中医内科护理-课件.ppt

中医内科护理;Goals of Studying;感冒;Common cold; 感冒一名，北宋《仁斋直指方》即有记载。而《内经》已指出感冒主要是外感风邪所致。元《丹溪心法·伤风》明确指出病位属肺，根据辨证，分列辛温、辛凉两大治法。此后医家又对虚人感冒有进一步的认识，提出扶正达邪的治疗要求。 ;Cause of Disease and Pathomechanism 六淫( six exogenous pathogenic factors ) 时行病毒( seasonal virus ) 人体正气( health qi )不足 其病机关键在于邪实正虚(excess of evil and asthenia of health qi ) 。 ;Analyses of pathological conditions 风寒感冒(common cold due to wind-cold) 风热感冒(common cold due to wind-heat) 暑湿感冒(common cold due to summer-dampness) 体虚感冒 ;Analyses of pathological conditions Common cold due to wind-cold 恶寒重，发热轻，无汗头痛，肢体痰楚，鼻塞声重，时流清涕，咽痒咳嗽，痰稀薄色白，口不渴或喜热饮，苔薄白而润，脉浮或???紧。 ;Analyses of pathological conditions Common cold due to wind-heat 身热较著，微恶风，汗泄不畅，头胀痛，鼻塞，流黄浊涕，口渴欲饮，咽喉红肿疼痛，咳嗽，痰黄粘稠，苔薄黄，脉浮数。 ;Analyses of pathological conditions Common cold due to summer-dampness 身热，微恶风，汗少，肢体酸重或疼痛，头昏重胀痛，咳嗽痰粘，鼻流浊涕，心烦口渴，或口中粘腻，渴不多饮，胸闷，泛恶，小便短赤，舌苔薄黄而腻，脉濡数。 ;Analyses of pathological conditions Common cold due to asthenia of qi 经常感冒，反复不愈，恶寒重，发热，咳嗽，咳痰无力，气短，倦怠，舌淡苔白，脉浮无力。 Common cold due to asthenia of yin 头痛身热，微恶风寒，少汗，头昏，心烦，口干，于咳少痰，舌红少苔，脉细数。 ;Problems of patients Nursing goals ;Nursing interventions Common cold due to wind-cold Principle of nursing ：辛温解表 Entirety nursing： ;Nursing interventions Common cold due to wind-heat Principle of nursing ：辛凉解表 Entirety nursing ： ;Nursing interventions Common cold due to summer-dampness Principle of nursing ：驱湿解表 Entirety nursing ： ;Nursing interventions Common cold due to asthenia of qi Principle of nursing ：益气解表 Entirety nursing ： ;Nursing interventions Common cold due to asthenia of yin Principle of nursing ：滋阴解表 Entirety nursing ： ;Nursing evaluation Introduction on health 气候突变时要注意保暖，坐卧须防外邪。 保持室内空气流通，或选用食醋熏蒸法、消毒香熏法等做空气消毒。 时行感冒流行期间，可用板蓝根冲剂预防给药。 积极参加体育锻炼，以增强体质。 ;;Cough;Teaching objectives;What is cough ?;Definition;Evolution History;What is its cause ?;Cause of Disease Pathomechanism;Analyses of pathological conditions; Exogenous cough 风寒袭肺( wind-cold attacking lu