百日咳,祖国医学称“顿咳”,亦名“顿呛”、“鸬鹚咳”等。是小儿常见的呼吸道传染病之一。临床以阵发性痉挛性咳嗽。咳后有鸡鸣样回声,最后咳吐痰沫而止为特征。本病反复发作,病程较长,且治疗非常棘手。中医学认为其病机多因外感时行疠气,夹痰交结气道,导致肺失清肃,气冲上逆而成。临证一般以宣肺化痰,泻肺涤痰,清肺养阴之法治疗。笔者在临床实践中体会,对久病难愈者从肝火灼肺辨证入手,屡获效验。今举典型病例,以视管窥之见。 Pertussis, motherland medicine called “cough”, also known as “choke”, “cormorant cough” and so on. Is one of the common respiratory infections in children. Clinically with paroxysmal spasmodic cough. Cough-like echo after cough, the last cough spit phlegm only features. The disease recurrent, longer course, and the treatment is very difficult. Chinese medicine believes that its pathogenesis and more due to exogenous flu, stool phlegm to pay the junction of the airways, leading to loss of lungs Su, gas from the inverse on. Proximity to the general Xuanfei phlegm, diarrhea Phlegm, Qing Yang Yin treatment. I understand in clinical practice, refractory disease from the liver fire ignition lung start, repeated test. Today, a typical case, to see the voyeurism.