Professor Liu Jianqiu's Clinical Experience On The Treatment Of Chronic Persistent Asthma

Objectives:In this article, through analyzing the medication rule on treating chronic persistent asthma of professor Liu, preliminarily summarize his academic thoughts and clinical experience on chronic persistent asthma, in order to provide a reference for further inheriting and researching in the future.Methods:Collect cases of chronic persistent asthma, which were treated by professor Liu from January 1st,2014 to January 1st,2016. Input the prescriptions into Microsoft Excel to establish the medical record database, count frequency of these Chinese medicines according to its nature, flavor, meridian tropism, and efficacy; classify core medicines by IBM SPSS 19.0 software for cluster analysis. Analyze the medication rule of professor Liu, and summarize his academic thoughts and clinical experience.Results:This study totally collected 82 common Chinese medicines from 86 prescriptions. Among these medicines, there were 47 Chinese medicines which frequency?5, totally recorded 1070 times. The statistics of the nature, flavor, and meridian tropism of these 47 Chinese medicines:the main nature included warmth (36.64%), mildness (19.63%), gentle warmth (16.45%); the main flavor included sweetness (48.32%), pungency (42.71%), bitterness (35.33%); the statistics of meridian tropism:included lung meridian(68.88%), spleen meridian(43.64%), stomach meridian(31.68%), liver meridian (24.39%) and kidney meridian(21.03%). The 47 Chinese medicines were divided into 11 groups by its efficacy:phlegm-resolving, cough-suppressing and panting-calming medicine ranked first (30.09%), tonifying and boosting medicine ranked second (28.79%), accounted for 58.88% altogether. The rest were exterior-releasing medicine, liver-pacifying and wind-extinguishing medicine, astringent medicine, heat-clearing medicine, blood-activating and stasis-resolving medicine, digestant medicine, spirit-quieting medicine, qi-regulating medicine, dampness-draining medicine in turn. The statistics of core medicines:there were 19 Chinese medicines which frequency rate?30%. They were Ephedra Sinica Stapf, Pinellia Ternate, Semen Armeniacae Amarae, Schisandra chinensis, Folium Eriobotryae, Radix Pseudostellariae, Malaytea Scurfpea Fruit, Glycyrrhiza uralensis, Largehead Atractylodes Rhizome, Radix Astragali, Lumbricus, Epimedium brevicornum Maxim, Semen Raphani, Perilla Fruit, Coastal Glehnia Root, Cynanchum Glaucescens, Rhizoma Anemarrhenae, Cicada Slough, Fructus Trichosanthis.Conclusions:1.The medication rule on treating chronic persistent asthma of professor Liu:the major nature of these Chinese medicines is warmth, mildness, and gentle warmth; the major flavor is sweetness, pungency and bitterness; the major meridian tropism is lung, spleen, stomach, liver and kidney meridian. The core medicines are Ephedra Sinica Stapf, Pinellia Ternate, Semen Armeniacae Amarae, Schisandra chinensis, Folium Eriobotryae, Radix Pseudostellariae, Malaytea Scurfpea Fruit, Glycyrrhiza uralensis, Largehead Atractylodes Rhizome, Radix Astragali, Lumbricus, Epimedium brevicornum Maxim, Semen Raphani, Perilla Fruit, Coastal Glehnia Root, Cynanchum Glaucescens, Rhizoma Anemarrhenae, Cicada Slough, Fructus Trichosanthis; the core medication principle is diffusing and descending qi together, resolving phlegm and calming panting, tonifying spleen and kidney, extinguishing wind and relieving convulsion.2. According to Professor Liu's theory, the pathological mechanism of chronic persistent asthma is phlegm restored and yang deficiency; the cause of the disease is external wind improper diet; steady phlegm and static blood made the disease complicated.3.The treatment should be warming yang and boosting qi, resolving phlegm and calming panting. Through warming and tonifying yang of lung, spleen, kidney to reinforce the healthy qi and secure the exterior, the methods of dispel phlegm include warm the cold phlegm, warmth combines with clearness, regulate qi to resolve phlegm, and activate blood to eliminate phlegm.