| Pediatric Adenoidal Hypertrophy (PAH) is a common disease in otolaryngologyand pediatrics.Currently, modern medical practice often employs surgical resection totreat this disease. However, adenoid is an immune organ significant in defendingdisease. Removal of adenoid will do harm to immune function and often results inrecurrent upper respiratory tract infections. Furthermore, anesthesia during the surgeryalso bring some risks to the children.In contrast, therapeutic methods in traditionalChinese medicine often have less adverse effects and better therapeutic effects. Inconclusion, to study on the treatment of PAH by TCM systematically has greatsignificance.Objective: To systematically study literatures on PAH and rules of diagnosis andtreatment of PAH. In addition, to provide reference for the prevention and treatmentof PAH.Methods: To collect, summarize and analyze relevant literatures. To summarizethe rules of syndrome differentiation treatment and medication. To study the riskfactors and pathogenesis of PAH and to propose the outline of syndromedifferentiation treatment of this disease. Finally, to introduce the clinical experience ofthe supervisor in treatment of PAH common syndromes by retrospective analysis.Result: there is no particular description on Pediatric Adenoidal Hypertrophy inancient medical books. Similar symptoms often present in diseases such as snoringsleep, nest sac, sputum core, flying down forehead, stuffy nose and milk moth, etc.Modern TCM monographs introduce the concept ‘adenoidal hypertrophy’ frommodern medicine. Ancient physicians stated that the main etiology and pathology ofPediatric Adenoidal Hypertrophy include: lung health not solid, susceptible evils, lung heat, hyperactivity flaming, spleen fails, blood stasis and phlegm knotting together.The disease is closely related to the lungs, spleen, liver and other organs.Ancient physicians usually exploit therapeutic methods including Yin lungs,Bushentianjing, replenishing Feipi, phlegm, qi and blood circulation, Endometriosis,evacuation of wind-heat, phlegm, xuanfei tongqiao, heat liyan, etc. Fritillary bulb,poria cocos, platycodon grandiflorum, angelica sinensis, scrophulariae, thorowax,radix rehmanniae, red peony root, chuangxiong, orange peel, licorice, selfheal spikeand other drugs are the most frequently used. Prepared rehmannia root, lily, radixophiopogonis, pulp of cornus, Codonopsis, rhizoma cimicifugae, ginseng, pePAHseed, flowers carthami, fructus aurantii, concha meretricis seu cyclinae, bryozoatum,ark shell concha arca, snakegourd seed, rhizoma sparganic, zedoary, fructus xanthii,radix angelicae dahuricae, honeysuckle, mechanism, radix scutellariae, Xinyi flower,spina gleditsiae and other drugs are also frequently used.This study suggests that the basis of this disease is that zhi-yang is not sufficient,zhi-yin does not develop well, internal organs are not strong enough and lung, spleenand kidney are often deficient. Feelings of evils, caused by phlegm, deficiency, thestasis students. Evils stay long, imaginary imaginary, real fact, reinforce ePAH other,it is caused by cross-burning burnt repeatedly delayed the disease.This study designs the syndrome differentiation treatment of four most commonclinical syndromes: lung yun heat, lung spleen deficiency, blood stasis, lung andkidney yin-deficiency.The proportion of each type of PAH is obtained by retrospective analysis of55clinical cases. DLS cases account for23.64%(13cases), Yun-lung-heat cases accountfor23.64%(12cases), blood stasis type has the highest incidence-36.36%(20cases)and lung and kidney yin-deficiency type possesses the lowest incidence-18.18%(10cases). Professor Guo zhaogang conducts diagnosis and treatment of55PAH childrenand total efficiency is81.8%. Lung Yun heat total efficiency of83.3%. DLS totalefficiency of84.6%. Lung and kidney and blood stasis total efficiency of80%. By χ2test, the result shows a P value of0.985(P>0.05), which is not statisticallysignificant. Conclusion: In TCM, Pediatric Adenoidal Hypertrophy should be divided intofour types, namely lung spleen type, lung Yun heat type, blood stasis type and lungand kidney yin deficiency type. Professor guo zhaogang treats the disease bybenefiting lung and spleen, supplementing qi and strengthening the body andactivating blood circulation, which acquires remarkable clinical effects and improvesthe life quality of children suffering from PAH. |
