Clinical Investigation Of The Distribution Of Syndromes Acute Exacerbation Of Bronchial Asthma

Objective：Utilizing the methods of clinical research studies, revealed acuteexacerbation of bronchial asthma syndromes distribution, screening the commonsyndrome of asthma manifestations of primary and secondary disease to providereferences standardized at asthma acute phase TCM.Method: Selecting domestic seventeen provinces and cities survey drawn fromhospitals as centers to collect survey data of patients with asthma about asthmaclinical syndromes.Result:1. We taken back1893questionnaire responses from2000and1500questionnairesare qualified.①The disease of acute asthma syndrome elements.Mainly are phlegm、qi deficiency the external cold、interior phlegm in fluid-retention, obstructing in thelung.②Syndrome elements of disease location in lung mainly.About syndromeelement combination rule,second disease syndrome element combination of thehighest frequency (composition ratio of68.9%, the same below), followed by adisease of the syndrome elements (25.6%), and the remaining card portfolio of primelower frequency.③A single disease syndrome factor combination rule is the lung(90.7%),most a smaller proportion of the remaining disease.④The single mostfrequent symptom factors is sputum in combination rule, The main targets is the lungs.Two combination of factors that appear most frequently in the sputum andheat,located mainly in the lungs.Three combination,wind+phlegm+qi deficiencyfrequency appears mostly, targets located in the choroid, lung and spleen. Foursyndrome factor combination frequency is below10,inside the external cold+interiorphlegm+fluid-retention+phlegm+heat,the main targets in the lungs and the rest of thesyndrome factor combination, few number of cases,no statistics.2.The clinical survey results show:the external cold and interior phlegm influid-retention, phlegm-heat obstructing in the lung,lung qi deficiency,syndrome ofturbid phlegm obstructing lung,Spleen qi Deficiency Syndrome,kidney qi DeficiencySyndrome,Lung and Spleen qi deficiency syndrome appear higher frequency.Usingmultivariate statistical methods such as frequency, frequency of statistical descriptionand Logistic regression analysis,we explored the bronchus asthma acute phasesyndromes distribution and composition relations.The primary and secondarysyndrome characteristics were analyzed.①The external cold and interior phlegm influid-retention,the main symptoms:breathlessness、white coating on the tongue、cough、thin white sputum.Minor symptoms：thin or watery nasal discharge、chills、floating pulse.②Phlegm-heat obstructing in the lung,The main symptoms:breathlesssness、cough、yellow greasy coating on the tongue、yellow sputum.Minorsymptoms:wheezing due to retention of phlegm in throat、 shortness of breath,irritability,fever,sweating,flushing,rapid pulse.③Lung qi Deficiency Syndrome,Themain symptoms:Shortness of breath,chest tightness.Minor symptoms:afraid of thewind,spontaneous,pale tongue,weak pulse.④Syndrome of turbid phlegm obstructinglung,The main symptoms:Cough,phlegm,breathlessness,shortness of breath.Minorsymptoms:wheezing due to retention of phlegm in throat、chest tightness,eat less,epigastric fullness,greasy tongue coating,slippery pulse,viscous sputum.⑤Spleen qiDeficiency Syndrome,The main symptoms:loss of appetite,fatigue.Minorsymptoms:phlegm,pale tongue,bloating,limbs,drowsiness.⑥Kidney qi DeficiencySyndrome,The main symptoms:breathlessness,shortness of breath.Minorsymptoms:soreness of the waist and the knees、deep thready pulse、pale tongue,spontaneous.⑦Lung and Spleen qi deficiency syndrome,The mainsymptoms:shortness of breath,eat less.Minor Cough,phlegm, lack of power,weakpulse.Conclusion:Bronchial asthma acute phase main pathogenic factors are phlegm、qideficiency the external cold、interior phlegm in fluid-retention、heat、blood stasis.Thelocation of the disease mainly in the lungs.There are7kinds frequent syndrome.Themost common syndromesis the external cold and interior phlegm in fluid-retention...