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The Clinical Research On The Children With Remission Period Cough Variant Asthma Treatment With The Yi Qi Jian Pi Fa Theory Of Traditional Chinese Medicine

Posted on:2007-10-14Degree:MasterType:Thesis
Country:ChinaCandidate:H X MaFull Text:PDF
GTID:2144360185952403Subject:Chinese Academy of Pediatrics
Abstract/Summary:PDF Full Text Request
Cough Variant Asthma (CVA) is a special form of Cough variant asthma. It is early stage on the CVA treatments research with the Traditional Chinese Medicine (TCM) . It was said profusion of different opinions for the cause of disease and study of treatment. The paper goes over a lot of articles about Cough Variant Asthma which are written or published by famous ancient, modern and foreign doctors. According to the clinical experience of my tutor, professor Wang Li qing, we think that the Mechanism essence of the CVA is the viscera asthenia, the pathogenic wind and pathogenic phlegm incubating in pulmonary. Base on the major asthenia syndrome of pulmonary qi and splenic qi at the remission period, we treated it with nourishing qi to invigorate spleen and pulmo, activating phlegmatic hygrosis, and eliminating wind theory of TCM. At the remission period, we applied erchen and Yupingfeng decoction and ketotifen to treat 30 patients of CVA(treatment group), contrasted with ketotifen(control group), which diagnosed by the asthenia syndrome of pulmonary qi and splenic qi. At the same time, we observed the age, Sex, Season and the inducement factors of the 60 patients. Then, looked for some theoretic evidences for prevention and cure of the CVA at the remission period by the therapy of combination of TCM and the WM. The result is as follows:(1) After treamenting for one month, the clinical symptoms of both two group children were improved, and there was obvious difference between before and after the treatment(P <0.05). But to improve the clinical symptoms, the treatment group were better than that of the control group(P <0.05).(2) In three months following-up,the treatment group was better than thecontrol group in the improvement of symptoms. The controlled expression rate and the total effectiveness rate of the treatment group were 73. 33% and 90.00 % respectively, which were better than that of the control group 46. 67% and 76.67%, and there had obvious difference between the two groups (/7<0.01).(3) The PEF^ FEV1 values in patients from both of the two group remained at 80% above the intended value before the treatment and with being treated, and there had no difference between the two groups(P>0. 05). But after three months, the PEFn FEV1 values in patients from the treatment group became better than before(P <0.05), while that of the control group remain, so there had difference between the two groups(P >0. 05).(4) In three months following-up, the times and the serious degree of recurrent cough in the treatment group were statistically lower than those in the control group, but in disease distance there had no difference between the two groups (P >0. 05).(5) The research of outbreak characteristics reports: the high outbreak age of this group is 3~6 years old, preschool mainly. The mainly outbreaking seasons are spring and winter. The children getting allergic disease or their household getting the allergic disease had higher rate of getting the CVA. The first inducement factor was upper respiratory tract infection (66. 67%) , second was Stimulating air (26.67%) , and than was exercising factor (18.33 %) and food factors (11.67%) .Conclusions: The treatment on the children with remission period Cough variant Asthma with the Yi Jian Pi fa Theory of Combination of Traditional Chinese Medicine and Western Medicine is an effective treatment, which is mainly achieved through the improvement of the clinical symptoms, increasesing of lung function, extensions alleviate the period, lowering to relapse rate and alleviate to relapse condition. And the treatment group has obvious advantage of Curative effect compare to the control group only treating with Western Medicine ketotifen. The outcome of outbreak characteristics research was consistence to that of Formerly studies.
Keywords/Search Tags:Cough Variant Asthma, Remission Period, Treatment Of integrated TCM and WM, Yi Qi Jian Pi fa
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