| [Objective] investigate upper airway cough syndrome (UACS) [1-3] (the nasopharynx with the disease) characteristics of syndromes, evaluation Shufeng Tongqiao, Xuanfei phlegm treatment of upper airway cough syndrome phlegm love the wind the lung clinical effect of this syndrome syndrome and law.[Method] above airway cough syndrome (UACS) (nasopharynx with the disease) were 280 cases of this study to observe the distribution of TCM, select the wind love the lung sputum 40 patients based cards, using random, paired group method, the random table to identify the treatment group and control group, experimental group and control group 20 cases, and to ensure that two groups were gender, age and so the basic approach (statistically, the two groups P> 0.05). The treatment group received (TCM particles) Shufeng Xuanfei cough basic side: (Schizonepeta 10 g, Platycodon 6 grams,6 grams of ephedrine, almond 10 grams,10 grams of silkworm, white 10 grams,10 grams, etc. Fritillaria). Modified:â‘ If and sneezing, watery nasal discharge, colds, cold, Yuhan-prone, thready pulse, plus 10 grams of Radix Codonopsis, Asarum 3 grams etc. (plus or minus I prescription);â‘¡concentration and flow of aldicarb, a little spit thick yellow sputum, mouth stick, yellow and greasy tongue coating, add 15 grams of gold buckwheat, raw barley 20 grams, etc. (Modified Recipeâ…¡);â‘¢see throat dry, dry mouth, phlegm less sticky, such as quality of silk, thin dry tongue, pulse breakdown, kanang Radix 10 g, 6 g gelatin, etc. (plus or minusâ…¢Recipe). Placebo control group:simulation package "Shufeng Xuanfei cough" particle agents and Modified Prescriptions. According to the characteristics of this syndrome in TCM, and cough symptom score table reference Hys [4], select the cough, sputum, nasal congestion, sneezing, runny nose, postnasal drip influenza, throat itching, foreign body sensation throat symptoms and throat 8 signs as indicators observed in this trial, according to the severity of symptoms and signs are divided into "no, mild, moderate and severe," four levels, corresponding respectively to "0 points,1 point,2 points,3 points," calculated to quantify the integration, development of symptoms and signs before and after treatment integrated score, comparing the clinical efficacy of the two groups, each group of symptoms and signs of local score changes before and after treatment. [Results]1. Of syndromes:According to 280 cases of wind phlegm Love pulmonary syndrome four diagnostic information, analysis of syndromes characterized by:the wind phlegm Love the lung 135 cases,48.2%, wind phlegm stagnant heat of 65 cases, accounting for 23.2%, cold dampness card 44 cases, and 15.7%, Yin Dryness of evidence in 36 cases, was 12.9%, of which the wind love the lung and sputum stagnant heat of the wind as much phlegm, to 48.2% and 23.2% each.2. Clinical effect:According to cough disappearance rate of assessment, treatment group, control rate was 20%, effective rate is 70%,10% efficient, inefficient 0%, significantly higher than the clinical control rate was 0%, effective rate is 0%, there is efficiency of 45%,55% inefficiency; the treatment group was 100%, and the control group compared with 45% efficiency, through statistical analysis, the difference was statistically significant (P<0.05), the overall effect of the treatment group significantly superior in the control group. After treatment, clinical symptoms according to total score compared with control treatment group,25%, markedly effective rate 45%,30% efficient, no efficiency 0% control group, the control rate of 0%; obvious efficiency of 0%; efficient 20% 80% inefficiency; the treatment group was 100%, and the control group compared with 20% efficiency, through statistical analysis, there are significant differences (P<0.05). The overall effect of the treatment group than the control group; results indicate Shufeng Tongqiao, Xuanfei phlegm on the basis of the treatment of upper airway cough syndrome syndrome (disease of the nasopharynx with) the wind of chronic cough, sputum and lung Love each and folders significant overall effect Certificate, consistent with the same disease with different TCM treatment principles.3. TCM symptoms and signs before and after treatment compared score changes:By statistical analysis, the treatment group were significantly better than the control group overall (P<0.05); treatment group compared symptoms and signs before and after therapy, integral decreased (P<0.05), with more points in the control group, treatment group After treatment, patients with cough, expectoration, pharyngeal foreign body sensation shorter than the control group (P<0.05), postnasal drip influenza improvement was significantly better than the control group (P<0.01). The results show that Shufeng Tongqiao, Xuanfei phlegm can significantly improve symptoms in patients with the treatment group and local signs, were significantly better than the control group, the clinical treatment of solid.[Conclusion] The results showed that the differentiation of syndromes:the wind love the lung sputum 135 cases,48.2%, wind phlegm stagnant heat of 65 cases, accounting for 23.2%,44 cases of cold damp folder, accounting for 15.7%, Yin Dryness of the evidence 36 cases, accounting for 12.9%, with the wind and wind phlegm phlegm Love the lung stagnant heat, each comprising 48.2% and 23.2%. Shufeng Tongqiao, Xuanfei phlegm Treating 40 cases of upper airway cough syndrome (nasopharynx with the disease) Wind Love the lung sputum in patients with evidence-based efficacy than the control group, many patient's can significantly improve Symptoms and signs of local and effective. |
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