半夏泻心汤加减配合拔罐治疗胃食管反流性咳嗽

目的:观察半夏泻心汤加减配合拔罐治疗胃食管反流性咳嗽的临床疗效。方法:60例胃食管反流性咳嗽患者,随机分为两组。治疗组30例半夏泻心汤加减基本方治疗:姜半夏10 g,干姜10 g,黄连5 g,黄芩10 g,制甘草10 g,南沙参15 g,大枣10 g。若脾气虚者酌加党参、黄芪、白术等;阴虚甚者酌加麦冬、生地黄、太子参等;咳甚者加前胡、浙贝母、杏仁、紫菀、款冬花、制枇杷叶;痰湿甚者酌加苍术、橘红等;腑气不通者酌加厚朴、枳实、大黄等;咳嗽日久,肺气易于耗散,可加五味子;呃逆、反酸者酌加锻瓦楞子、乌贼骨。配合拔罐治疗,对照组30例给予常规西药口服奥美拉唑肠溶胶囊20 mg/次,2次/d;多潘立酮片10 mg/次,3次/d治疗。疗程10 d。结果:治疗组30例,治愈13例,显效9例,好转5例,总有效率为90%;对照组30例,治愈5例,显效8例,好转6例,总有效率为63.3%(P<0.05)。结论:半夏泻心汤加减配合拔罐治疗胃食管反流性咳嗽疗效显著,可以控制疾病发展,改善临床症状。

Clinical Observation on Banxia Xiexin Decoction Combined with Cupping in Treating Gastroesophageal Reflux-related Chronic Cough

Objective: To observe the clinical effects of Banxia Xiexin decoction combined with cupping in treating gastroesophageal reflux-related chronic cough. Method: Sixty cases with gastroesophageal reflux induced cough were randomly divided into two groups: the treatment group treated with of Banxia Xiexin decoction combined with cupping therapy (30 cases), the control group treated with routine western medicine therapy (30 cases). Result: In the treatment group,13 cases of 30 cases were cured,9 cases were effective,5 cases were improved, the total effective rate being 90%; in the control group 5 cases of 30 cases,were cured,8 cases were markedly effective,6 cases were improved, the total efficiency being 63.3%, there was significant difference between the two groups (P<0.05). Conclusion: Banxia Xiexin decoction combined with cupping in treating gastroesophageal reflux-related chronic cough indicates a significant efficacyl, and can control the development of diseases and improve clinical symptoms.