痰濃痰稀 治法不一樣Nong Tan dilute sputum law governing not the same

痰濃痰稀 治法不一樣 【洪敬浤】一名60多歲阿嬤出門忘了多穿件衣服，隔天發燒、喉嚨痛、咳嗽，還有黃稠稠的痰液。 而這名阿嬤的好姊妹，也是一樣外出吹風，回家後感到病懨懨的，咳嗽、喉嚨癢，痰也很多，不過痰都是稀稀的。 中國醫藥大學附設醫院中醫兒科部主任張東迪說，中醫沒有「肺炎」病名，從發燒、咳嗽、痰多等症狀，歸咎於染上風邪，引起的下呼吸道毛病。肺炎在西醫領域，多半是染上病毒、細菌等病原，引起呼吸道毛病，還可能引發嚴重併發症。 兩個阿嬤去看西醫，都診斷為肺炎，醫師強調，如果嚴重點，就得把痰液送到實驗室培養，如果是細菌感染引起的，就可能得打抗生素治療。 中國附醫中醫師林彩蕙說，如果兩姊妹找中醫，前者證型為「風熱犯肺」，治療要從清熱、化痰著手，採用銀翹散、麻杏石甘湯等藥方，後者為「痰溼壅肺」，應該宣肺、化痰、健脾，治療可用二陳湯、三子養親湯。 張東迪說，中西醫觀點不同，舉肺炎為例，同樣染上風邪，依體質不同，分為「風熱」、「風寒」等證型，表現症狀、治療方法都不同。林彩蕙說，除急性期治療，中醫還強調後期調養，以益氣養陰為主，才能恢復健康。 2008-11-10 Nong Tan dilute sputum law governing not the same Mr ANG】 【-Hong, a 60-year-old grandmother forgot to go out more clothes to wear, the next day, fever, sore throat, cough, and the thick viscous yellow sputum. The woman and a good sister, the same hair out, to go home after Yan Yan's disease, cough, itchy throat, and also a lot of phlegm, but the sputum is Xi Xi. China Medical University Hospital of TCM, director of the Department of Pediatrics, said Zhang Di, Chinese medicine is no "pneumonia" disease, from fever, cough, symptoms such as Tan Duo, Feng Xie attributed to the infection, caused by lower respiratory tract illnesses. Western medicine in the area of pneumonia, the most infected with viruses, bacteria and other pathogens that cause respiratory illnesses, may also lead to serious complications. The two look at the Western woman, diagnosed with pneumonia, emphasized that physicians, if serious, would have the sputum culture sent to the laboratory, if it is caused by bacterial infection, it may have to fight antibiotic treatment. Chinese medicine practitioners attached to the medical Choi Wai-lam said that if the two sisters to find Chinese medicine, the former evidence-based "hot wind Fanfei" treatment from the heat, phlegm started using Yinqiaosan, Ma Shigan prescription, such as soup, which " Lungs phlegm obstruct "should be Xuanfei, phlegm, spleen, treatment can be used Erchen Tang, the third son of the pro-Tang Yang. Di Zhang said that China and Western point of view, cited pneumonia as an example, Feng Xie infected with the same, depending on the constitution, divided into "hot air" and "cold" evidence-based, performance of the symptoms, treatment is different. Choi Wai-lam said that in addition to the treatment of acute phase, also stressed that the late Chinese medicine be nursed back to health in order to Yiqiyangyin mainly in order to restore health. 2008-11-10 View more information, see the World Journal reported that e-ePaper

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