• Title/Summary/Keyword: cough

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Differential Diagnosis of Chronic Coughing (만성 기침의 감별진단)

  • Do, Nam Yong;Park, Jun-Hee
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.27 no.2
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    • pp.87-90
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    • 2016
  • Cough, the most common symptom, encountered in the outpatient clinic can be caused by various underlying diseases. It defines as chronic cough that the duration of cough is more than 8 weeks with a normal chest X-ray findings. The cause of cough can be found out for more than 90% through the appropriate diagnostic approach and Upper airway cough syndrome, Asthma and Gastroesophageal reflex disease are the most common causes of disease to non-smokers. Chronic cough can be due to not one reason but various reasons and achieve good results by a systematic approach to diagnosis and a concrete treatment on the basis of the sufficient understanding of the underlying disease.

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Clinical Effects of Sabaek-san-Kamibang in Nocturnal Cough of Children (소아(小兒)의 신수(晨嗽)에 사백산가미방 투여의 임상적 효과)

  • Lee, Sun-Woo;Park, Sang-Moo;Kang, Baek-Gyu;Lee, Min-Goo;Park, Sae-Wook;Lee, Seung-Eon;Shin, Jo-Young;Lee, Si-Hyeong;Son, Ji-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.1
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    • pp.281-284
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    • 2007
  • Cough is a very common and largely recurrent childhood respiratory disease. In Korean medicine, Zhudanxi(矢丹溪), was the first to classify cough according to the different stages of time. In this research, I examined the stage of Nocturnal Cough(晨嗽) which refers to cough that occurs at dawn. Indigestion is classified as the cause with SaBaek-san proscribed as the treatment for such cough. In this research, twenty five children who had coughing at dawn with abdominal symptoms were treated with Sabaek-san-kamibang and then examined for cough, abdominal symptoms and other related symptoms. As a result, there was a statistically notable decrease in cough, abdominal symptoms and other symptoms such as nasal discharge, sputum, constipation, vomiting and cough. In addition, of the twenty five patients found with acute cough and those with moderate cough with abdominal symptoms showed good clinical results upon completion of treatment.

Study on Literatures of Symptoms and Signs of Tussiculaltion on Treatise on the Pathogenesis and Manifestations of All Diseases ("제병원후론(諸病源候論)" 중(中) "해수병제후(咳嗽病諸候)"에 대(對)한 연구(硏究))

  • Lee, Nam-Goo;Choi, Han-Baek;Kim, Jeong-Wan;Song, Min-A
    • Journal of Korean Medical classics
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    • v.23 no.5
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    • pp.11-22
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    • 2010
  • Treatise on the Pathogenesis and Manifestations of All Diseases(諸病源候論)was written by Chao Yuanfang that was most active during the Sui Dynasty at A.D. 610. It classified clinical medicine by some departments of internal medicine, surgery, obstetrics and gynecology, pediatrics, and otorhinolaryngology and within each specific department, categorizes etiology and pathology according to characteristics of various diseases. It was the total disease classification book that based on the bibles of the Oriental medicine, (Huangdi''s) Internal Classic(黃帝內經), Classic of Difficult Issues(難經) and Treatise on Cold Damage and Miscellaneous Diseases(傷寒雜病論), A-B Classic of Acupuncture and Moxibustion(鍼灸甲乙經), Essential Prescriptions Worth a Thousand Gold for Emergencies(備急千金要方) and Medical Secrets of an Official(外臺秘要). It was arranged tussive causes, classes, diagnosis, prognosis and stretching for treatment by Volume 13, all symptoms of tussiculation. Dialectic part was divided into cough(咳嗽), cough with dyspnea(咳逆上氣), cough with pus and blood(咳嗽吐膿血), cough with duck crying sound(?嗽), sudden cough(暴氣咳嗽), cough with dyspnea(咳逆), cough with dyspnea and vomiting(咳逆上氣嘔吐). Disease situation part was divided into the new cough(新咳) and old cough(舊咳), deficiency syndrome(虛證) and excess syndrome(實證), visceral cough(藏府咳), etc. Out of these, cough with counterflow(咳嗽上氣), cough with dyspnea(咳逆上氣), cough with dyspnea and vomiting(咳逆上氣嘔吐), cough with shortness of breath(咳逆短氣) have a close connection with dyspnea(上氣), counterflow of qi(逆氣), dyspnea and vomiting(上氣嘔吐) and shortness of breath(短氣) in the Pathogenesis and Manifestations of All qi(氣病諸候) of vol 13. So two parts may be refer to each other. However, the content on the original book has been addition and subtraction on the original context along with many reprints. Therefore, this paper, with regard to the prints of former editions, tried to help in better comprehension of the original context through readings and Korean translation.

Efficacy and Safety of Gabapentin in the Treatment of Chronic Cough: A Systematic Review

  • Shi, Guanglin;Shen, Qin;Zhang, Caixin;Ma, Jun;Mohammed, Anaz;Zhao, Huan
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.3
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    • pp.167-174
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    • 2018
  • Despite recent clinical guidelines, the optimal therapeutic strategy for the management of refractory chronic cough is still a challenge. The present systematic review was designed to assess the evidence for efficacy and safety of gabapentin in the treatment of chronic cough. A systematic search of PubMed, Embase, Cochrane Library databases, and publications cited in bibliographies was performed. Articles were searched by two reviewers with a priori criteria for study selection. Seven relevant articles were identified, including two randomized controlled trials, one prospective case-series designed with consecutive patients, one retrospective case series of consecutive patients, one retrospective case series with unknown consecutive status, and two case reports comprising six and two patients, respectively. Improvements were detected in cough-specific quality of life (Leicester Cough Questionnaire score) and cough severity (visual analogue scale score) following gabapentin treatment in randomized controlled trials. The results of prospective case-series showed that the rate of overall improvement of cough and sensory neuropathy with gabapentin was 68%. Gabapentin treatment of patients with chronic cough showed superior efficacy and a good safety record compared with placebo or standard medications. Additional randomized and controlled trials are needed.

A Case Study of Chronic Cough of Taeumin throuth the Change Process of Sweating (한출변화과정(汗出變化過程)을 통(通)한 태음인(太陰人) 만성해수(慢性咳嗽) 치험례(治驗例))

  • Lee, Kyung-Ro;Lee, Sang-Gi;Song, Jung-Mo
    • Journal of Sasang Constitutional Medicine
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    • v.16 no.3
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    • pp.139-142
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    • 2004
  • 1. Objectives In this study, it is experienced that the process of sweating is important in chronic cough of Taeumin. In this case report, the patient has been simproved throuth reaction of sweating improvement. In "Dongyi Soose Bowon", The process of sweating change is described in detail. "Hamkeylhae" is similar to chronic cough in "Dongyi Soose Bowon", it is cough that is hard to spit. The chronic cough of Taeumin is related to the pathology of Liver and Lung, sweating condition is also related to condition of Lung in Sasang constitutional medicine. So the study for the process of sweating is needed. 2. Methods One patient diagnosed as chronic cough was practiced with Sasang constitutional medicine. And We observed sweating change process during treatment. 3. Results As sweating condition improved, chronic cough also decreased, but not improved, not decreased. 4. Conclusions So treating of Taeumin's chronic cough is closely connected with sweating change process.

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Case report of Korean medicine treatment for Idiopathic Chronic cough and Hemoptysis (특발성 만성 기침과 객혈의 한의학적 치료 증례보고)

  • Park, Sang Eun
    • Herbal Formula Science
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    • v.30 no.2
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    • pp.101-108
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    • 2022
  • Objectives : The prevalence of chronic cough in Korea is 2.5 ± 0.2% among people over the age of 40, and the rate of idiopathic chronic cough is high. Hemoptysis is one of the respiratory emergency symptoms, and the cause is unknown in 30% of cases. This case report is to confirm the treatment of korean medicine for Idiopathic chronic cough and hemoptysis. Methods : A 74 year old female patient with idiopathic chronic cough and hemoptysis was treated with korean medicine. The patient was treated from july 21, 2021 to september 24, 2021, using herbal medicine (Chungpyebyeolgab-sangagam) and acupuncture(Sa-Am Acupunture Lung Tonifying, CV22). Idiopathic chronic cough and hemoptysis were assessed by VAS. Results : Idiopathic Chronic cough and hemoptysis improved through Korean medicine treatment. Although taking codeine phosphate and transamin was stopped, the improvement of symptoms was maintained. Conclusions : This study suggests that korean medicine treatment may be an effective therapy for treatment of idiopathic chronic cough and hemoptysis.

Etiologic Study in Children with Chronic Cough (만성(慢性)기침 환아(患兒)의 원인질환(原因疾患)에 관(關)한 임상적(臨床的) 고찰(考察))

  • Yoon Sang-Hyub;Choi In-Hwa
    • The Journal of Pediatrics of Korean Medicine
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    • v.12 no.1
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    • pp.77-94
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    • 1998
  • Chronic cough is one of the most common respiratory symptoms, especially in children. And it can be the sale presenting manifestation of bronchial asthma. Although most coughs are self limiting, chronic cough often proves to be a frustrating problem. It is commonly defined as a persistent or recurrent cough exceeding 3weeks duration. The post nasal syndrome has been determined to be the most common cause of chronic cough, followed by asthma, chronic bronchitis, gastroesophageal reflux and bronchiectasis. This study was performed at both City-Oriental Medicine Hospital and Pundang Cha Oriental Medicine Hospital from January,1,1998 to November 31,1998, and 114 children with chronic cough persisting for longer than 3 weeks were evaluated. We investigated the clinical findings and evaluated the etiology in children with chronic cough syndrome including: type of cough (with or with out sputum and daily onset) and associated signs & symptoms. The results were as follows: The most common cause of chronic cough was asthma with sinusitis (27.2%); The second and third were post nasal drip syndrome(22.8%) and bronchial hypereactivitic cough(14.9%). The other causes included asthma, paranasal sinusitis, bronchitis and rhinitis. Therefore, in the diagnostic and therapeutic approach to this symptom, it should be considered that the cause of this type of cough is either bronchus and pulmonary disease or that associated with another problem, especially sinusitis, gastroesophageal reflux and allergic disease. Also, in infants and toddlers, congenital abnormaly should be considered.

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The Effect of Cervi Pantotrichum Cornu Pharmacopuncture at Pyesu ($BL_{13}$) on Chronic cough: Report of Six Cases (만성 해수에 대한 폐유(肺俞)($BL_{13}$) 녹용약침 치험 6례)

  • Shin, Min Geun;Kim, Hyo Sub;Heo, Woo Young;Kim, Byoung Jung;Gang, Il A
    • Journal of Acupuncture Research
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    • v.30 no.5
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    • pp.253-262
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    • 2013
  • Objectives : The purpose of this study is to observe the effect of Cervi Pantotrichum Cornu Pharmacopuncture at Pyesu($BL_{13}$) on Chronic Cough. Methods : 6 patients with the cough treated with Cervi Pantotrichum Cornu Pharmacopuncture at Pyesu($BL_{13}$), then self-conscious complain rates were studied. Results : There are remarkable improvement in self-conscious complain rate about cough, sputum, sore throat, runny nose, chest pain, fatigue which chronic cough patients complained. Conclusions : Cervi Pantotrichum Cornu Pharmacopuncture is effective to chronic cough.

A Case Report of Chronic cough treated by Soshiho-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 소시호탕(小柴胡湯)투여 후 호전된 만성기침 1례)

  • Ryu, Hee-Chang;Lee, Soong-In
    • 대한상한금궤의학회지
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    • v.8 no.1
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    • pp.99-108
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    • 2016
  • Objective : The purpose of this paper is to report the improvement of patient with chronic cough treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient diagnosed with Taeyang-byung, number 96 provision, and took Soshiho-tang herb medication 50days. The changing symptom of chronic cough was estimated by LCQ(Leicester Cough Questionnaire) and VAS(Visual Analogue Scale). Results : The LCQ score changed 57 to 111 and VAS changed 10 to 0. Conclusions : On the number 96 provision of Shanghanlun, '或欬' means 'H or K' sound cough. This is the first case report treating the chronic cough with herb medication of shanghanlun in Korea.

State of the Art for Refractory Cough: Multidisciplinary Approach

  • Anne E. Vertigan
    • Tuberculosis and Respiratory Diseases
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    • v.86 no.4
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    • pp.264-271
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    • 2023
  • Chronic cough is a common problem that can be refractory to medical treatment. Nonpharmaceutical management of chronic cough has an important role in well selected patients. This review article outlines the history of chronic cough management, current approaches to speech pathology management of the condition and new modalities of nonpharmaceutical treatment. There is a need for further research into nonpharmaceutical options with well described randomised control trials.