小兒咳嗽(1):痰濕咳嗽

文:蔡忻愉醫師 孩子咳嗽是其中一個令家長苦惱的健康問題,尤其是那些並非由外感引起,看起來毫無誘因的咳嗽,使爸爸媽媽們大惑不解,治療上也無從入手。 其實咳嗽的種類很多,首先可區分為外感咳嗽及內傷咳嗽。外感咳嗽,顧名思義,是由感受外邪引起的咳嗽。六氣太過則為淫,當中風、火、暑、濕、燥、寒都能導致外感咳嗽。六淫之中,善行而數變的風邪是最大誘因,為外邪致病的先導。一般治療及時,外邪退去後,鼻塞流涕、咳嗽、頭痛、發冷發熱等症狀都會隨之而消失。至於內傷咳嗽,大多患兒本身已有肺脾腎虛的發病基礎,加上飲食不調、作息不定等因素而誘發。其中痰濕型咳嗽是兒科臨床常見的證型,在此為大家介紹一下。 痰濕型咳嗽的典型表現為咳嗽反覆發作、痰多色白成塊、容易咯出、伴見水腫、噁心欲吐、食欲降低、自覺身體沉重、精神欠佳、體力轉差、大便不成形等症狀。這種咳嗽有寒化、熱化的傳變可能:寒化的話,痰多清稀或呈泡沫狀,遇寒或冷飲後加重;熱化則痰熱蘊肺,表現為痰黃質黏,難以咯出,甚或帶有腥味。痰的特點(顏色、質地、誘發因素等)是分辨患兒寒熱虛實的重要依據,各位家長在帶孩子求診醫師前,不妨多加留意以提供準確的症狀描述。 中醫認為「脾為生痰之源,肺為貯痰之器」,素來脾虛的小朋友較容易患上痰濕咳嗽。脾胃的角色在於將食物消化,經吸收後把飲食中的營養化為氣血,滋養其他臟腑、散佈全身。若脾胃虛弱,水液運化失常,便容易停聚於肺而化為痰飲。故此,治療時醫師除了處方陳皮、半夏、杏仁、白前、前胡等化痰止咳藥物外,還常常加上山藥、茯苓、白術、白扁豆等健脾之品,標本同治。 小兒臟腑幼嫩,家長尤須注意天氣變化,避免外感誘發咳喘,同時保持室內空氣流通,

Understanding TCM: Qi氣

You may have heard a mysterious term ‘Qi’ (or ‘Chi’, pronounced ‘Chee’) when you learn about Traditional Chinese Medicine (TCM). Some of you may find the concept vague as Qi is invisible and it cannot be accurately measured. In this article we will break down such a complex idea into easy-to-understand chunks. What is the basic concept of Qi? Generally speaking, Qi is the vital energy in all living matter. It is a fundamental and essential force that flows through the body. A balanced movement of Qi helps to regulate and strengthen the body. What are the functions of Qi? Promotion: Qi is the vital energy necessary for all kinds of movement and growth in our bodies. It also assists in the for

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