Study On Differentiation And Medication Regularity Of Professor Zhao Kun In Bronchial Pneumonia In Children

Objective:Through collating and analyzing dialectical prescription of professor Zhao Kun by statistical methods,we help to grasp the regularity of my tutor’sdifferentiation and medication in bronchial pneumonia in children to provide the reference of clinical practice.Methods:After collating records of professor Zhao Kun in cases of outpatientedchildren with bronchial pneumonia at First Affiliated Hospital of Henan College in February 2014 to January 2015,then systemizing specific content includinggeneral conditions,symptoms,signs,syndrome type of traditional Chinese medicine and traditional Chinese medicine prescription,we applied statistics to explore the relationship between clinical characteristics of bronchial pneumonia in children and TCM syndrome,and the characteristics of herbal prescription.Results: In this group of materials including 309 cases,male constitute ratio was significantly higher than that of female(P<0.01).In proportion of different age group to be compared,each age group is different than composing(P<0.01),less than 3 years of age was significantly higher than other age groups constituted(P<0.01).Incomposition of different seasons,there were 51 casesin spring,50 casesin summer, 97 casesin autumn,111 casesin winter.Each season was different in composition(P<0.01),mainly in winter and autumn,higher than other seasons constituted(P<0.01).The difference was not statistically significant between autumn and winter(P>0.01). In the distribution of syndrome,bronchial pneumonia syndrome type of traditional Chinese medicine overall form different(P<0.01),phlegm-heat closed the lung type was more common than others(P<0.01).With the exception of respiratory symptoms, the frequency of digestive symptoms was higher than other symptoms.There was apositive correlation between cleaning stuff,loose stool and wind-cold closed the lung;Yellow stuff,pharyngeal hyperemia and wind-heat closed the lung;highfever, pharyngeal hyperemia and toxic-heat closed the lung(P<0.01).There were 407 original prescriptions of out-patient,86 kinds of herbs,8330 herb times collected.The frequency of 14 kinds of herbs was over 200 times,which were in turn for licorice,asterflowers,coltsfoot flower,batryticatedsilkworm,cicada,cordata,exocarpium,orange network,reed stems,white mulberry root,unibract fritillary bulb,loquat leaf,folium isatidis,semen lepidii.Pingchuan cough herbs were the most in all,then unobstructed qi herbs,detoxifying herbs,resolvingphlegm herbs,promoting blood circulation and removing blood stasisherbs.Analyzing the herbal property and flavor,meridian distribution of 86 kinds of herbs,the descending order of property was:cold(3338 times),warm(2990times),flat(1348 times),cool(310 times),and heat(56 times),mainlyacrid herbs,secondly bitte herbsand sweet,mainly belonging to lung meridian,secondly stomach meridians and liver meridian.Statistics showed that there were eleven herb pairs:asterflowers with coltsfoot flower,cicada sloughwith batryticated silkworm,exocarpium with orange network,houttuynia cordatawith reedstems, houttuynia cordata with folium isatidis,unibract fritillary bulb with loquat leaf,root of common peony withred flower,pinelliaternatewithaurantii nobilis, ephedrawith almond,clamshell withbryozoatum,white mulberry root with cortex lycii radices with root-bark of Chinese wolfberry, which were thought of the core compatibility of professor Zhao Kun treating children bronchopneumonia.Fourprescription was commonly used:Xiaoqinglong decoction,Daqinglongdecoction,self-made Clear lung detoxification decoction,Ephedra Asarum Fuzi decoction.Conclusion:The predominant pattern of syndrome of TCM is the type of phlegm-heat closed the lung,providing a basis for special treatment.The nature of stool andstuff,the degree of fever and pharyngeal hyperemia or not are the specific symptoms to distinguish the type of attack.Results of herbs research show that professor’s medication mainly involves unobstructted qiherbs,resolving phlegm herbs,promoting blood circulation and removing blood stasis herbs,consistent with the pathological characteristics.Good at applying classical prescriptions,mytutor obtains satisfactory clinical effect,showing that classical prescriptions have good curative effect if we use them properly.