中醫藥研究論叢

211.17 射干麻黃湯治療咳喘病例報告
TJ TCM.21(1) : 215-228, 2018
射干麻黃湯治療咳喘病例報告
A Case Report of Cough and Dyspnea with She Gan Man Huang Tang
李宗明*
戴德森醫療財團法人嘉義基督教醫院中醫部,嘉義,台灣
【摘要】
本醫案為64 歲女性,約年前(2007) 才被確診為氣喘,並以支氣管擴張劑控制至今。年前(2009) 罹患肺炎後,氣喘相關諸症發作愈益頻繁。個案約10 天前(2016.07.08) 因咳嗽痰多、喘、鼻過敏等症加劇,前來嘉基中醫部就診。射干麻黃湯臨床上常應用於氣喘衍生之相關症狀如哮鳴或咳嗽,本案以射干麻黃湯為主方進行約週的治療後,其相關症狀明顯好轉。因此,進一步探討射干麻黃湯對於氣喘相關症狀的治療機轉,以及氣喘諸症常於夜間加重之原因。
【關鍵詞】咳嗽、喘、哮鳴、氣喘、射干麻黃湯
Tsung-ming Li*
1Department of Chinese Medicine,Ditmanson Medical Foundation Chia-yi Christian Hospital,
Chia-yi, Taiwan
【Summary】
A 64-year-old female was diagnosed as asthma about 9 years ago (2007) and began to use bronchodilator. After she suffered from pneumonia 7 years ago (2009), the frequency of asthma-related symptoms increased gradually. 10 days ago, she came to Chinese Medicine Department of Chia-yi Christian Hospital because of intensified cough with sputum, dyspnea, nasal allergy. She Gan Man Huang Tang is often used to treat clinical asthma-related symptoms such as wheezing or cough. The patient was prescribed She Gan Man Huang Tang. After 2 weeks’ treatment, the patient’s asthma-related symptoms were decreased significantly. Therefore, I take further study of the mechanism of She Gan Man Huang Tang in treating asthma-related symptoms and the reason that asthma often aggravates at night.
 
Keywordscough, dyspnea, wheezing, asthma, She Gan Man Huang Tang