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1、11调护不当是孩子久咳的主因在冬季,不少孩子感冒后,咳嗽常常赖着不走。孩子每咳一声,爸妈的心就像被揪了一下,心疼得不得了,希望孩子能够立即止咳。于是到处寻找各种药 疗、食疗、理疗,偏方用了一个又一个,可往往都不灵验。中医指出,孩子久咳不愈往往与父母的调养与护理不当有关,如果在感冒后能够在饮食上避免寒凉和滋补 的食物,并且多用食疗健脾补肺,多能达到止咳的效果。调护不当,孩子久咳的主因中医认为,小儿脏腑娇嫩,抵抗力较弱。当外邪入侵时,常先伤肺,如果调护失当,不仅易生脾胃肾的疾病,还会引起其他的疾病。所以,小儿日常生活需要家长特别细致的照顾。广州名中医、广州医科大学附属第一医院中医科主任医师杨群玉说
2、,在中医科门诊,经常收治一些久咳不愈的孩子,再详细询问病史,发现家长护理十分 不当,比如在孩子感冒后还给他吃过于寒凉的水果(如雪梨、香蕉等) ,或者觉得孩子生病久了,体质虚了,在疾病未康复时就给孩子炖花旗参、虫草肉汤等,让其 虚不受补,病情迁延。专家还指出,有一些家长则习惯给孩子喝凉茶,殊不知 “苦寒败胃、辛散伤阳” ,经常喝凉茶的孩子脾胃不好,吃东西胃口差,阳气不足,也会因为一点风吹草动就感冒发烧并引起咳嗽。治疗久咳,养护脾胃是关键小儿的生理特点决定其治疗与成人不同,杨群玉指出,小儿的体质是易寒易热、易虚易实。当出现久咳、顽咳时,用药上应着重平和,不能下猛药,也不 能用过量,饮食调养上以“养
3、护脾胃”为原则。一般来说,对于小儿的久咳,应针对不同体质的咳嗽,辨证施治。杨群玉认为,通常有四种办法:解表法、清热化痰 法、温化寒痰法、补益脾肺法。风寒咳嗽表现:咳嗽声重、气急、咽痒、咳痰稀薄色白,常伴鼻塞、流清涕、头痛,或见恶寒发热、舌苔薄白。【治法】宜疏风散寒宣肺。风热咳嗽表现:咳痰黄稠、头痛咽痛、汗出口干、舌苔淡黄。【治法】宜疏风清热,宣肺止咳。风燥咳嗽22表现:干咳、喉痒、咽喉干痛、唇鼻干燥,无痰或痰少而黏,不易咯出,或痰中带有血丝,口干、舌质红干而少津、苔薄白或薄黄。【治法】宜疏风清肺,润燥止咳。杨群玉说,其实这三种类型也很好辨别,比较简单的方法就是看看孩子的舌苔,如果舌苔是黄、红,
4、则多为风热咳嗽,说明孩子内热较大;而舌苔如果偏白,咳出来的痰也是白色稀薄,则以风寒咳嗽居多。顽咳的孩子,常常服用消炎药和止咳药较多,这类孩子的胃口较差、没有食欲,所以,在治疗咳嗽的时候,还要调理好脾胃,不然饮食上不注意配合治疗,也会引起病情反复。感冒后咳嗽,少吃寒凉水果在中医科,常常会接诊到顽咳的患儿,比如感冒、发烧症状已消失了,但咳嗽就是一直不好,各种消炎药、止咳药都用了,仍止不住。杨群玉说,这时家长可以运用食疗的方法帮助孩子恢复。杨群玉介绍,咳嗽又分风寒咳嗽、风热咳嗽、风燥咳嗽等,不同类型的咳嗽在用药上是完全不同的,在应用食疗时也应不同。舌苔是黄、红,说明孩子内 热较大,咳嗽的痰是黄稠的,
5、不易咳出,并有咽痛,这时应吃一些有清肺、化痰止咳作用的食物。内伤咳嗽多为久咳,这时家长应注意给孩子吃一些调理脾胃、补 肾、补肺气的食物。这里需要强调的是,感冒后孩子忌食梨膏冰糖蒸汁或冰糖蒸梨汁,以免滋润过早,邪不外达。同时要忌食生冷瓜果及肥甘滋腻之品,像柿子、香蕉、李 子、石榴、梨、橘子、螃蟹、蛤蚧都不宜吃。此外,还忌食味酸性凉的葡萄、橙子、猕猴桃、芒果、木瓜、枇杷、西瓜、生黄瓜、生荸荠、银花、菊花等。忌食黏糯 滋腻的糯米、龙眼肉、蜂蜜等,以免因寒凉而导致病情反复,令咳嗽久治不愈。Tips名中医治顽咳药膳方(带为重点推荐)清热化痰类A 鱼腥草煲猪肺原料:鱼腥草 30 克,猪肺 200 克,煲汤
6、功效:清热止咳,解毒化痰,适合风热咳嗽。33B川贝母炖蜜糖原料:川贝母 6-12 克(如川贝母末 3-6 克) 蜜糖少量加水,隔水炖服。功效:针对燥热咳嗽尤其有效。C 绿茶蛋原料:绿茶 15 克,鸡蛋 2 个制法:将绿茶与鸡蛋同煮,蛋熟后去壳,再煮至水干,吃蛋即可。功效:清热解毒,适合风热咳嗽。补益脾肺类A 燕窝鸡汤原料:燕窝 5 克,鸡肉丝 10 克,瘦肉丝 10 克,姜片,红枣 6 个制法:将燕窝洗净,去毛,与鸡肉、瘦肉、姜片、红枣同放入瓦锅内,加水适量,隔水炖烂,加盐调味即可。功效:滋阴清热、补养脾胃。此药膳只能在感冒发烧完全康复之后才能吃。B 花旗参瘦肉炖燕窝原料:花旗参 3 克,瘦肉
7、 5 克,燕窝 2.5 克(要先泡发好)制法:把以上材料加水适量,隔水炖熟即可。功效:益气生津、滋阴补肺,适用于支气管炎已经康复者。C淮山枸杞百合汤原料:淮山 100 克,枸杞 5 克,百合 15 克,红枣 10 个,瘦肉 50 克,生姜 3 片。制法:以上材料用 5 碗水,小火煎一个小时即可。功效:健脾补肺、益气生津,用于肺虚久咳。补中益气A泥鳅鱼汤44原料:泥鳅 100-150 克,适量淮山、百合、蜜枣。制法:泥鳅加盐,洗去黏液,再用少许油煎至金黄,加水 2 碗,再加淮山、百合、蜜枣煮至 1 碗水,分 2 次服用。功效:补中益气,专治小儿咳嗽后盗汗。In winter, many chil
8、dren after a cold, often cought. Children cough, mom and dads heart was like found, love, hope children can cough immediately. So looking for all kinds of drug therapy, diet, physical therapy, the folk prescription with one another, but are not accurate. The doctor of traditional Chinese medicine,
9、points out that children chronic cough not more often associated with the improper nursing and nursing of parents, if after a cold can on food to avoid cold and nourishing food, and multi-purpose dietotherapy fill spleen and lung, can achieve the effect of cough.The main reason regulating improper,
10、children chronic coughThe doctor of traditional Chinese medicine thinks, pediatric viscera and tender, and resistance is weak. When an intrusion is invaded, often first lung injury, if regulating badly, not only the spleen and kidney disease, still can cause other diseases. So, children need parent
11、s especially meticulous care of daily life.Of guangzhou, the first affiliated hospital of guangzhou medical university of traditional Chinese medicine regions Yang Qunyu said the director, in the regions of outpatient service, the more often treated some chronic cough not children, and then ask for
12、details of the history, found that parents care is improper, such as colds in children after him back to eat the fruit of too cold (e.g., pears, bananas, etc.), or feel that the child was ill for a long time, physical deficiency, when the disease has not recovered, American ginseng, Chinese caterpil
13、lar fungus broth simmering etc to the child, let its virtual repair, may increase.Experts also pointed out that some parents are used to give the child to drink herbal tea, but their spoil ones appetite, xin Yang, children often drink cool tea taste bad, poor appetite, eat sun be the spirit is insuf
14、ficient, also because of a bit at the cold has a fever and cough.Treatment of chronic cough, curing taste is the keyPhysiological characteristics determine its treatment of children, unlike adults, Yang Qunyu, points out that childrens physique is easy to cold heat, easy to virtual reality. When the
15、re is a long cough, cough, dense medication should focus on peace, not under strong medicine, also can not use too much, eating with spleen and stomach maintenance for the principle on the aftercare. In general, for pediatric chronic cough, should according to different constitution of cough, eviden
16、ce-based medicine. Yang Qunyu that usually has four ways: nourish, clear heat phlegm, warms cold phlegm, benefit spleen and lungs.Low cold cough55Performance: cough, wheeze, pharyngeal itching, coughing up phlegm thin white of color, often with a stuffy nose, stream qing stuff, headache, or see the evil cold fever, thin white coating on the tongue.Appropriate treatment 】 【 breeze xuan lung cold.When the wind heat coughPerformance: