Treating Bronchial Asthma With Crude Herb Moxibustion: The Randomized Controlled Clinical Trials Of Optimizing Drug Prescriptions And Acupoint Combinations

Objective:This research aimed to adopt different application herbs and acupoint prescriptions to improve the clinical efficacy of crude herb moxibustion in treating bronchial asthma.Methods:Select outpatients who were diagnosed with bronchial asthma in western medicine and lung deficiency type asthma disease in Chinese traditional medicine from the acupuncture and moxibustion deparment of Xinjiang autonomous region traditional Chinese medicine hospita, divide the patients into four groups randomly:group 1、group2、group3 and group 4 of crude herb moxibustion.Treat group 1 and group 2 with the application herbs made from fresh White Mustard Seed while group3 and group 4 with the application herbs made from fried White Mustard Seed.Cure the Group 1 and group 3 with the acupoint combinations of Fei shu.Feng men, Ding chuan while group3 and group 4 with the acupoint combinations of Tian tu. Da zhui, Gao huang. Shen shu.By observing the four groups patients Asthma Control Test scores^ TCM symptom scores and serum ECP levels index treated before and after treatment (treatment for 1 month、3 month and 1 year),systemly evaluate the four treatments on patients with bronchial asthma comprehensive clinical curative effect.Results:(1) The TCM symptoms curative effect comparison of the four groups treatment for 1 month,cases of group 1 of crude herb moxibustion total effectiveness 70%,cases of group 2 total effectiveness 60%,cases of group 3 total effectiveness 85%,cases of group 4 total effectiveness 85%,cases of group4 total effective rate was higher than the group 2,two groups of cases curative effect have significant difference, (P<0.05).Treatment for 3 month,cases of group 1 of crude herb moxibustion total effectiveness 80%,cases of group 2 total effectiveness 85%,cases of group 3 total effectiveness 90%,cases of group 4 total effectiveness 95%,cases of group 3 total effective rate was higher than the group 1,two groups of cases curative effect have significant difference, (P<0.05). Cases of group 4 total effective rate was higher than the group 1 and group 2,the curative effect have very significant difference, (P<0.01).Treatment for 1 year,cases of group 1 of crude herb moxibustion total effectiveness 90%,cases of group 2 total effectiveness 95%,both cases of group 3 and group 4 total effectiveness 100%,cases of group 3 and group 4 total effective rate were higher than the group 1,curative effect have very significant difference, (P<0.01). (2)Total score:Four groups of cases treatment for 1 months 3 month and 1 year TCM symptoms individual and total scores were significantly improved,(P<0.01).And TCM individual symptom scores index of the Fried White Mustard Seed groups improved more significantly than the Fresh White Mustard Seed groups,(P<0.05). The TCM symptom chest stuffiness of the acupoint combinations of Fei shu.Feng men, Ding chuan more significantly improved than the acupoint combinations of Tian tu. Da zhui, Gao huang. Shen shu, (P<0.05). (3)Four groups of cases before and after treatment serum ECP levels comparison,four groups in serum ECP levels index were improved after treatment for 1 month、3 month and 1 year,and serum ECP levels index of the Fried White Mustard Seed groups improved more significantly,(P<0.01).(4)Four groups of cases before and after treatment Asthma Control Test scores comparison,Asthma Control Test scores of four groups all increased after treatment for 1 month、3 month and 1 year.The ACT scores of the Fried White Mustard Seed groups increased more significantly,(P<0.01). Conclusions:The comprehensive effect of four groupsbefore and after treatment comparison, the application herbs made from Fried White Mustard Seed significantly improved the clinical effect of bronchial asthma patients,at the same time of each single evaluation of symptoms of TCM,Fried White Mustard Seed in improving asthma symptoms of wheezing,chest stuffiness, cough,expectoration,fatigue and lack of strength and fearing wind and sweating is obvious.ration is obvious, The acupoint prescriptions of Fei shu.Feng men, Ding chuan significantly improved TCM symptom chest stuffiness.The application herbs made from Fried White Mustard Seed significantly improved serum ECP levels and ACT scores.