| This paper is completed in her teacher, Professor Hong Guang-xiang's guidance. And in this article, the write presents Professor Hong Guangxiang's experience in applying the theory of Zong Qi in treating chronic obstructive pulmonary disease (COPD) in stable stage of academic thought, and treatment experience of system consolidation summary. Papers using Zong Qi theories on etiology and mechanism of stable stage of COPD, pathological factors, characteristics of syndrome and treatment principle of therapeutic methods, clinical studies, in-depth discussions of specific prescriptions.In the introduction, the author presents the definition, diagnosis occurrence, Epidemiology and the treatment of COPD. Points out it is very important to the treatment of COPD in stable stage.This is also the advantages of TCM. Moreover, the writer Points out that Professor Hong has accumulated affluent experience in the treatment of COPD, so this study of his academic idea and clinical experience is very important.In the first section of the paper, the author presents a systematic review of ancient Chinese medical literature on Zong Qi in theory, Doctors through the ages on the basis of relevant expositions of the 《NeiJing》, continuous development, understand the characteristic of Zong Qi, on the formation and distribution and physiological function. Zong Qi as a kind of vitality of the gas, playing an important role in the human body gas theory, Zong Qi and personal the gas has close relations, it directly relate to the ups and downs of the human body gas, then this paper discusses the relationship between Zong Qi and Yuan Qi Wei Qi. To further clarify the relations of zang-fu organs and Zong Qi in the paper:Zong Qi is not only the result of the active visceral functions, and ensure the normal visceral functions the driving force of the function.In the second section, the paper provides a systemic statement for the TCM on the COPD diagnosis and treatment:the ancient times literature and modern Chinese medicine thought the etiology of COPD more based on deficiency Ben and excessive Biao. Exogenous evils and phlegm and blood stasis obstructed in Lung collaterals are mainly focus in the stage of attack, the weakness of vital-qi is t he emphasis in stable. The paper reviews the principle of COPD by the Modern Chinese medicine, analyzes the advantage of TCM therapy. In the third section, this paper discusses the clinical experience of professor Hong's treatment of COPD in stable about Zong Qi's theory. They are respectively discussed from the etiology, principle therapies and commonly medicine, etc in this paper. Professor Hong points out that the attack of COPD is due to the insufficiency of Zong Qi in the direction of the theory of Zong Qi:the insufficiency of Zong Qi is virtual key factors, can cause phlegm and blood stasis, can cause the Exogenous evils repeated invasion, can cause respiratory muscle fatigue. Therefore, the main therapeutic principle of COPD in stable is benefiting Zong Qi. Then this paper discusses professor Hong's clinical application of benefiting Zong Qi, including lung, spleen, Warming yang, filling vigour, the emphasis is on the benefiting lung and spleen. Warming Yang is the important content of the benefiting Zong Qi. The paper insists that reducing the excessive and replenishing the deficient, insists clearing polyester phlegm and stasis while benefiting Zong Qi. The core of the benefit of Zong Qi's prescriptions and herbs is Buzhong Yiqi Tang. And introduces the formulas to add and subtract in clinic, then analysing the Zong Qi indications of YiQi (WenYang) Hu Wei Tang and BuYuan Tang. The paper points out that the cause of formation phlegm and stasis has deficiency and excess. Rowing phlegm can unobstructed airway. Removing blood stasis can improve the overall efficacy. So the paper declares the professor Hong's prescriptions and herbs on phlegm and stasis. The paper list three typical cases to illustrate the concrete application of time and curative effect from strengthening the spleen and tonifying the lung, benefitting Qi Yang, clearing blood stasis and sputum. These cases demonstrate the thoughts of Zong Qi theory by professor Hong and effective. Final the paper points out that benefitting Zong Qi for COPD including meaning of "treating before illness".In the fourth section. Objective:To observe the effect of modified Bu-yuan-tang on the BODE index in patients with COPD in stable stage. The methods:60patients who met the Diagnostic Criteria for COPD in stable stage were randomly and equally allocated to the treatment group (30patients) and control group (30patients). The treatment group was given traditional Chinese medicine:modified Bu-yuan-tang, one dose per day, while the control group was given Compound Ipratropium Bromide according to need. Six-months are need for clinical observation on the two groups. Then tracking the factors of patient every two months, such as body mass index (BMI). FEV1%pred. grades of Dyspnea, six minute walking distance (6MWT), and observing and comparing the changes in various factors and BODE index between two groups treated with different methods dynamically. The result:After6month's treatment, Comparing with those in the control group or before therapy, the level of the various factors and BODE index in the treatment group were significantly improved (P<0.05), and the level of the various factors and BODE index improve greatly with the increase in treatment. The colclusion: Clinical studies with modified Bu-yuan-tang have shown substantial improvement in lung function, exercise capacity, nutritional status and BODE index. BODE index is an objective and systematic evaluating indicator for curative effect in patients with COPD in stable stage.In the last section, the author reviews the important development of the prevention and therapeutics of COPD in TCM that we have recently achieved, but there are many questions, too. At last, the author points out the development and the direction of the research of COPD.
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