The Clinical Research In Treating Bronchial Asthma With Point Application Therapy Based On Differentiation Of Syndromes

Bronchial Asthma is a kind of chronic,inflammatory and allergic airway disease with the main manifestation of paroxysmal,recurrent breathing difficulties.When the disease attacks,it will be accompanied by eosinophils, mastocyte and T lymphocytes and other inflammatory cells infiltration as well as airway hyperreactivity.In Western medicine,spasmolytic,antiasthmatic, anti-inflammatory drugs are often used to treat asthma with a significant short-term effect,but we should not use them as a long-term treatment method for its side effects.In recent years,prevention and treatment of bronchial asthma with point application therapy has already achieved good effects. Different from western medicine using blood vessels as the carriers,point application therapy uses acupoints and drugs instead,through them to regulate the channels' qi and connect the zang and fu organs in order to finally achieve the effects of balancing the yin and yang,promoting flow of qi and blood, strenrthening healthy qi to eliminate pathogens.At the same time,modern research also indicates that this therapy can enhance the body non-specific immunity,reduce the allergic states of human body and improve the function of hypothalamus-pituitary-adrenergic system.It can be seen that point application therapy will open up a new prospect of preventing and treating asthma.Research ObjectiveThe subject mainly following principles of Evidence-Based Medicine, assesses the clinical therapeutic effect of treating different types of asthma with point application therapy based on sydromes differentiation and disscusses the best selection of acupoints,the improvement of symptoms and signs,the changes in experiment results of EOS and IgE,the advantages and disadvantages comparing with the control group and clinical attentions.In this way,the treatment plans of different types on point application therapy can be optimized,which is benefit for development and application of point application therapy in clinics.Research MethodsAccording to diagnosis standard of asthma in western medicine and traditional Chinese medicine(TCM) based on differentiation of syndromes,60 cases of qualified volunteers were absorbed into this research,who came from acupuncture clinics and ward,and breathing medical ward of the NO 1 Hospital attached to Guangzhou University of TCM.They were randomly divided into point application group based on differentiation of syndromes(the treatment group) of 30 cases and aminophylline group(the control group) of 30 cases.After one month treatment,using evaluation scale of TCM symptoms and signs combined with the results of laboratory tests(changes in IgE and EOS of peripheral blood) to observe and assess two treatment methods.Research ResultsThis study shows that the clinical control and excellent effect rate of treatment group(57.14%) with a total effective rate of 89.29%,is more efficient than control group(31.03%,86.21%)in the comparison of total efficacy for asthma(P<0.05).In improvement of asthmatic TCM symptoms of cough and wheezing,the clinical control and excellent effect rate of treatment group is better than control group(P<0.05).In curative effect comparison of asthmatic TCM types of syndrome with point application therapy based on differentiation of sydromes,the clinical control and excellent effect rate of patients with cold asthma was higher than that of patients with hot asthma(P<0.05);the clinical control and excellent effect rate of patients with asthenic asthma was significantly higher than that of patients with hot asthma(P<0.01);but there was not a significant difference between cold asthma and asthenic asthma in the clinical control and excellent effect rate(P>0.05).The effective rate of control group is better than that of treatment group in stage of attack(P<0.05).On the other hand,the effective rate of treatment group is better than that of control group in remission stage (P<0.05).Acupoint application group and aminophylline group can both reduce total IgE and EOS levels of asthmatic patients significantly(P<0.01). Conclusion of the research1.According to clinical research of this subject,the curative effect of point application therapy based on syndromes differentiation has been confirmed.At the same time,this therapy overcomes the limitations in time and TCM types of sydrome of dog day moxibustion,so it is effective to all types of asthma,especially for prevention and treatment of asthenic asthma in catabasis and cold asthma in acute stage with significant efficacy.2.In comparison of effects of attack stage and remission stage, aminophylline group is better than treatment group in attack stage.At the same time,the treatment group is better than aminophylline group in remission stage.So it can be seen that a new therapy method is used to treat asthma in remission stage.And this therapy is safe and effective,easy to operate and inexpensive with broad application prospects.3.Point application therapy based on differentiation of syndromes can reduce the abnormal increasing numbers of EOS and levers of total IgE,in order to relieve local airway inflammation and spasm of bronchial smooth muscle with good spasmolytic and antiasthmatic functions.