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The Correlation Between Life Style And Whole Body Functional Evaluation And The Onset Of Bronchial Asthma Research

Posted on:2012-07-02Degree:DoctorType:Dissertation
Country:ChinaCandidate:Y Z LinFull Text:PDF
GTID:1224330398464694Subject:Traditional Chinese Medicine
Abstract/Summary:PDF Full Text Request
Part1:Professor Liu Weisheng’s thoughts and clinical experience studyThe Professor Liu Weisheng’s theory comes from Chinese Medicine Canon, integrates traditional Chinese and Western medicine, also affected by both theories of Cold and Warm Pathogenic diseases. His theory includes emphasizing on Yin-Yang and differentiating the emergency or chronicity of the root and the branch for diagnosis and treatment, supporting the vital and dispelling the pathogen, especially on using bowel freeing method.Professor Liu’s clinical experience is mainly on oncology, respiratory diseases and critical diseases. The diagnosis and treatment experience of oncology includes establishing herbal meal’Detoxifying Congee’ to prevent the side effect after radiotherapy, using Chinese herbal medicine by replenishing essence and retaining marrow to prevent marrow restrain after chemotherapy, paying attention to patient emotion to improve the curative effect and life quality. The experience of bronchial asthma is as follows: The factors of phlegm, cold and stagnant fluid are-the main causes of asthma. The treatments for heat asthma are clearing, precipitation, bowel freeing; for cold asthma are warm benefiting, disperse and replenishing. Emotional harmony, proper diet and way of life can help to prevent the onset of the disease. The experience of critical diseases includes syndrome differentiation by stages for respiratory failure, warmly replenishing spleen and kidney to weaning patients. The treatment for ARDS(Acute Respiratory Distress Syndrome) is to find the disease cause and inducement; the treatment of intensive pneumonia can refer to that of Warm Pathogenic diseases. The treatment for MOF(Multiple Organ Failure) is to free bowel, eliminate phlegm, quicken blood and transform stasis. Replenishment is the main method to prevent and treat resistant bacteria infection, acute deficiency syndrome and critical disease patients nutrition support.Part2:Clinical Study-The correlation between life style and whole body functional evaluation and the onset of bronchial asthma research BackgroundAccording to the published information by Chinese Asthma Association, asthma is a popular respiratory disease worldwide. The prevalence rate of bronchial asthma is rising in an incredible speed in recent twenty years Currently there are about300millions asthma patients in the world, and30millions in China. As we know, asthma is a disease that can hardly radical cure and becomes a worldwide health problem. It’s obviously important and emergent to start the research from the point of view of asthma prevention while facing the rapid growth.Object ivesLife style were surveyed by questionnaire and Computer Aided Functional Scanning were tested to asthma patients and non-asthma persons. The questionnaire is designed based on traditional Chinese regimen principle and Professor Liu’s theory of relative risk factors of asthma. The life style risk factors that related to asthma’s onset and the protective factors for prevention are summarized and the whole body functional features of asthma patients are discussed in this study. This study provides a new train of thoughts and research basis to establish the guideline of asthma prevention by using traditional Chinese regimen concept and combined with western medicine.MethodsCase comparison between asthma patients and non-asthma persons was applied in this study. The source of asthma patients were from respiratory outpatients or inpatients, and the comparison from health management consultation outpatients or physical examination center. The overall life style review includes genetic background, birth condition, daily life, sleeping habit, diet habit, living circumstances, air-condition using duration, hobbies, exercising and the condition of smoking or drinking, the manner of study or work, the effect of emotion or sociability, the management of common disease, etc. Use Computer Aided Functional Scanning to test the whole body’s function for participants. The SPSS17.0database was set up and the data was analyzed statistically by using χ2test and Wilconxon rank test (α=0.05). T test and rank sum test (for variance nonhomogeneity) were conducted for comparison between groups.ResultsThere were115asthma patients and174non-asthma persons included in this study. The two groups have no significant difference(P>0.05) on general condition comparison such as sex, age, area, etc.1. Daily Living:The review showed that most persons in comparison group seldom stay up late compared to the asthma group. It has significant difference(P<0.001) on’sometime stay up late’ ith the asthma group having larger proportion. For work and rest, there is significant difference(P<0.001) between two groups with the comparison group having larger proportion of regulating daily living. The comparison group has more proportion than the asthma group on sleeping time at’23:00-00:00’, but the asthma group has more proportion than the comparison group on sleeping time which is late than01:00. It has significant difference(P<0.05) on sleeping time between the two groups. It has significant difference(P<0.01) with the asthma group having larger proportion of’ not taking a nap at noon’2. Diet Habit:It has significant difference(P<0.001) with the asthma group having larger proportion of fixed ration of daily diet, eating more cold and less warm food on both the temperature and the nature of food. There is no significant difference(P>0.05) on smoking or drinking. The asthma group has less proportion of light food, sweet taste food and warm or hot food, compared to the non-asthma group; but has more people taking food attentively.3. Environment and Air-Condition Using:The asthma group has more proportion of good living (P<0.05) and working(P<0.001) environment than the comparison group has. There is significant difference between the two groups on home air-condition usage; the asthma group is more frequently being in the air-condition environment(P<0.05), under lower temperature(P<0.001), and being in the air-condition environment for more than10hours (P<0.001). But for working air-condition usage, it has significant difference(P<0.001) between the two groups with the asthma group has less proportion of air-condition using frequency, and is under higher temperature. For sun bath and heat usage in winter, there is no significant difference between the two groups (P>0.05).4. Working:The asthma group has less proportion of fully occupied work and ti redness (P<0.001). For worki ng type, the asthma group has more proportion of physical work. There is no significant difference between the two groups(P>0.05) for exercise frequency, duration and types.5. Emotion and Characteristics:The asthma group has less proportion of stabilized emotion(P<0.001). There is no significant difference between the two groups(P>0.05) for living or working satisfaction and hardness response.6. Medicine Usage:When catching a cold, the asthma group has more proportion of intravenous infusion or oral antibiotics(P<0.001), the comparison group has more proportion of heat clearing herbal or Chinese patent medicine(P<0.05).7. Others:For lactation, the asthma group has less proportion of breast feeding and more proportion of artificial feeding(P<0.01). The average weight of asthma group are higher than the comparison group(P<0.05). The factor of sex is an optional item with high data absence.8. Whole Body Functional Test:There is significant difference between the two groups(P<0.05) for average large intestine functional value, the asthma group’s value is-20.15±16.781, which is obviously lower than comparison group’s value, which is-9.22±15.379. There is no significant difference between the two groups(P>0.05) for the other functional value such as two side lung functional value, stomach functional value, small intestine functional value, etc.9. Software Development:This study developed a software system for life style evaluation and healthy life style guideline. It can apply to people’s life style survey. It is also initially established an automatic life style evaluation system.ConclusionsThe asthma group has more unhealthy life style than the comparison group has, such as artificial feeding, over weighted, irregular daily schedule, frequently stay up late, sleep lately, seldom taking a nap at noon, with more uncooked and cold food instead of cooked and warm food, with lower home air-conditioning temperature, under the air-conditioning environment more often and with longer time, unstabilized emotion, with diffidence tendency of characteristics, used to antibiotics instead of herbal medicine. The tendency of having light food or sweetmeat might be one of the protective factors for asthma.Thus, the prevention of asthma should emphasize on the establ ish of healthy life style, this is also consistent with Professor Liu’s traditional Chinese regimen for asthma. The whole body functional test shows the functional value of large intestine is lower than that of the comparison group, presents the onset of asthma might correlate with large intestine stoppage. It’s worth to further investigate into the possibility of preventing asthma by improving large intestine function. This study also gave the evidence of the classic theory of ’the Lung and the Large Intestine Are Interior-Exteriorly Related’ from the other side.
Keywords/Search Tags:Bronchial Asthma, Life Style, functional examination, Risk Factor, Clinical Experience of Traditional Chinese Medicine Veteran Doctors
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