The Treatment Method Phlegm And Blood Stasis Treatment Of Advanced Schistosomiasis Ascites Type Of Clinical Observation

Objective:Will phlegm and blood stasis resistance collaterals theory is applied in the late guidance schistosomiasis (late blood) treatment. The patient of late schistosomiasis adopt the method ofpartners phlegm and blood stasis. Outstanding is virtual phlegm and blood stasis resistance of the pathology of winding center link, the treatment to remove stasis centralizer as the basic principle phlegm.The damp and hot is the urgent for the mark method,give priority to concretion run smoothly.Observe with phlegm and blood stasis among the treatment of advanced schistosomiasis (ascites type) curative effect, and further discusses the mechanism.Methods:Nearly two years,Clinic of48cases late blood ascites type patients from Jingzhou schistosomiasis prevention.Choose the research object with diagnostic criteria, into standard, exclusion standard. Randomized with2:1ratio. Treatment group32cases and the control group in16. Group are as follows: The control group:Give regular western medicine treatment. During treatment, instructing patients to pay attention to diet, need not Chinese herbal medicine and traditional Chinese medicine,return a2times a week, the detailed record disease and adverse reaction. Observed before and after treatment group main symptoms, signs:threat rib pain, big belly full bilge, fatigue and shortness of breath, Sash PiKuai,On food reducing, Yellow complexion; Liver function index:ALT、AST、TBil、ALB, Prothrombin Time (PT). Serum index of liver f ibrosis:HA、PCⅢ、LN、Ⅳ-C. Treatment for3months.The treatment group:In the control group based on western medicine treatment according to the sputum YuZu collaterals remedy for treatment, TCM syndrome differentiation type points were given:Phlegm and blood stasis and winding resistance different: Road leads20g, Ze LAN20g, Rhiozma20g, Fritillaria15g, Leakage reed were15g, Goria cocos15g, YiRen kindhearted20g, Gall20g, Rhubarb15g, Abdominal distension with one of the10g, what of frutus10g; Moss thick add dried tangerine or orange peel to15g, rhizoma acori tatarinowii15g; Gums bleeding gadahn15g, skin XiaoJi15g;The obvious Fu Calais ascites son20g, a big belly or15g, Chen hoist the30g; Hot and humid injury Yin adds the Chu son of20g, north of straight ladybell15g. Water frying take, every day1agent, morning and evening points2times temperature clothing. Treatment for3months.Phlegm and blood stasis and winding resistance is virtual type: Astragalus30g angelica15g yam15g dogwood15g YiRen20g poria cocos15g river xiong15g zelanl5g carried15g leak15g model cangzhu15g; Yang and cinnamon10g, faeries spleen15g, reduce leakage reed; Yin deficiency disease and15g, Chu north straight ladybell son of15g; Add much less urine ascites Chen gourd30g, a big belly skin15g; Insomnia and jujube kernel10g. Water frying take, every day1agent, morning and evening points2times temperature clothing.Phlegm and blood stasis and winding resistance is virtual type: Astragalus30g, Angelica15g, Yam15g, Cornel15g, YiRen20g, Poria cocos15g, River xiong15g, Ze LAN15g,15g, Fritillaria15g, Cangzhul5g; deficiency of vital energy add Dangshen15g, White atractylodes15g; deficiency of yang lack of vital energy add Cinnamon10g, Faeries spleen15g, reduce Leakage reed; deficiency of yin with Irritablitythirst add Chu north straight15g; Ladybell son of15g; Urine deserve less ascites add Chen gourd30g, Pericarpium arecae15g; Insomnia add jujube kernel10g. Above the boiling.Results:Two groups before and after treatment and the total effective rate is significant efficiency, The treatment group clinical cure significant efficiency is40%, The total effective rate was86.67%, Much better than control group of25%,62.5%(P<0.05); Two groups before and after treatment, Various syndromes integral comparison, In addition to yellow complexion integral has no significant meaning (P>0.05), Other points are very significant meaning or significance (P<0.01or P<0.05). After the treatment group, compared with controls, has a very significant meaning or significance (P<0.01or P<0.05). Two groups of patients before and after treatment liver function and prothrombin time is, The index of liver function is very significant meaning or significance (P<0.01or P<0.05). Thetreatment group and control group after treatment, the comparison, the index of liver function is very-significant meaning or significance (P<0.01or P<0.05). Two groups of treatment and treatment of liver fibrosis before four index comparison, significantly different or significance (P<0.05, P<0.01). After the treatment group, compared with controls, there are still very significant meaning or significance (P<0.01or P <0.05).Conclusion:With phlegm and blood stasis therapies can significantly improve ascites type late clinical symptoms of blood patients, and at the same time effectively improve liver function and index of liver fibrosis, to delay the progress have important significance, and worth clinical application.