Under The Bronchoscopic Inspection To Explore The Clinical Research On Phthisis Local Syndrome Differentiation Of TCM

Objective:Aiming at the present situation that the Traditional Chinese Medicine has been stagnant in the differentiation and treatment of tuberculosis at present.As inspection data that patient data were collected through the electronic bronchoscope by the experimenter in this study,exploring the new law of the tuberculosis bronchoscopy in local lesions and putting forward the new local differentiation method of Traditional Chinese Medicine.ultimately providing evidence for creating new method and treatment ways.Methods:In this study,we adopt the retrospective analysis,and collecting the data of123 cases of pulmonary tuberculosis that ware diagnosed by the electronic bronchoscopy or sputum smear in the Zigong Tuberculosis Dispensary and Zigong Hospital of traditional Chinese Medicine of department of respiratory medicine during the period from May 2013 to October 2016.At fast,the experimenters collect the symptoms,Xiang of tongue and pulse and related auxiliary examination of tuberculosis cases,then the experimenters should observe the airway by OLYMPUS electronic bronchoscope and urge to the combination of modern medicine and traditional medicine theory,Making it compare with the different types of syndrome and tongue and pulse urge from holistic diagnosis,and use the SPSS21.0 software to carry on statistical analysis.There are no significant differences in judgment and comparison,finding out the rules of pathological development of tuberculosis..Results:1)Although the incidence of pulmonary tuberculosis patients has increased trend with age,But still middle-aged,middle-aged and older.The age of onset ranged from 40 to 69 years,accounting for the total sample size of 70.65%.The prevalence rate of male was higher than that of female,and the ratio of male to female was1.41:1;The man that the peak age of onset was 50 to 59 years old,and the women the peak age of onset was between the ages of 40 and 49.2)The clinical symptoms of the performance:Main clinical manifestations is of the example:the persistent or irritating cough and cough up phlegm、chest pain、drypharynx.However,the most typical symptoms are rare,such as low fever,hectic fever night sweats,weight loss,hemoptysis.Image test results show that the majority of the increase of the number of lung shadow was disorder,calcification in the hilar region;However,there are not the pulmonary shadow and hilar lymph node enlargement and so on.3)The main pathological changes of pulmonary tuberculosis under the naked eye by the electronic bronchoscope are bronchial mucosal hyperemia,mucosal edema,superficial mucosal ulcer.Followed by inflammatory proliferation,for example,mucous membrane of macula,cavity granuloma,superficial vascular single or reticular varicosities,the width of bronchial cristae and so on.Moreover,for the blink of an eye,the muscles between the cartilage rings are thin,the lumen is narrow,and the pale mucosat least.4)Bronchial lesions were mainly located in bronchus under bronchoscopy.5)The comparison of the local dialectical syndrome type under electronic bronchoscope and the syndrome type of TCM,P< 0.05,the difference was statistically significant;The relationship between the local dialectical syndrome type under electronic bronchoscope and the tongue,P>0.05,the difference was not statistically significant;The relationship between the local dialectical syndrome type under electronic bronchoscope and the tongue coating and pulse condition,P<0.05,the difference was statistically significant;the correlation coefficient of Spearman was close to 1,P<0.05,and there was a correlation between he local dialectical syndrome type under electronic bronchoscope and the tongue coating and pulse.Conclusions : The incidence of tuberculosis is the chronic long-term development process,According to the traditional Chinese medicine clinical differentiation method,it is to "Yin deficiency" as the center,highlighting the lack of health throughout the whole process and emphasizing on treatment of nourishing yin.This study shows that tuberculosis is "evil substance" in the early and middle stages and is the dominant factor,while the deficiency of the lung yin is notobvious.Only in the late stage of the disease,the mirror can be shown as the main characteristic of "positive imaginary evil love”when the a healthy Qi and evil gradually to weaken.Therefore,in theory,can be combined with four methods of diagnosis of differentiation and bronchoscopic inspection,pathological manifestations of local TCM new type.That is can be divided into three types:tuberculosis heat obstructing lung blood lost meat rot、stagnation of Qi and blood stasis、deficiency of Qi and blood and deficiency of Qi and Yin.