{"id":9186,"date":"2024-06-06T01:50:57","date_gmt":"2024-06-06T01:50:57","guid":{"rendered":"https:\/\/tcmdrma.com\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e5%92%b3%e5%97%bd%e5%90%90%e8%a1%80%e5%8d%8a%e5%b9%b4%e6%9c%89%e4%bd%99\/"},"modified":"2025-05-09T11:07:08","modified_gmt":"2025-05-09T01:07:08","slug":"%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e5%92%b3%e5%97%bd%e5%90%90%e8%a1%80%e5%8d%8a%e5%b9%b4%e6%9c%89%e4%bd%99","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e5%92%b3%e5%97%bd%e5%90%90%e8%a1%80%e5%8d%8a%e5%b9%b4%e6%9c%89%e4%bd%99\/","title":{"rendered":"\u3010\u533b\u6848\u3011\u7ecf\u65b9\u6cbb\u7597\u54b3\u55fd\u5410\u8840\u534a\u5e74\u6709\u4f59"},"content":{"rendered":"

患者，男，60余岁，亚裔，主诉为近半年多来咳嗽吐血，百治不效。未知原因导致咳嗽，痰黄稠，痰中带血，血色紫。前一日咳嗽吐出一口血，色深，急往急诊，未查出异常。肺部无疼痛感，咳嗽未影响睡眠，嗓子痒，口不渴，食欲正常，精神不错，二便常。偶尔口苦。舌润，齿痕，苔薄腻，右脉寸关强且硬，左脉细弦。<\/p>\n

这个病辩证为张仲景《金匮要略》中的肺痈病<\/strong>，以化痰，清肺热、排脓、降肺气之法合方治之。处方7剂，二诊时反馈已无咳血，且患者说“吃了你的药，感觉好舒服，好像比国内看病开的药还好”。二诊时腻苔已退，脉象略显虚大之象。这是病去大半后，之前久咳致虚的象出来了。但是，病邪还未去尽，需要病邪去尽后，再行补益，方收全功。<\/p>\n

咳嗽常为难治之疾，故有名医不治咳之说。咳嗽往往病机复杂。患者之前服用西药镇咳药抗生素类药，无效。为什么无效呢？我反复强调，作为患者一定要记住一点，就是一定要正向看待身体发出的疾病信号！<\/strong>肺中有痰时，为什么要咳嗽？就是人体希望通过咳嗽的方式排病，把痰咳出来是一个正向的方向。所以，在治疗上一定要用化痰宣肺降气的治法。所谓的“镇咳”是在抑制人体正常的排病反应，看着不咳嗽了，痰壅在肺中排不出去，越积越多，病情只会加重。尤其是，当前新冠肺炎肆虐的情况下，一定不要随便镇咳，会把普通的咳嗽，变成重症。<\/strong>这是一个西医从大量新冠误治中总结经验也已经看到了的问题。<\/p>\n

之前患者还被诊断为花粉症，进而反复清洗鼻腔的治法，就属于不识病，治疗起来就荒腔走板了，在此就不讨论了。<\/p>\n

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 <\/p>\n

注意：中医根据个体差异所采取的治疗手段和治疗效果亦有差异，医案分享不构成治疗建议。<\/p>\n

\n

医案编号：064<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

患者，男，60余岁， […]<\/p>\n","protected":false},"author":1,"featured_media":9187,"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-9186","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\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840-150x150.jpeg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840-300x217.jpeg",300,217,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",376,272,false],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840-320x231.jpeg",280,202,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840-66x48.jpeg",66,48,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840-200x145.jpeg",200,145,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840-400x289.jpeg",400,289,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",376,272,false],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",408,295,false],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840-300x217.jpeg",296,214,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840-177x128.jpeg",177,128,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840.jpeg",415,300,false],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u54af\u8840-100x100.jpeg",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，60余ì…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9186","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=9186"}],"version-history":[{"count":1,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9186\/revisions"}],"predecessor-version":[{"id":13893,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9186\/revisions\/13893"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/9187"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=9186"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=9186"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=9186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}