Six Syndrome Research By Bronchiectasis

Bronchiectasis is still a chronic respiratory illness in our country. The common clinical manifestations are cough, cough up phlegm and recurrent respiratory infection which seriously affect the quality of life of the patients. Anti-infection, reduce phlegm and hemostasis are the main treatment during the acute phase. So far, clear and effective treatment during the slationary phase isn’t recognized. Antibiotics are the most commonly used drugs for bronchiectasis, but the side effects of antibiotics and the problem of drug-resistant bacteria are unavoidable problems we should consider. We have accumulated some experience in controling of acute period, reducing the amount of expectoration and relieving coughing by some TCM means. At present syndrome differentiation of zang-fu viscerais the main treatment of the disease by TCM.In TCM cliical treatment of bronchiectasis,we only fond a few research studies from six-meridian syndrome differentiation classification.Since six-meridians system was founded by Zhongjing Zhang,many well-known physicians have got effective results that show the methed of differentiation in the treatment is a clear,effective and reliable way.As a result,it is necessary to adopt this method to assist a better solution in treating bronchiectasis.Objective:By collecting theinformation of196cases of bronchiectasis and analyzing them by using six-meridian syndrome differentiation to summarize the characteristics of syndrome of bronchiectasis and laws of medicine application to provide the reference for clinical.Methods:Collecting the four diagnostic information of the patients,then classifying them by six-meridian syndrome differentiation.Using SPSS17to find the links description between gender,age,course of disease,cough severity, cough up phlegm and treatment effect observation and differentiation of six channels.Results:1.The ratio of male to female is1:3.32.Their age is rage from18to87and the average age is53.1and middle aged patientsaccounted for the proportion of68.9%.Their course of disease is rage from4months to40years and the average course of disease is8.6years.The highest incidence rate of complication was COPD(14.2%). The frequency of cough, cough up phlegm is up to98%.76.5%of them appears asmoderate and severe cough,63.7%of them perform for the sputum quantity.The most common tongue are dark red tongue (23.4%),fat dark tongue (21.8%), red tongue (13.7%).The most common coated tongue are thin and yellowish fur (25.9%), yellowish greasy tongue (21.8%), thin and whitish fur (18.8%) The most common type of pulse arestring slippery pulse (34.7%),wiry pulse (18.9%),thin slippery pulse (14.8%)2.The frequency of cooperation of meridian is as follow:single meridian disease (37.8%) in which yangming disease is most common(13.8%),two meridian disease (56.1%) in which the combination of shaoyang disease and yangming disease accounted for the largest proportion (29.6%) andsecondly is the combination of shaoyang disease and taiyin disease (12.8%), three meridian disease (6.1%).After the split,shaoyang disease (66.3%) is the most common, secondly is the yangming disease (48.5%),thirdly is the taiyin disease (31.6%)3.Statistical study found that single meridian disease and more than one meridian disease distribution is different in different sex.Female is more easily affect more than one meridian disease.In patients with single meridian disease, sputum quantityassociated with thesyndromes.Shaoyang disease is more easily found in the sputum less patients, patients with middling of sputum quantity and quantity of sputum have a higher rate of yangming disease.In patients with two meridian disease,the combination of shaoyang disease and taiyin disease isthe most common clinical manifestations in patients with a small quantity of sputum. Yet,patients with midding of sputum and quantidy of sputum more is mainly for the combination of shaoyang and yangming disease.Six-meridian syndrome differentiation have no concern with the patients’age, course of the disease,the season,the degree of cough.4. After treatment bytraditional Chinese medical science, the symptoms of patients have improved in different degrees.The clinical effective rate is up to86.2%.Conclusion:Patients with bronchiectasis are mainly to the middle-aged,more women than men and women are more likely to experience more than one body channel in which "shaoyang" is most common. The patients could aggravate throughout the year, but is more common in summerandautumn. Cough, cough up phlegm are the common symptoms of patients which seriously affect the quality of life of patients and the main reason for searching medical assistance.Six-meridian syndrome differentiation have no concern with the patients’age, course of the disease,the season,the degree of cough.Patients with more phlegm have a high rate of yangming disease and the combination of shaoyang and yangming disease.Patients with bronchiectasis are mingled with excess and deficiency, and the main features of the empirical are heat, phlegm and wetness.The main manifestations of deficiency syndrome is deficiency of spleen-QI. Patients with bronchiectasis always suffer from Yang meridians diseases and less involved shaoyin and jueyin disease,so the disease is relatively superficial.Two meridian disease is most common,in which the combination of shaoyang disease and yangming disease accounted for the largest proportion. Shaoyang disease is the most common disease,next is yangming disease. Six-meridian syndrome differentiation contains almost all pattern of syndrome of bronchiectasis and indeed has curative effect.