Professor Li Youlin 's Experience In Treating Allergic Rhinitis

Allergic rhinitis (AR) incidence is increasing year by year, a conservative estimate of 500 million is now suffered with AR which affects almost 10%-25% of the world’s population. It is also one of the most common diseases in clinic, but more effective therapy remains to be discovered to change its low cure rate in clinical practice.As a doctor Professor Li Youlin has more than twenty years clinical experience, he develops a unique theory in the TCM treatment of respiratory diseases and achieves better clinical outcome than normal treatment. Based on this theory that lung and spleen are the core in organ holism, he creates "wenrunxinjinpeiben" therapy and related formula to treat AR in practice. Focusing on the overall function improvement of zangfu, the TCM treatment effectively raise the life quality of patients. We can summarize and analyze these experiences to offer other medical staff for further study and finally benefit more patients in the future.Objective:Summarize and analyze the clinical experience of Professor Li Youlin, focus on his preference in herb selection and find out his unique theory in the treatment of AR.Methods:Manually collect outpatient medical records in China-Japan Friendship Hospital between May 2014 and March 2015 for the study, all selected patients are diagnosed with allergic rhinitis and using TCM treatment by Professor Li Youlin. Establish excel database based on these records including their basic information (name, gender, age) and TCM prescription and use frequency analysis to find out herb preference and classify their effect. Summarizes his unique theory and clinical experience in TCM treatment of AR.Results:31 cases were collected in this study,190 visits and 109 kinds of herbs used in all, total medication frequency is 4687 times, summed up 32core herbs most frequently used, astragalus and ginger ranks first and second. In these cases,10 patients without complications, 70 visits and 77 kinds of herbs used in all and total medication frequency is 1634 times, summed up 30core herbs most frequently used; 30 drugs most frequently core flavor; 9 patients with bronchial asthma or cough variant asthma,52 visits and69 kinds of herbs used in all, total medication frequency is 1341 times, summed up 33core herbs;9 patients with cough or bronchitis,53 visits and75 kinds of herbs used in all, total medication frequency is 1346 times, summed up 37core herbs mostfrequently used.Conclusions:Professor Li Youlin believes that AR is related not only to nose but also zangfu like lung, spleen and kidney. The deficiency of these zangfu and suffering of Six climatic evils (wind and cold is the most common) is the main cause in AR pathogenesis. According to analysis outcome of 31 AR patients, we find Professor Li Youlin prefers using herbs like Radix Astragali, Codonopsis, Rhizoma Atractylodis, licorice, Tuckahoe,Rhizoma Zingiberis, cinnamon, aconite, Fructus Alpiniae Oxyphyllae, Eucommia,Ramulus Cinnamomi, perilla leaf, Flos Magnoliae, radix sileris, Schisandra, Fructus Chebulae, fructus mume, Fructus Corni, Radix aucklandiae, Amomum, Radix Linderae, Cortex Magnoliae Officinalis, Semen Sinapis Albae, Rhizoma Cynanchi Stauntonii, Fructus Perillae,Radix Ophiopogonis, Angelica, Radix Paeoniae Alba and Anemarrhena, Cortex Moutan, Fructus Gardeniae. According to TCM herb theory, the therapy prefers to tonify our genuine qirather than attack the evil qi, which is an example using the traditional principle of treating obstruction with tonics. The usage frequency of herb that is classified as cold is relatively low, just coincide with the "wenrunxinjin" therapy to protect yang-qi of patients, and the usage of large-dose of warm herb throughout the process of treatment. The therapy focuses on restoring the overall zangfu function as a fundamental treatment of allergic rhinitis, relief the pain and improve the life quality of patients, implies the treatment has high value in clinical practice.