To Observeand Research The Clinical Effects On Preventingand Curing Copd Patients Of Different TCM Syndromes By Point Application Of "Winter Disease Being Cured In Summer"

Objective：To observe the clinical symptoms, lung function index,6minutes walkingdistance before and after using the point application on patients with different kinds(deficiency symptoms and excess symptoms) of COPD, i.e. chronic obstructivepulmonary disease, so as to assess it’s clinical efficacy. and offer the theory and practicebasis to popularization of the point application for the treatment of COPD deficiencysymptoms and excess symptoms patients.Method：Randomly pick30deficiency symptoms patients and30excess symptomspatients from all COPD patients in our hospital during the period from July,2011toJuly,2013, aged45~80years old. Two groups of patients were treated with traditionalChinese medicine point application on Dazhui, Feishu (double), Xinshu (double),Geshu (double), Tiantu etc. on the first day of each part of summer dog days,20~40mins a time(adjust according to the status of every single patient),3times a year,2years a treat course, Keep contact with the patients during the whole treat course. After1or2years’treat course, comparing the clinical symptoms,6minutes walking distance,lung function index of two groups of patients before and after treatment, to observe andassess the clinical efficacy of point application for COPD patients with different TCMsyndromes.Result：1. Before and after comparison of each group:(1) Clinical symptoms score: After the point application, this score in the two groupsdecreased significantly. In the first year after point application, compared with the priortreatment. The deficiency symptoms type was very statistically significant (P<0.01), andthe excess symptoms type was statistically significant (P<0.05); this score in the secondyear after point application, compared with the first year, the deficiency symptoms typewas very statistically significant (P<0.01), the excess symptoms type was statistically significant (P<0.05); this score in the second year after point application, compared withthe prior treatment, the two groups were all very statistically significant (P<0.01).(2)6minute walking distance: After the point application, the distance in the twogroups increased significantly. In the first year after point application, compared withthe prior treatment. The deficiency symptoms type was very statistically significant(P<0.01), and the excess symptoms type was not statistically significant (P>0.05); thedistance in the second year after point application, compared with the first year, thedeficiency symptoms type was very statistically significant (P<0.01), the excesssymptoms type was not statistically significant (P>0.05); the distance in the second yearafter Point Application, compared with the prior treatment,the two groups were all verystatistically significant (P<0.01).(3) Lung function index: After the point application, the FEV1%and FEV1/FVC indexboth increased significantly. in the first year after Point Application, compared with theprior treatment. The deficiency symptoms type was statistically significant (P<0.05),and the excess symptoms type was not statistically significant (P>0.05); the distance inthe second year after point application, compared with the first year, the deficiencysymptoms type was statistically significant (P<0.05), the excess symptoms type was notstatistically significant (P>0.05); the distance in the second year after Point Application,compared with the prior treatment, the deficiency symptoms type was very statisticallysignificant (P<0.01), the excess symptoms type was statistically significant (P<0.05).2. Clinical symptoms score,6minute walking distance,lung function index comparisonbetween groups:(1) Clinical symptoms score: Before the treatment, the two groups were not statisticallysignificant(P>0.05). The first year after the point application, the two groups was notstatistically significant (P>0.05); The second year after point application, he two groupswas statistically significant (P<0.05).(2)6minute walking distance: Before the treatment, the two groups were notstatistically significant(P>0.05). The first year after the point application, the two groups was statistically significant (P<0.05); the second year after point application, he twogroups was very statistically significant (P<0.01).(3) Lung function index: Before the treatment, the two groups were not statisticallysignificant(P>0.05). The first year after the point application, the two groups was notstatistically significant (P>0.05); the second year after point application, he two groupswas statistically significant (P<0.05).3. Clinical effects analysis: After two years of point application, the total effective rateof the deficiency symptoms type was86.67%, the excess symptoms type was76.67%,the two groups was statistically significant (P<0.05).4. Safety evaluation: There were no obvious side and untoward effect among the120patients in the period of point application.Conclusion: It turns out that point application of“winter diseasebeing cured insummer” can significantly improve the clinical symptoms,6minutes walking distanceand lung function index of COPD patients with different TCM syndromes. The lifequality and immunity of COPD patients after point application are also improved,COPD acute episode and lung function decline are prevented. Compare to othertherapies, point application also have advantages on cost and safety, and it’s easy tooperate, these advantages make point application much easier to win acceptance ofpatients and worthy of further clinical promotion.