Objective:Through to the pathogenesis of CARAS patients factors, the four diagnostic information and certificate of the investigation of factors, this paper puts forward to learn and pathogenesis syndrome types of new understanding, and of the card type differentiation standard further standardize. Use "yiqi qufeng, proclaims the initiative to drink" give priority to law (a combination of add and subtract) to CARAS clinical therapeutic evaluation, and relevant index test, further optimization of traditional Chinese medical treatment CARAS, preliminary clarify yiqi, proclaims the wind to drink more traditional Chinese medicine to smoothing asthma wheezing mechanism of action, and to promote the use for making of TCM treatment CARAS provides evidence-based medical basis.Methods:Through the analysis of the four diagnostic methods, in the diagnosis of allergic rhinitis-asthma syndrome acute episode of100patients,60cases randomly selected with this syndrome acute episode "qi clip wind, phlegm retention bi resistance" of60patients for clinical test and verify, the treatment group of30patients (budesonide f mott ROM powder inhaler+yiqi qufeng, proclaims the initiative to drink party),30cases in (budesonide f mott ROM powder inhaler+loratadine piece),2weeks for a period of treatment, observe a course of2, before and after treatment with the symptom score, pulmonary function (FEV1), such as the absolute value of the EOS peripheral blood to observe index, evaluation of clinical treatment effect of the treatment.Result:(1) card type distribution:collect outpatient service100cases with allergic rhinitis-asthma syndrome in patients with acute episode, meet with the wind, and deficiency of phlegm retention bi resistance card60cases (60%), the wind phlegmy heat card8cases (8%), and in the cold drink card8cases (8%), and blood stasis syndrome in5patients (5%), and stomach qi stagnancy and10cases (10%), and spleen qi deficiency3cases (3%), and kidney empty6cases (6%).(2) the clinical curative effect:treatment group and control group in the total effective rate, no significant difference (P>0.05), but in the clinical control rates, significant difference (P<0.05); In treatment group symptom scores before and after treatment, pulmonary function (FEV1) and peripheral blood EOS a control group significant difference (P<0.05).Conclusion:Through the clinical study found that yiqi qufeng, proclaims the method has a good drink more spasm of smoothing asthma effects, and improve the airway function, reduce allergic reaction obviously, this can the actual price, phlegm, proclaims the wind to attack Yang,"lung nose", pay attention to the development of liver spleen and kidney three dirty treatment. Clinical validation showed that wind yiqi, proclaims the drink method is more effective method of CARAS treatment, clinical curative effect hard and deserves further study. |