Vol. 38 ›› Issue (5): 356-360.doi: 10.3969/j.issn.1006-2157.2015.05.014

• 临床研究 • 上一篇    

咳嗽并见背冷症证因特点临床研究

林彬1,史利卿2#,马建岭2,席宁1,罗秋1,陈永太1,王谦1   

  1. 1 北京中医药大学北京 100029;
    2 北京中医药大学东方医院
  • 收稿日期:2014-12-24 出版日期:2015-05-15 发布日期:2015-05-15
  • 通讯作者: 史利卿,男,博士,主任医师,教授,博士生导师,主要研究方向:慢性咳嗽中医药治疗的临床与实验研究,E-mail:shiliqing3662@sina.com
  • 作者简介:林彬,女,在读博士生

Clinical research on pattern characteristics features of cough with a cold feeling of sensation in the back: a clinical survey*

LIN Bin1, SHI Li-qing2#, MA Jian-ling2, XI Ning1, LUO Qiu1, CHEN Yong-tai1, WANG Qian1   

  1. 1 Beijing University of Chinese Medicine, Beijing 100029;
    2.Dongfang Hospital, Beijing University of Chinese Medicine
  • Received:2014-12-24 Online:2015-05-15 Published:2015-05-15

摘要: 目的 观察咳嗽并见背冷症患者的临床表现及中医证候特点,探讨分析其病因病机,为咳嗽的临床诊疗提供依据。方法 选取以“咳嗽”为主诉且并见背冷症的患者作为研究对象,就其一般性资料、所患呼吸系统基础疾病、咳嗽及背冷症发生的临床特点、相关因素进行分析,总结其发病特点、病因病机及证候学特点。结果 咳嗽并见背冷症临床常见,背冷症与咳嗽症状密切相关,病理要素包含湿热、阳虚、痰饮、风邪等。中医辨证分型可见脾胃湿热证占22.8%、脾胃湿热证兼肺阳虚证占21.3%、肺阳虚证占17.3%、肺脾阳虚证占12.7%等。结论 背冷症与咳嗽常相兼而见,可见于不同年龄段、不同肺系疾病中,轻重程度各异,且与季节、气候变化等有关。脾胃湿热证、肺阳虚证及其相兼证为咳嗽并见背冷症的常见证候,湿热邪气阻滞气机及肺脾阳虚、卫阳失布而致肺失宣肃是主要病机。

关键词: 咳嗽, 背冷, 证候特点, 脾胃湿热, 肺脾阳虚

Abstract: Objective To observe clinical manifestations and TCM pattern features of cough with a cold sensation in the back (back cold), and to discuss and analyze its etiology and pathogenesis, in the hope of providing evidence for the treatment of cough. Methods Cases with cough as a chief complaint accompanied by a cold sensation in the back were selected. We analyzed the general information, underlying respiratory diseases, clinical characteristics of and relevant factors for cough with a cold sensation in the back, and summarized the onset characteristics, etiology, pathogenesis, and TCM patterns. Results Cough with a cold sensation in the back was common in clinical practice. Moreover, a cold sensation in the back was closely related to cough. Common pathological elements included dampness-heat, yang deficiency, retention of phlegm and morbid fluid, and pathogenic wind, etc. The pattern identification of TCM showed that spleen-stomach dampness-heat pattern accounted for 22.8% of all cases; dampness-heat pattern complicated with lung yang deficiency, 21.3%; lung yang deficiency, 17.3%; and yang deficiency of the lung and spleen, 12.7% respectively, etc. Conclusion A cold sensation in the back often accompanies cough, closely related to seasons, climate changes and etc. This symptom of varying degrees could be present in people of different ages and with different respiratory diseases. Most commonly-seen TCM patterns are retention of dampness-heat in the spleen and stomach and yang deficiency of the lung. Pathogenic dampness and heat may hinder qi movement. Moreover, the lung-spleen yang is deficient, and defensive yang fails to distribute. Consequently, the lung fails to spread and depurate. This is probably its main disease mechanism.

Key words: cough, back cold, distribution of TCM patterns, pathogenesis discussion, dampness-heat in the spleen and stomach, yang deficiency of lung and spleen

中图分类号: 

  • R256.11