{"id":13361,"date":"2025-01-30T13:07:40","date_gmt":"2025-01-30T03:07:40","guid":{"rendered":"https:\/\/tcmdrma.com\/?p=13361"},"modified":"2025-01-30T13:32:04","modified_gmt":"2025-01-30T03:32:04","slug":"%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e4%b8%80%e4%be%8b%e5%89%a7%e7%83%88%e5%92%b3%e5%96%98%e6%a1%88","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e4%b8%80%e4%be%8b%e5%89%a7%e7%83%88%e5%92%b3%e5%96%98%e6%a1%88\/","title":{"rendered":"\u7ecf\u65b9\u6cbb\u7597\u4e00\u4f8b\u5267\u70c8\u54b3\u5598\u6848"},"content":{"rendered":"

\"cough<\/p>\n

患者，男性，40岁，主诉为突发无明显诱因之剧烈咳嗽多日，严重时伴随呼吸喘促。之前服用清肺消炎丸及利肺片一周后咳嗽一度缓解，但两日后咳嗽再次加重。<\/p>\n

刻下咳嗽剧烈，夜间难以安卧，咳嗽带白浓痰且难咳出，咳久则喘促，并伴有胸部疼痛。口干，舌干涩，欲饮水，下肢凉，偶有盗汗，洗澡时呼吸更困难。<\/p>\n

患者的舌照比较模糊，白苔满布。可能是寒白苔，也可能是白燥苔。考虑到其症状，及本身肝肾阴虚的特点，判断为燥苔。<\/p>\n

病机为肺肾阴虚之咳喘。处方为麦门冬汤+定喘神奇丹+千金苇茎汤。<\/p>\n

第一服药吃完即咳嗽大减，稍有喘促，继服三付后，咳喘皆止。<\/p>\n

之前患者说，有人推荐用小青龙汤。如果真用上小青龙汤，进一步大伤津液恐要治成坏病了。<\/p>\n

很多人以为咳嗽很常见，其实不少复杂性咳嗽的治疗往往很难，需要非常精准的辩证选方，就像一把钥匙开一把锁一样，稍有不准确，就打不开门。<\/p>\n

 <\/p>\n

医案编号：109 @ TCMDrMa.com 在线患者<\/p>\n","protected":false},"excerpt":{"rendered":"

患者，男性，40岁， […]<\/p>\n","protected":false},"author":1,"featured_media":13357,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76],"tags":[],"class_list":["post-13361","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-76"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing.jpg",2560,1706,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-150x150.jpg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-300x200.jpg",300,200,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-768x512.jpg",768,512,true],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-1024x682.jpg",1024,682,true],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-1536x1024.jpg",1536,1024,true],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-2048x1365.jpg",2048,1365,true],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-669x272.jpg",669,272,true],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-320x202.jpg",320,202,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-700x441.jpg",700,441,true],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-66x66.jpg",66,66,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-200x133.jpg",200,133,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-400x267.jpg",400,267,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-600x400.jpg",600,400,true],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-800x533.jpg",800,533,true],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-1200x800.jpg",1200,800,true],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-940x400.jpg",940,400,true],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-540x272.jpg",540,272,true],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-460x295.jpg",460,295,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-300x214.jpg",300,214,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-177x142.jpg",177,142,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-500x333.jpg",500,333,true],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-700x466.jpg",700,466,true],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/01\/cough-with-wheezing-100x100.jpg",100,100,true]},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"患者，男性，40ì…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/13361","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=13361"}],"version-history":[{"count":3,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/13361\/revisions"}],"predecessor-version":[{"id":13364,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/13361\/revisions\/13364"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/13357"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=13361"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=13361"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=13361"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}