The Research On The Characteristic Of Traditional Chinese Medical Syndrome In Acute Cough

BackgruondAcute cough is a common disease and frequently-occurring disease, to a certain extent affected the quality of life of patients and has become a public health problem of concern. Modern medicine mainly for the cause of the disease treatment and symptomatic treatment of bacterial infections caused by acute cough is better, but for non-bacterial cause of acute cough due to poor efficacy. Chinese medicine in the treatment of cough has accumulated a wealth of clinical experience. Medicine in recent years caused by viral infection treatment of acute cough side edge to receive widespread attention, mainly in the Experience category and treatment evaluation literature reports like more, look at these reports of acute cough in the present there is no uniform TCM typing, in particular, the method is the use of epidemiological survey of acute cough in TCM research the law less. To study and master the law of the syndrome of acute cough, for the development of effective decision-making based on clinical treatment programs, to improve the clinical efficacy of acute cough is important.ObjectiveIn this study, the Guangdong Provincial Hospital from January 2010 to December 2010 emergency department and medical outpatient treatment of 500 cases of patients with acute cough and clinical data were analyzed to investigate the syndrome of acute cough medicine and the law of the main distribution, for further to carry out a large sample of the disease, multi-center study of standardization of TCM basis.MethodsIn this study,500 patients were eligible to collect clinical data of acute cough, the "Diagnostics of Chinese Medicine," "Clinical medicine clinics terms-Part syndrome" and other books combined with clinical symptoms, TCM compiled the information questionnaire, including symptoms, tongue and pulse and other four diagnostic information and record the patient's sex, age, date of treatment, past history, causes, treatment of the situation after the onset of the basic situation. Cases will be collected into a database using SPSS17.0 software. The clinical data of acute cough in general studies and the distribution of four diagnostic information using descriptive analysis. All four diagnostic analysis of the frequency of information to sort the results, combined with the statistical results of clinical finishing, by deleting the constituent ratio of <5% and non-dialectical significance of the entry, some of the constituent ratio of <5% but there was an entry to be dialectical significance reservations, some of the constituent ratio of> 5%, but no entry be deleted dialectical sense the conclusion that the need for cluster analysis of four diagnostic items. Chinese medicine will be collated and cluster analysis of information entry, the use of Hierarchical Cluster procedure (hierarchical clustering method) cluster analysis of samples between the two groups join, interval data associated with the Person, the result is expressed by tree. Clinical situations and expert advice on tree analysis, the separation of the appropriate category, and then refer to the standard classification of TCM, and determined by the Panel, after the name given to the appropriate card type.ResultsObtained clinical studies the basic characteristics of patients with acute cough:a young adult more common, most patients have no special past medical history, more than half of patients have received treatment, the incidence causes the common cold and acute bronchitis in the proportion of most. Patients with acute cough information on the distribution of four diagnostic analysis and found that pharyngeal itching, floating pulse, white coating, or thin white fur, pink tongue, and other form than the maximum. Cluster Analysis using four diagnostic information on cluster analysis of three syndromes, the passage of the lung were cold, dry air and wind-heat the lung injury Fanfei dampness card. Zheng Jian passage of the lung cold cough, itchy throat, expectoration of thin little color white, runny nose, bad wind, aversion to cold, or chills, pale tongue, thin white fur or white, floating pulse. Zheng Jian injury the lung air dry cough without sputum, throat, nasal dryness, dry mouth, thirst-hi cold, hoarseness, less moss or moss dry, thready pulse. Wind-heat Fanfei dampness card Zheng Jian cough, sticky or yellow sputum, sore throat, and nasal discharge turbid tears, mouth pain, fever, red tongue or red tongue, greasy yellow tongue coating or a thick, slippery pulse string or moisten.ConclusionsThe clinical TCM syndromes of acute cough are mainly the following: symdrome of wind cold encumbering lung, wind heat invading lung syndrome and syndrome of wind dryness attacking lung. Among these types symdrome of wind cold encumbering lung, wind heat invading lung syndrome are the most popular types.Acute Cough is usually due to invasion of pathogenic wind cold and heat, that leads to failure of pulmonary qi to disperse and descend. The research has revealed the characteristics of TCM syndromes distribution of Acute Cough,which will benefit the normalization of syndrome differentiation and standardization of diagnosis and treatment.It will be the foundation for the further research on TCM syndrome distribution of Acute Cough.