Research On Climate Characteristics And Evolution Of TCM Pneumonia In Children

Purpose: To explore the distribution characteristics of TCM syndrome and itsdevelopment regularity in children with pneumonia, by analyzing clinical dataof pneumonia in children in our hospital, and analysis that the differentsyndrome are related to the age of onset, the main syndromes, the secondarysymptoms and laboratory tests indicators, to clarify the significance of theseindicators the diagnosis and treatment of TCM syndrome in children withpneumonia.Material and method：Children with pneumonia are from pediatric Ward ofLiaoning University of Traditional Chinese Medicine Hospital which behospitalized from July2011to April2012.All included cases were observed and recorded TCM type、main symptoms、secondary symptomsand laboratory tests indicators at the days of admittedhospital and the3rd day, the5th day, the7th day, the10th day. The developmentregularity of TCM syndrome in children,s pneumonia at different observing pointswas analyzed by development probability methods. Dividing groups according tothe different type of TCM in children in inpatient day, the frequency of themain syndromes, the secondary symptomsand laboratory tests indicators werecounted and analyed comparatively.Results：1.In the study that TCM type of pneumonia in children,132cases of phlegm-heatclosed the lung, accounting for66%；62cases of wind-heat closed the lung,accounting for31%.2. In the initial stage, most of the syndrome types of children,s pneumonia werewind-heat closed the lung and phlegm-heat closed the lung. The middle stage wasthe key point from sthenia syndrome to asthenia syndrome.3. TCM syndromes of pneumonia in children are related with the characteristicsof main symptoms(P＜0.05). The occurrence of the main syndromes (fever、cough、 shortness of breath)in phlegm-heat closed the lung and toxic-heat closed thelung is more than wind-heat closed the lung. About fever extent,38.1-39.0℃is the main aspect in wind-heat closed the lung and phlegm-heat closed the lung,＞39.0℃is the main aspect in toxic-heat closed the lung. About cough degree,array cough is the main aspect in wind-heat closed the lung, frequency coughand array cough is the main aspect in phlegm-heat closed the lung. Aboutexpectoration degree, throat phlegm is the main aspect in wind-heat closed thelung and phlegm-heat closed the lung. About breathlessness extent, the moderatebreathlessness is the main aspect in wind-heat closed the lung and phlegm-heatclosed the lung, the severe breathlessness is the main aspect in toxic-heatclosed the lung. About tongue features, red tongue is the main aspect in wind-heatclosed the lung and phlegm-heat closed the lung, dull red tongue is the mainaspect in toxic-heat closed the lung；thin white coating is the main aspect inwind-heat closed the lung, thick yellow coating is the main aspect in phlegm-heatclosed the lung and toxic-heat closed the lung.Analysis of the secondary symptoms, aversion to wind、sneezing、nasalcongestion nasal tears streaming yellow, red throat, mental fatigue, eat lessand yellow urine are higher frequency in wind-heat closed the lung thanphlegm-heat closed the lung. Red face、thirst、mental irritability and dry stoolsare higher frequency in phlegm-heat closed the lung than wind-heat closed thelung. Red throat red face、thirst、mental irritability、eat less、dry stoolsand yellow urine are higher frequency in toxic-heat closed the lung thanwind-heat closed the lung and phlegm-heat closed the lung.4. TCM syndromes of pneumonia in children are related with chest X-ray、the typeof virus and CRP(P＜0.05)；they are not related with blood count and myocardialenzymes(P＞0.05). The degree of chest X-ray is more serious in phlegm-heat closedthe lung than wind-heat closed the lung and toxic-heat closed the lung. The typeof virus is more in wind-heat closed the lung and toxic-heat closed the lungthan phlegm-heat closed the lung. CRP levers normal is common in wind-heat closedthe lung, CRP value anomalies is common in phlegm-heat closed the lung and toxic-heat closed the lung.Conclusion：1. The distribution of TCM syndromes of pneumonia in children has certaincharacteristics, and phlegm-heat closed the lung and wind-heat closed the lungwere common TCM syndromes.2. In the development of the disease process, children pneumonia symptoms showsthe dynamic evolution, so that the syndrome was observed in the different periodsof distribution has certain characteristics.3. TCM syndromes of pneumonia in children are related with the main symptoms、the secondary symptoms and a certain part of laboratory tests indicators.