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? Children's cough experience case
Cough-1 is the most common symptom of pulmonary diseases in pediatrics. Four diagnoses are combined with reference, and its etiology and pathogenesis are numerous, so its treatment is different. Sun Hao, an old Chinese medicine practitioner from Yizheng Hospital of Traditional Chinese Medicine, Jiangsu Province, is the instructor of inheriting the academic experience of famous Chinese medicine practitioners in China, and a famous Chinese medicine practitioner in Jiangsu Province. In many years of clinical practice, he has accurately differentiated syndromes, hit the point of pathogenesis, and made good use of classic prescriptions to treat a variety of children's cough. Now, five cases are illustrated as follows:

Tiaowei Chengqi Decoction for Treating Cough by Clearing Fu-organs and Soothing Lung

Kim, female, 4 years old, coughed for 6 days. After being treated with cold medicine, parents with fever and cough have not recovered from the fever, cough with phlegm, dysphoria, poor sleep, anorexia, unresolved stool for a week, and yellow and thick tongue coating.

Syndrome belongs to phlegm-dampness internal resistance, fu-organs and qi are blocked, and the treatment is to dredge fu-organs and relieve lung.

Prescription: 5 grams of raw rhubarb (below), 3 grams of Natrii Sulfate (taken orally), 6 grams of processed Pinellia ternata, 5 grams of orange peel, 5 grams of fried white atractylodes rhizome, 0/0 gram of Radix Curcumae/KLOC, and 3 grams of roasted licorice. 2 doses, every other day 1 dose.

Second diagnosis: The child's stool has passed, his cough has stopped, his sleep is safe, his appetite is slightly increased, and his tongue coating is slightly thick. Wang Shibao Akamaru is given orally to consolidate the curative effect.

Press: "Treatise on Febrile Diseases" Tiaowei Chengqi Soup Original: "After three days of sun sickness, people who sweat and don't understand, steaming heat of vaporization belongs to the stomach, and Tiaowei Chengqi Soup is the main one. ""After typhoid vomiting, people with abdominal distension are treated with Tiaowei Chengqi Decoction. ""Yangming disease, not vomiting, not falling, upset, can be combined with Tiaowei Chengqi Decoction. It can be seen that this recipe has the effect of purging heat and stomach, moistening dryness and softening hardness. Sun Hao thinks that this child has symptoms such as restlessness, insomnia and constipation after exogenous symptoms, which belongs to Yangming fu-organs. Although the fever is concentrated in the stomach, there is no hot flashes and delirium, and the main prescription is Tiaowei Chengqi Decoction. In the prescription, rhubarb is bitter, cold, hot and solid; Glauber's salt is salty and cold, moistening dryness and softening hardness, and promoting defecation; Radix Glycyrrhizae Preparata is sweet and moderate; Add summer, orange, phlegm and dampness; Yujin promotes qi and relieves depression. The combination of all kinds of medicines has the function of dredging fu organs, relieving lung and relieving cough.

Banxia Xiexin Decoction for Treating Cough by Reducing Infusion and Eliminating Puffing

Wang, a 6-year-old male, came to see a doctor with fever, cough, excessive phlegm and rough breath. The child was obese, and began to have fever in the evening after yesterday's cold craving, with slight aversion to cold, no sweat, cough, excessive phlegm and thick gas, vomiting sticky phlegm, abdominal distension, scanty stool, sour taste, yellow greasy fur and slippery pulse.

The syndrome belongs to exogenous phlegm and food, and the middle energizer is congested with qi, which is treated by expelling wind and relieving exterior syndrome, reducing adverse flow and eliminating swelling.

Prescription: 8 grams of fermented soybean, 3 grams of mint, 8 grams of processed Pinellia ternata, 5 grams of fried Scutellaria baicalensis Georgi, 2 grams of Rhizoma Chuanxiong, 2.5 grams of dried ginger, 0/0 grams of Poria, 3 grams of licorice and 3 pieces of jujube. Three doses.

The second diagnosis: the child's sweating and fever subside, with less phlegm and cough, no vomiting, abdominal distension and normal stool, so it is necessary to strengthen the spleen and eliminate dampness. Prescription: Poria cocos10g, fried atractylodes 8g, Coicis Semen10g, stir-fried lentils 8g, processed Pinellia ternata 6g, orange peel 5g, stir-fried Kuqin 6g, radish seed 5g, licorice 3g and jujube 3g. Five doses.

Press: Banxia Xiexin Decoction Original text: "On the fifth or sixth day of typhoid fever, the syndrome of Chaihu Decoction is proved, but if it is taken by other drugs, the syndrome of Chaihu is still restored to Chaihu Decoction. Although this has been done, it will be steamed and vibrated, but it will be solved with fever and sweat. ..... But if it's full but not painful, it's new, and Bupleurum misses it, so Banxia Xiexin Decoction is appropriate. Sun Hao believes that this child had phlegm and food stagnation, and exogenous wind and cold, which led to the evil of cold and heat mixed in the middle energizer, and the spleen and stomach were out of harmony, so he developed symptoms such as fever, cough with excessive phlegm, abdominal distension, bowel sounds, nausea and vomiting. Therefore, he was treated with light fermented soybean and mint, which made the evil from sweat, and Banxia Xiexin Decoction was used to relieve the pain and open it, and Poria was added to strengthen the spleen and promote diuresis. The second diagnosis of various symptoms is to strengthen the spleen and eliminate dampness.

Treatment of cough with Xiaoqinglong decoction and warm water drink

Liu, male, 10 years old, has a fever, cough and asthma due to aversion to cold, so it is difficult to come to the clinic on his back. The child has a history of asthma. After suffering from wind chill last night, he felt aversion to cold and fever, coughed and wheezed, and the sputum in his throat sounded like chicken's voice, with thin and thin sputum, poor appetite, pale tongue with thin white fur and slippery pulse.

Syndrome belongs to exogenous wind-cold, with internal symptoms of stopping drinking, treating exterior syndrome, dispelling cold and warming water.

Prescription: 6 grams of roasted ephedra, 0/0 gram of fried white peony root/kloc-,2 grams of asarum, 2 grams of dried ginger, 8 grams of cassia twig, 8 grams of processed Pinellia ternata, 5 grams of exocarpium citri grandis, 3 grams of Schisandra chinensis and 3 grams of licorice. Three doses.

The second diagnosis: the child's aversion to cold and fever has been relieved, his cough has become thin, his throat has become less noisy, and he sleeps peacefully, but the effect is not better. The original prescription takes another 3 doses.

Three diagnosis: children's cough and asthma have subsided, only lung and spleen deficiency, and asthma is easy to recur. It is planned to take Buzhong Yiqi Pill regularly to replenish lung and spleen.

Press: Xiaoqinglong Decoction Original text: "If typhoid fever is difficult to understand, there is moisture in the heart, retching, cough due to fever, thirst, benefit, choking, urination is unfavorable, less abdomen is full, or wheezing, Xiaoqinglong Decoction is the main prescription. ""Typhoid fever, there is moisture in the heart, coughing and panting, fever is not thirsty. After taking the soup, those who are thirsty will want to solve this cold, and Xiaoqinglong Decoction is the master. Sun Hao believes that the child has aversion to cold and fever after suffering from wind chill, which is the exterior syndrome of the sun; Cough and asthma, difficult to lie down, phlegm in the throat, sometimes coughing and spitting white phlegm, which is the evil of drinking water, flooding of drinking water, attacking the lung and stomach, causing the lung to lose its function, and the stomach gas to go up. Therefore, ephedra is used to treat sweating, asthma and diuresis, and Guizhi is used to enhance the function of promoting yang and dispersing; Compatibility of Paeonia lactiflora and Cinnamomum cassia twig, harmonizing ying and Wei; Dried ginger, asarum, dispelling cold and dissolving drink; Schisandra chinensis astringing lung and relieving cough; Pinellia ternata reduces adverse flow and phlegm; Exocarpium Citri Grandis regulates qi in the middle, dries and eliminates phlegm; Glycyrrhiza uralensis Fisch. and Chinese Herbs.

Maxing Shigan Decoction for Clearing away Lung Heat and Treating Cough

Wu Mou, a 9-year-old female, came to the clinic for three days because of fever, cough and asthma. After taking cold medicine, the parents sweated out with fever, and their cough became worse, accompanied by asthma, thick phlegm, difficulty in coughing up, poor appetite, dry stool, yellow urine, thin yellow fur and floating pulse.

Syndrome belongs to pathogenic heat blocking the lung, and the lung loses its clarity, so it is planned to clear and publicize lung heat.

Prescription: 6 grams of roasted ephedra, 4 grams of almonds, 3 grams of licorice, 20 grams of gypsum (fried first), 8 grams of fried Bulbus Fritillariae Cirrhosae 10, 8 grams of roasted mulberry bark, 6 grams of perilla seed 10, and radish seed. Three doses. The second diagnosis: the child's fever is gone, his cough is greatly reduced, his sputum is less, and his stool is open. The original prescription is to bake mulberry bark, add Poria cocos and Coix lachryma-jobi seed10g each, and then add 5 doses.

Press: Maxing Shigan Decoction Original text: "After sweating, you should not go to Guizhi Decoction. If you are sweating and panting, you can use Ephedra, Almond and Licorice Gypsum Decoction. ""After going down, you can't go to Guizhi Decoction. If you are sweating and panting, if you don't have a big fever, you can use Mahuang Almond Glycyrrhiza Gypsum Decoction. Sun Hao believes that the child sweated out heat after taking the medicine, indicating that evil heat has entered the lungs and the lungs have lost their qingsu, so they see wheezing; Heat burns lung fluid, refined liquid is phlegm, which is confined in the lungs, so phlegm is sticky and difficult to cough up; Dry stool, yellow urine, thin yellow fur and floating pulse are all manifestations of internal heat. Therefore, Maxing Shigan decoction is used to clear the stagnation of heat in the lungs and relieve asthma, and Fritillaria, Perilla frutescens, parched mulberry bark and radish seeds are increased to reduce qi and eliminate phlegm.

Guizhi decoction regulates ying Wei to treat cough

Yu, a 4-year-old male, came to see a doctor for 6 days because of a low-grade cough. The child suffered from a cold, aversion to cold and fever six days ago. After being treated in the other hospital, he still has low fever, cough, sweating easily, anorexia, dry stool, reddish tongue and slow pulse.

Syndrome is disharmony between camp and guard, and treatment should be used to reconcile camp and guard.

Prescription: 6 grams of cassia twig, 6 grams of fried white peony root, 3 grams of licorice root, 3 pieces of ginger 1 tablet, 3 Chinese dates, 4 grams of almonds and 8 grams of radish seeds. Three doses. The second diagnosis: the child's fever subsided, sweating stopped, cough decreased greatly, and the appetite increased gradually, and the stool passed. Eight grams of Pseudostellaria heterophylla and eight grams of Poria were added to the top, and then five doses were taken to consolidate the curative effect.

Press: Guizhi Decoction Original text: "The sun stroke, yang floating but yin weak, yang floating, heat spontaneous, yin weak sweating, increasing aversion to cold, intermittent aversion to wind, purring and vomiting, Guizhi Decoction is the main one. Guizhi decoction is the crown of Zhongjing's group prescriptions, which has the functions of relieving muscle tension and harmonizing ying and Wei, and is the first prescription for treating solar apoplexy. Sun Hao believes that this case of children with low fever, cough, sweating, anorexia, dry stool, reddish tongue and slow pulse belong to disharmony between camp and guard, so Guizhi decoction is used to reconcile camp and guard, and almond and radish seeds are added to relieve lung and facilitate defecation, so cough stops itself.