The Literature Research Of TCM Syndrome Differentiation And Treatment About COPD Paracmasis

Objective: This study was to collect nearly 30 years in Chinese medicine to treat chronic obstructive pulmonary disease(COPD) period of remission literature. To analysis and summarize the characteristics of TCM Differential Treatment of COPD, which is referring to provide theoretical and clinical basis for the TCM treatment of COPD remission.Methods: Through the school library and the databases to retrieve literature, which processed by using the collection and sorting methods. In 1980-2014 year as the time gap, in the above literature database for "chronic obstructive pulmonary disease," "remission", "clinical observation", "COPD", "TCM", "Traditional Chinese medicine ", " TCM and Western Medicine " and " random " as key search terms, according to the binding free word keyword to search. This study only included in the published literature, the literature and language not limit the type of publication. By counting the frequency of syndromes, symptoms and treatment prescriptions. Analyze and summarize the main clinical symptoms and chronic obstructive pulmonary disease treatment by using traditional Chinese medicine theory and modern pharmacology research.Result: A total of 65 literatures about COPD paracmasis via electronic retrieval were summed up and sorted. Syndrome types names appeared in those documents included lung-spleen vacuity type, Lung-kidney vacuity type, phlegm and blood stasis obstructing lung, Lung and spleen-kidney vacuity type, lung-spleen deficiency phlegm and blood stasis resistance lung, Lung-kidney deficiency phlegm and blood stasis resistance lung, Lung and spleen-kidney deficiency phlegm and blood stasis resistance lung, spleen-kidney deficiency phlegm and blood stasis resistance lung, spleen-Qi deficiency, lung-Qi deficiency, spleen-kidney deficiency, phlegm-heat by stagnating lung, kidney-yang deficiency, Qi and blood stasis, stagnation of phlegm in lung, edema due to yang deficiency and deficiency of Qi and Yin, etc, totally 17 kinds of types. Classified these syndrome types into three parts: deficiency syndromes are nine, there are three empirical, and actual situation mixed with five. Frequency analysis was conducted on primary syndrome and tongue appearance, pulse condition and treatment prescriptions in retrieve documents. The result showed that the characteristic symptoms targeted by COPD paracmasis were cough, expectoration, shortness of breath,chest tightness, tiredness, sweat, palpitations and poor appetite, etc. Tongue appearance and pulsations commonly noted in patients treated in COPD were pale, white fur, and swollen tongue with scalloped. The pulse was thin, thin or weak pulse deep. There are 42 prescriptions for treating COPD paracmasis, which Sijunzi Decoction subtraction up to a total appeared 15 times, followed by Buzhongyiqi Decoction, Jinshuiliujunjian Decoction and SHENLINGBAISHU Decoction, etc. In fact there are so many kinds of drug in using for COPD, we concluded and found include these: tonic, damp-clearing drug, cough-suppressing panting-calming medicinal, herbs for activating blood, diaphoretic and antipyretic.Conclusion: COPD in remission and more to the main deficiency, the vacuity, false is mixed. The virtual lung, spleen, kidney three dirty Qi, Yang mainly involving the heart, even including the Yin-deficiency, sthenic Zheng are to Phlegm-blood stasis, both part of hot-phlegm, phlegm. Common clinical syndromes mainly lung- spleen deficiency, kidney deficiency, Lung and spleen-kidney deficiency, phlegm and blood stasis obstructing lung. The clinical manifestations of "cough, shortness of breath, sputum, chest fullness, fatigue, spontaneous sweating, anorexia, heart palpitations," the most common symptoms. Tongue appearance and pulsations commonly noted in patients treated in COPD were pale, white fur, and swollen tongue with scalloped. The pulse was thin, thin or weak pulse deep. The main principle is “Fuzheng Quxie and regulate zang fu-organs. Sijunzi Decoction subtraction to use up. From the side view of the composition of the drug, the drug most commonly used are: Poria, Codonopsis, Astragalus, Chinese yam, Atractylodes, Salvia, licorice, orange peel, Breit, almonds. After the discovery of the drug classification, drug use, mostly tonic, damp-clearing drug, cough-suppressing panting-calming medicinal, herbs for activating blood, diaphoretic and antipyretic. All above are showing the principle of purgation and tonification for the treatment.