Study On The Decoction Of Xiaoganlong Decoction And

AimAbdominal diagnosis originated from China, as evidenced by the voluminous records in Nei Jing, Nan Jing and Shang Han Za Bing Lun. However, due to prevailing ethical code after the Song Dynasty, abdominal diagnosis gradually faded from the physician’s view, saw its position slowly decline, and many physicians not knowing this skill of abdominal palpation. Fortunately,16th-century Japanese Kampo physicians re-discovered the importance of abdominal diagnosis, valued and used it widely, formed several schools of thought and left a huge body of related works that enriched its theoretical development and clinical application. Recent years saw attention being paid to abdominal diagnosis in China, with a gradual accumulation of experience that has contributed to a rise in clinical efficacy.While Xiao Qing Long (Qing Long) Decoction and She Gan Ma Huang (She Ma) Decoction is commonly used in the treatment of Cold-Rheum, their abdominal diagnosis indications are less widely recognized. This clinical study used patients with cough or/and wheezing being treated with Qing Long or She Ma Decoction as subjects, applied abdominal diagnosis to said patients and summarized the respective indications. MethodologyA total of 70 cases were collected, of which 38 were treated with Qing Long Decoction, and 32 with She Ma Decoction. The data was logged with Microsoft Excel 2013 and analyzed with SPSS 20.0.Conclusions1. Qing Long Syndrome is typically characterized by copious, white, scanty phlegm. Patients taking the decoction but with sticky phlegm, can have Shi Gao added to clear heat and disperse stagnation. She Ma Syndrome is characterized by little, white phlegm.2. Sneezing, runny nose and throat itchiness is common in Qing Long Syndrome, while phlegm in the throat is common in She Ma Syndrome.3. In high efficacy cases, Qing Long Syndrome showed epigastric coldness in 92.3%of cases and lower abdominal coldness in 73.1%, while She Ma Syndrome showed the same symptoms in 96% and 44% of cases respectively. In low efficacy cases, epigastric and lower abdominal coldness was also observed. This suggests coldness in the middle and lower jiao, and is not unique to Qing Long nor She Ma Syndrome.4. Epigastric fullness was observed in 76% of She Ma Syndrome and 42.3% of Qing Long Syndrome. Both decoctions can be used to treat cold epigastric fullness, but She Ma Decoction is relatively better at warm dispersing cold fullness. As a result, in patients displaying epigastric fullness with big area of resistance, She Ma Decoction should be considered.5. Both Qing Long and She Ma Syndromes exhibited mid-level abdominal strength in 84.6% and 68% of cases respectively. In Qing Long low-efficacy cases, weak and strong abdominal strength comprised 55.6% of cases, indicating that assessment of abdominal strength is significant in the decision to use Qing Long Decoction.6. In both syndromes, tightness in the rectus abdominis is between 4-16%, with no statistically significant difference between them.7. In both syndromes, pain and fullness in the chest and ribs is 38.5% and 48% respectively.8. Para-umbilical tenderness is common in blood-stasis, with the distribution being 65.4% and 64% respectively, indicating that both syndromes often have blood-stasis syndrome.9. In both syndromes, lower abdominal numbness is 26.9% and 28% respectively.10. In both syndromes, palpitations above the umbilicus is 38.5% and 36% respectively.