| Purpose:through sorting, study Qu Nini, diagnosis and treatment of chronic obstructive pulmonary disease in stable period of TCM thinking and herbal prescription drug laws, for traditional Chinese medicine treatment of chronic obstructive pulmonary disease provide new ideas and methods, and observation were mad that the pill in the treatment of stable chronic obstructive pulmonary disease clinical curative effect.Material and method:By follow tutor in wards and clinic practice, at the same time, access a lot of Plato in the treatment of chronic obstructive pulmonary disease related literature, detailed analysis, summarized Plato in the treatment of chronic obstructive pulmonary disease in stable period of dialectical thinking method and herbal prescription drug laws. And 66 patients with stable COPD were selected and randomly divided into the treatment group and the control group with 33 cases in the control group, 33 cases were randomly divided into two groups. Control group: oral administration of Doxofylline Tablets, 1 tablets each time, 2 times a day. Treatment group: in the control group based on the use of gas pills, each 100 ml, 3 times a day, 12 weeks of treatment. After statistical treatment, the total efficacy of the disease before and after treatment, the total score of TCM symptoms, single symptom score, lung function and CAT score changes.Results:1.From my experience in treating the kidney on COPD summary My teacher think Angelica chronic obstructive pulmonary disease(COPD) belongs to the category of "lung inflation", the disease initially based in lung qi deficiency, due to the repeated experience of evil, the condition gradually worsened and involving the spleen and kidney. Lung spleen and kidney is an important cause of recurrent disease, is also an important reason for the formation of pathological products such as phlegm and blood stasis. Which the deficiency of lung, spleen and kidney and the kidney for this, Plato thinks must seek medical treatment in this, so chronic obstructive pulmonary disease(COPD) in stable phase can be treated from the kidney, and through the treatment of this disease always. Ran the stable phase of chronic obstructive pulmonary disease complex and changeable, in tonifying the kidney at the same time, Plato stressed must dialectical treatment, identify the deficiency of kidney qi, deficiency of kidney yang, kidney yin deficiency of the similarities and differences, were used and invigorating kidney qi, nourishing yin and warming Yang method, according to the severity of the deficiency of the kidney, discretion to impose slow patch, Jun fill, temperature compensation, clear tonic, nourishing the method. For inclusion, when both specimens, bu Zhong qing. Clinical prescription drug use when also with the addition and subtraction, flexible application, can obtain good curative effect. 2.Du Qi Wan in the treatment of chronic obstructive pulmonary disease patients in stable stage 2.1Comparison of total therapeutic effect of two groups of diseases The total effective rate of treatment group was 93.33%, the total effective rate of control group was 80%, and the two groups were statistically significant(P<0.05). The treatment effect of the treatment group was better than that of the control group. 2.2Comparison of total symptom scores of two groups The treatment group and the control group after treatment, the total score than before treatment, the difference was statistically significant(P<0.05), the treatment group and control group after treatment, the total score difference was statistically significant(P<0.05). Two groups of treatment can improve the clinical symptoms of patients, and the improvement of the treatment group is better than the control group. 2.3Comparison of single symptom scores After treatment, the treatment group asthma shortness of breath, lassitude, spontaneous perspiration, easy to catch cold, soreness and weakness of waist and knees, night urination symptom score before treatment, differences were statistically significant(P < 0.05), control group in wheezing shortness of breath, fatigue, easy to colds than before treatment has improved significantly(P < 0.05), the rest of the symptoms did not improve obviously, the difference was not statistically significant(P > 0.05). In the treatment group and the control treatment group before asthma shortness of breath, lassitude, spontaneous perspiration, easy to catch cold, soreness and weakness of waist and knees, night urination symptom integral comparison, the difference was not statistically significant(P > 0.05), and can be compared; treatment group and the control treatment group after asthma shortness of breath, lassitude, spontaneous perspiration, soreness and weakness of waist and knees, night urination symptom scores compared were significantly improved, the difference is statistically significant(P < 0.05). Shows that the treatment group of dyspnea and shortness of breath, lassitude, spontaneous perspiration, soreness and weakness of waist and knees, night urination improvement of clinical symptoms were superior to the control group, cold symptoms improved and the control group are compared, the difference was not statistically significant. 2.4Comparison of pulmonary function between the two groups After treatment, the treatment group and control group FVC, FEV1, FEV1 / FVC(%), FEV1(%) each index before and after treatment compared with trend of improvement, but the difference was not statistically significant(P > 0.05), treatment group and the control group treatment of FVC, FEV1, FEV1 / FVC(%), FEV1 / predicted value(%), the difference was not statistically significant(P > 0.05), treatment group and control group in the treatment of FVC, FEV1, FEV1 / FVC%, FEV1 / expected value(%) compared the differences nor statistically significant(P < 0.05). Showed that the treatment group FVC, FEV1, FEV1/FVC(%), FEV1/ predicted value(%) compared with the control group, the difference was not statistically significant. 2.5Comparison of CAT scores between two groups before and after treatment The scores of the two groups after treatment were significantly different than before treatment(P<0.01). After treatment, the scores of the two groups were statistically significant(P<0.05). Two groups of treatment can improve the quality of life of patients, and the improvement of the treatment group is better than the control group.Conclusion:My teacher thought stable COPD can treatment based on the kidney and invigorating the kidney for the treatment of Dafa and according to the clinical data of patients with treatment based on syndrome differentiation, clinical syndrome, the clinical curative effect of good. All gas pill combined with drug therapy in patients with chronic obstructive pulmonary disease in stable period lung qi deficiency and simple western medicine group can better improve the clinical symptoms, improve the overall efficacy of the quality of life of patients and disease, is simple, convenient and less toxic side effect and effective advantages, is worthy of clinical application. |
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