| Vision is the loss of lung cough drop, lung Shangni issue Ke Sheng, or a liquid cough spit of Pulmonary Diseases. Cough Medicine and Emergency Department of one of the most common disease and syndrome, high incidence, according to statistics the incidence rate of 3% to 5% incidence in the elderly up to 10% to 15%, especially in cold area of disease rate higher. Cough is the main symptoms of lung diseases, is also independent of disease; its diverse symptoms, complications can lead to multiple Merger, often with abdominal and chest wall pain, and fatigue, urinary incontinence, if prone to develop Cough chronic bronchitis, asthma and other diseases seriously affect people's lives and work.Very early on cough medicine pathogenesis conducted a series of expositions, for the treatment of cough and accumulated a lot of clinical experience. "River of six-books·cough" that:"cold, heat, dampness, dryness, wind, fire six gases, are people coughing, " "Jing Yue Quan Shu·coughing, " said:"Exogenous the cough, will be due to cold. " "Plain Questions·cough of" said:"The internal organs are people cough, lungs are non-exclusive. " description cough organs are not limited to lung disease. Cause of cough can be divided into two types of exogenous and internal injuries, common cough by the wind, cold, heat, dampness, dryness, fire, etc. Fanfei six disease caused by exogenous pathogens; internal injuries cough due to improper diet, emotions and internal injuries to the lungs empty loss or other organs caused by lesions involving the lung. Drug treatment on the basis of different pathogenesis, diagnosis and treatment, exogenous pathogens cough lung injury, treatment with Xuanfei lung to relieve cough and to disperse wind, and cold, heat, purging fire, moistening, phlegm other drugs; in evil injured lung cough, is more of dispelling evil head of the CIA both samples for the law, common clearing fire, Qu Tan, Qi, blood, yin, yang and other drugs.Chinese medicine for this disease has been studied, the disease and its prevention and treatment has made great progress in syndrome differentiation characteristics, due to regional differences, the external parts of the dialectical sense of cough have a different understanding of type. Present relevant reports are mostly clinical and experimental research, the lack of syndrome differentiation rules in large sample survey research, this study reports the literature, reference to the geographical characteristics of the Taipei area, and the physiological characteristics of the lungs to cold Fanfei type, wind-heat Fanfei type, air dry lung injury syndromes such as study type; as the Tropic of Cancer is located on both sides of the Taiwan region for subtropical regions, is a South Medical range, and so the Lingnan area characteristics, together with lung phlegm depression type, phlegm Yun-lung type of. In this study, except by a sense of Taipei 252 observation of clinical manifestations of cough, cough study Taipei exogenous characteristics of syndrome differentiation of TCM, to further standardize its clinical diagnosis and treatment, improving prevention and treatment for clinical basis.Methods:Using cross-sectional survey method to investigate Taipei cough syndromes exogenous characteristics.1, document retrieval, access to relevant literature, the incidence of cough induction of exogenous factor.2, according to "The People's Republic of China Traditional Chinese Medicine industry standard symptoms of a syndrome of Lung Cancer, " "guiding principles for new drug clinical research of Chinese medicine" and "Traditional Chinese Medicine in Science" exogenous cough developed diagnostic criteria and TCM Syndrome Questionnaire.3, the questionnaire include name, age, date, gender, medical history, residential address, telephone, inclusion criteria, exclusion criteria, TCM typing standard.4, the training staff involved in the investigation (all TCM practitioners in the Taipei area), and prior learning, the correct diagnosis and differentiation control a unified standard, the inclusion criteria and exclusion criteria.5, fill out the questionnaire, patients in Taipei common cough filled by a full-time physician.6, statistical analysis.The descriptive analysis showed that:the region's exogenous to the wind dry cough mainly lung injury,94 cases (37.3%), followed by wind-heat Fanfei were 89 cases (35.3%), cold Fanfei 64 cases (25.4%), phlegm Yu lung in 4 cases (1.6%), phlegm retention in the lung in 1 case (0.4%), indicating that lung injury dry wind, the wind is hot Fanfei Taipei cough syndromes. Cold Fanfei main symptoms of patients cough, sputum thin white, the course is short necessary, in the second card in order to thin white fur (85.9%) and nasal congestion or nasal discharge or jet stream clear nasal discharge (84.4%) most common; Second, aversion to cold and heat light weight (67.2%), headache or body pain (45.3%), I thirst (45.3%), floating and tight pulse is relatively small (15.6%).Most of the characteristics of cold cough moderate itching cough or sputum following cough, cough increased time is insignificant, with the uncomfortable symptoms cough, headache, cough cited more obvious, if extreme, dyspnea cough, cough, hoarseness, shortness of breath sound of heavy, inverse matrix for gas cough, cough cited chest pain, cough when the face is less red red eyes. Some have Shenpi weakness or headache associated with symptoms of fever or bad there is not much heat, most Jieyou varying degrees of aversion to cold, more than half no sweat, nasal symptoms more common nasal congestion, sneezing, clear nasal discharge, itchy throat clear throat symptoms, throat sore throat is rare, a few symptoms of chest tightness fullness, diet, taste, drinking water, the second will be, normal sleep were not affected much, more common thin yellow tongue coating, tongue tongue pink or pale quality to the main part of a scalloped.Wind-heat Fanfei main symptoms of patients cough, phlegm or sputum accurate viscous yellow, itchy throat or sore throat, acute onset, short course necessary, in the second card in the turbid stream of nasal obstruction or nasal discharge have the highest proportion (83.7%), followed by a floating pulse number (73.9%). Red tongue tip side (47.8%), dry mouth For drinking water (45.7%), thin yellow tongue coating (44.6%); and fever chills light weight (12.0%), sweating (10.9%) were relatively small. The characteristics of wind-heat cough, most showed moderate degree of itching cough cough or phlegm, cough without increasing the time difference, Shenpi fatigue much, some people cough and cold increased opportunities. Cough and symptoms associated with a hoarse voice, sound reproduction shortness of breath, chest pain, cough cited more obvious, cough unhappy, cough headache less cited. More than half of sore throat, itchy throat clear, nasal congestion, nasal discharge flow turbidity prominent, sweating, aversion to cold, fever or bad there is not much heat, most of the patients appetite, drinking water, toilet, and sleep did not change obvious, more common pink tongue tip side of the tongue or the tongue red, red tongue, the less, pale tongue is rare, and most of the main thin yellow coating of tongue has scalloped highlights.Air dry lung injury main symptoms of patients cough, no sputum or sputum less viscous quality hard out, nasopharyngeal dry, the course is short necessary, in the second card to the pharyngeal itching in the highest proportion of 90.5%, followed by order for the coating of thin white or thin yellow (69.5%), and a floating pulse number (59.0%), dry mouth, want to drink (56.8%), head and body pain (25.3%), dry tongue, low-chun (19.0%), fever micro bad cold (14.7%), bloody sputum (3.2%). The characteristics of the wind dry cough, most showed mild itching or dry cough cough, cough increase the time was not obvious; that some people cough, cold case of worsened symptoms of cough associated with hoarseness, cough cited chest pain, headache and cough more frequently cited, the phenomenon of fatigue strength emits a small number of patients, sweating, aversion to cold, fever or bad heat rarely, nasal symptoms of nasal obstruction is obvious, some have voiced nasal discharge, sneezing, clear nasal discharge is less common; pharyngeal itching, sore throat prominent appetite, drinking water, toilet, and sleep did not change significantly; more common pink tongue tip or tongue side of red, red tongue of less pale tongue is rare. With thin yellow coating most of the main tongue has scalloped obvious.Yu phlegm cough lung disease patients in the primary rough, thick yellow phlegm, acute onset, short duration necessary, in order to clock in the second card in the floating and accounted for 4 cases (100%), red tongue (75.0%) vexed hot mouth dry (50.0%), yellow and greasy fur (25.0%). Phlegm retention in the lung primary card Kesheng muddy, color white phlegm, chest tightness, nausea bloating, acute onset, short duration necessary; time permits head weight, pay less, greasy tongue coating, slippery pulse, or How the whole slide with. A high incidence of dry air for the lung injury, the wind and the cold heat syndrome due to clinical symptoms syndrome due to statistics, more often a result of cold syndrome due to smoke-induced cough, the common aversion to cold, sneezing, clear nasal discharge, body pain, Shenpi fatigue, shortness of breath lazy words spontaneous sweating, night sweats, thin white coating, and while there is itching symptoms such as cough and phlegm cough. Syndrome due to wind-heat type is more often caused by the change due to weather, temperature and cough, cold, common sore throat, nasal discharge turbid stream, with the sound of heavy coughing and shortness of breath, a hoarse voice symptoms. Air dry the lung injury more common itchy cough, dry cough, stuffy nose, itchy throat, dizziness, dry mouth, want to drink warm water, bloating, stomach pain, stomach acid, Shezao with scalloped symptoms. Taipei common cough TCM to air dry feature of lung injury, wind heat Fan Fei, followed by the cold Fanfei, phlegm and dampness Yun Lung Lung Yu few cases. This country is too divided most of literature addressed, as 4:06 gas different common cough easily showed the cold wind-heat, warm dry various syndromes, in the course of disease is also seen the transformation of cold and heat, and mixed. The Taipei-heat island effect, climate, temperature and drying of the performance, when the wind, cold, wet, dry the evil invasion of the lung, the easily of heat, cough yellow sputum, dry mouth, rapid pulse and other wind-heat of the levy. Yin Jin Yi losses were physical, due to the impact of desiccation can cough without sputum or phlegm out less difficult, nasopharyngeal dry, dry mouth, dry tongue, dry season of less-chun, the wind permits. Therefore, the high temperature of heat island effect, desiccation, affect the Taipei area, common cough syndrome more common hot air dry and wind Fanfei lung injury.Taipei is subtropical climate, long winter, short summer, humid and rainy, hot weather, people like to eat thick Health Leng Bing tired of food products and Fei Gan, long-term hot and humid climate and lifestyle, should affect the operation of the spleen and stomach function while wet, hot performance; but because the heat island effect of desiccation on the Taipei area to a certain extent, so wet and rainy weather has little effect on the body, so phlegm and phlegm Yun Yu Lung lung symptoms and signs, which Lingnan region exogenous characteristics of cough symptoms are different.Conclusion:This study investigated the exceptional sense of Taipei 252 cough characteristics of TCM syndrome differentiation, through clinical and related research, the following conclusions:(1) Taipei common cough syndromes characteristic of lung injury to dryness, wind-heat Fan Fei-based. (2) physical characteristics of the population in Taipei for the Insufficiency of Qi, lung yin deficiency. (3) The impact of exogenous Taipei cough syndrome characterized by many factors, may be unique in Taipei basin geography, changing the hot climate, Insufficiency of qi deficiency, lung yin deficiency of physical factors, poor dietary habits of life. From the side confirmed the common cough has its geographical features, view is consistent with the corresponding theory of Chinese medicine Heaven. This is the first population in Taipei to study the exogenous cough syndrome differentiation type characteristics and physical characteristics of the external sense of cough syndrome do in-depth exploration of the dialectical treatment to achieve a more standardized, in order to improve the prevention and treatment, provide further theoretical basis. These conclusions will be Taipei common cough Syndromes be helpful, many scholars prevention of this disease a lot of research, regardless of etiology and pathogenesis or affect the factors that make some point in the future through the epidemiological investigation, forward-looking, large sample survey of pathogenesis, to find characteristics of TCM in the treatment of systemic to do more standardized, the dialectical unity of common cough type standard, to improve the treatment of cough medicine level of the external sense. |
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