朱佳辨治上气道咳嗽综合征经验

朱佳认为上气道咳嗽综合征(UACS)病因不仅包括鼻炎、咽喉疾病,还与胃食管反流性咳嗽(GERC)有一定关联。中医治疗当以辨病与辨证相结合,变应性鼻炎(AR)导致的UACS以祛风抗敏、益气固表为纲;慢性鼻-鼻窦炎(CRS)所致UACS应以清胆泻热通窍、宣肺止咳为首要治则;咽喉部疾患为病因者以理气化痰利咽为大法;GERC所致者则主以降逆止咳。不离乎肺,不止于肺,兼顾鼻咽症状。

ZHU Jia's Experience in Differentiation and Treatment of Upper Airway Cough Syndrome

ZHU Jia believes that the etiology of upper airway cough syndrome(UACS) not only includes rhinitis and throat diseases,but also correlates with gastroesophageal reflux-related cough(GERC). The treatment of traditional Chinese medicine should be combined with disease differentiation and syndrome differentiation. The treatment of UACS caused by allergic rhinitis(AR) is based on expelling wind and resisting allergy,boosting qi to consolidate the exterior. UACS caused by chronic rhinosinusitis(CRS) should be treated by clearing gallbladder,purging heat,unblocking the orifices,diffusing the lung and relieving cough. For the patients with throat diseases,regulating qi,resolving phlegm and relieving sore-throat are the main methods.The main method of UACS caused by GERC is to direct counterflow downward and relieve cough. In the treatment,attention should be paid to the lung but not limited in the lung. At the same time,nasopharyngeal symptoms should be taken into account.