The Clinical Observation Of 60 Patients With Allergic Rhinitis Tcm Syndromes

Purpose:Based on the summary of TCM and modern medicine research and treatment in allergic rhinitis, the article talks about the causes, the mechanism and the pattern identification of the disease and trying to treat allergic rhinitis by using holism pattern identification and the combination of disease identification and pattern identification.Method:to collect the traditional Chinese medical four examinations data of 60 patients with allergic rhinitis and analyze relation of the patterns and the symptoms.Result:Among the 60 cases,21 cases belong to qi deficiency pattern. In the 21 cases,17 are mixed with other patterns or other symptoms which not belong to the syndromes of qi deficiency pattern. Except for the 21 qi deficiency pattern cases, there are 9 cases belonging to heat pattern and 12 cases belonging to dampness pattern. In the 9 cases of heat pattern and the 12 cases of dampness pattern, has 6 cases and 10 cases that mixed with several kinds of symptoms of qi deficiency pattern. Over all,39 patients has symptoms of qi deficiency pattern. In the 30 patients who have lassitude of spirit,14 are qi deficiency pattern. In the 28 patients who fear of cold,13 are qi deficiency pattern. In the 48 patients who said the allergic rhinitis outbreaks by the cause of cold,16 are qi deficiency pattern.4 of the 20 patients who have pale tunica mucosa nasi are qi deficiency pattern.Conclusion:Most of the allergic rhinitis patients have complex patterns of deficiency-excess and cold-heat. So they are difficult to be treated by focusing on single pattern. They should be treated by comprehensive inquiry and holism pattern identification. In this research, the symptoms such as lassitude of spirit, fear of cold, the allergic rhinitis out breaking by the cause of cold and pale tunica mucosa nasi do not have good relativity with qi deficiency pattern. So they could not be the single defining characteristics of qi deficiency pattern. The defining characteristics should subject to holism pattern identification. The deficiency of qi is one of the most important causes and mechanism of allergic rhinitis. Therefore, the tonifying method should be used through the whole treatment. The method of treatment should be selected agilely according to the pattern identification and the differentiation relationship of reinforcing the healthy qi and eliminating the pathogenic factors, instead of mechanical tonifying.