Functional Characteristics Of Chronic Spleen And Spleen Sputum In Bronchial Asthma

Objective1 By analyzing the relevant literatures of the characteristics of chronic duration of bronchial asthma,we summarized the distribution characteristics of bronchial asthma syndromes based on literature studies,provided references for clinical treatment of asthma,and laid the foundation for the study of late-stage clinical lung and spleen function.2 Clinical research,according to the clinical actual symptom distribution of patients of chronic duration of bronchial asthma,the characteristics of lung and spleen function during the chronic duration of bronchial asthma were investigated by cluster analysis,which provided a reference for clinical diagnosis and treatment of asthma.Methods1 Literature researchUsing the literature review method of the evidence-based medicine system,we systematically searched all documents related to bronchial TCM syndromes in the mainstream Chinese database in the past 10 years(2008 to 2018)and established the "Bronchial Asthma Literature Study" information extraction in the Excel table.The table extracts information on syndromes,symptoms,and physical signs in various types of documents.The information related to the patient's syndrome involved in the literature was extracted using Excel,and the frequency of related indicators such as symptoms,signs,and syndromes was counted,and each frequency.2 Clinical researchUnder the guidance of clinical epidemiology and evidence-based medicine,cross-sectional studies was used to develop clinical case information collection tables to collect the basic information and four consultations information of chronic Duration of bronchial asthma patient.Descriptive analysis and cluster analysis in SPASS 22.0 were used for data analysis.The method of cluster analysis was used to investigate the characteristics of lung and spleen function in the chronic duration of bronchial asthma.Result1 Literature research results1.1 The common symptoms of bronchial asthmaphlegm-heat-resistance lung,lung-deficiency,cold drink,lung-kidney deficiency,wind-blocking lung,phlegm obstructive lung,lung and spleen deficiency,temper-deficiency,cold drink resistance lung,phlegm blood stasis resistance lung,kidney-deficiency,lung spleen kidney deficiency accounted for 88.29%of the total frequency of all syndromes.1.2 Distribution of bronchial asthma syndrome elementsAccording to the statistical analysis,there are 12 kinds of syndrome elements in bronchial asthma,among which,the main syndrome elements are lung,kidney,spleen,spleen,surface and interior,with a total of 11020 frequencies,accounting for 97.26%of the total number of syndrome elements.There are 13 kinds of pathogenicity syndrome elements in total,among which,the main pathogenicity syndrome elements are deficiency,phlegm,deficiency of qi,heat,cold,drinking water and wind,with a total of 14081 frequencies,accounting for 97.23%of the total frequency.1.3 Common symptoms and signs of bronchial asthmaThe main symptoms and signs were mainly related to 16 kinds,among which the symptoms with higher frequency were cough,shortness of breath,chest tightness,wheezing,phlegm in the throat,phlegm white,mucous,accounting for 75.66%of the total frequency.There are 44 main types of minor symptoms,of which the most frequently occurring symptoms are:fatigue,mental fatigue,shortness of breath,itchy throat,chills,colds,anorexia,sweating,sneezing,dry throat,nasal congestion,runny nose,nasal itching,accounted for 70.95%of the total frequency.1.4 common bronchial asthma pulse and tongueThe most frequent occurrence of tongue body is fat tongue,with a frequency of 12.41%.The most frequent occurrence of tongue color was red tongue,with a frequency of 23.52%.The most frequent occurrence of tongue coating is greasy moss,with a frequency of 32.66%.The most frequent appearance of moss colour is white moss,with a frequency of 34.42.Secondly,yellow moss,the frequency of 22.38%;The highest occurrence frequency of tongue fluid was water slide,with a frequency of 17.95%.Next,dry,little water,appear 7 times in total,frequency is 0.18%.The highest frequency of pulse appearance is chord pulse,with a frequency of 25.54%.The frequency of fast pulse was 17.77%.The frequency of floating pulse was 14.58%.The fine pulse frequency was 14.09%.The synovial pulse frequency was 12.61%.The sinker pulse frequency is 10.10%.2 Clinical research results2.1 Distribution of major symptoms of chronic asthma in bronchial asthma The main symptoms and signs include breathing,chest tightness,cough,expectoration,sticky,bubbles sputum,dilute sputum and less phlegm,sputum more,phlegm yellow,yellow and white,gray,easy to cough up,difficult to cough up,etc;More than 50%of the patients had cough,expectoration,wheezing and chest tightness.20%?50%of the patients have white phlegm,less phlegm,mucous phlegm,more phlegm,easy cough and other symptoms.The rest are:sputum hard cough,sputum yellow,bubble phlegm,sputum thin,sputum grey,yellow and white.2.2 Distribution of minor symptoms of chronic asthma in bronchial asthmaIn secondary symptoms and signs,nasal symptoms:sneezing,runny nose,nasal congestion,nasal itching,accounting for 83.65%of the total number of cases;oropharyngeal symptoms:dry mouth,bitter mouth,dry throat,itchy throat,sore throat,accounting for all 73.08%of the cases;poor sleep:insomnia,difficulty falling asleep,dreaminess,early awakening,easy to wake up,accounting for 84.62%of the total number of cases;stool abnormalities:dry stools,loose stools,sticky stools,dry loose stools,accounting for 50.96%of all cases;systemic symptoms:fatigue,limbs are not warm,upper body hyperhidrosis,accounting for 47.12%of the total number of cases.2.3 Distribution of Tongue Pulses in Chronic Duration of Bronchial Asthma Among the syndromes,nasal symptoms include sneezing,runny nose,nasal congestion and nasal itching,accounting for 83.65%of all cases.Symptoms of oropharynx:dry mouth,bitter mouth,dry throat,itchy throat and sore throat,accounting for 73.08%of the total number of cases.Poor sleep:insomnia,difficulty in falling asleep,dreaminess,early wake,easy wake,accounting for 84.62%of all cases.Abnormal stools:dry stools,loose stools,sticky stools,loose or dry stools,accounting for 50.96%of cases.Systemic symptoms:fatigue,tepid limbs,sweaty upper body,accounting for 47.12%of the total number of cases.3 Cluster AnalysisIn addition to the primary symptom(breathing,chest tightness,cough,sputum),through the different combination between the signs symptoms and pulse tongue,major syndromes and clinical manifestation of chronic duration of bronchial asthma are as follows:If appear defecate abnormality,nose ministry is unwell,morpheus is poor,oropharynx is unwell,if hold the tongue light red or dim,moss-white is greasy,pulse is heavy thin or slippery wait,differentiate a card for lung spleen deficient deficiency,phlegm turbidity block evidence;If the tongue is red or dark red,yellow and greasy,the pulse string or slippery,etc.The syndrome differentiation is deficiency of lung and spleen,stagnation of phlegm and heat.If the tongue is dull or dark red,covered with lichen and thin pulse strings,the syndrome can be divided into deficiency of lung and spleen,stagnation of phlegm and blood stasis.If appeared dizziness,shortness of breath,spontaneous perspiration,face colour is not normal,fatigue,night to urinate,if both tongue reddish or dim,white greasy moss,pulse heavy thin or sliding,the syndrome differentiation is deficiency of lung spleen and kidney,phlegm turbidity block syndrome;If there are both tongue red or dark red,lichen yellow greasy,pulse string or slippery,the syndrome differentiation is deficiency of lung spleen and kidney,phlegm heat block syndrome;If there are both glossal pale or dark red,lichen greasy,pulse string fine and so on,the syndrome differentiation is deficiency of lung spleen and kidney,phlegm stagnation syndrome.Conclusion1 Literature researchThrough literature research,the bronchial asthma syndrome type,the syndrome location,the nature of the disease,and the distribution of symptoms and signs were obtained,suggesting that the asthma site involves five internal organs and mainly the deficiency of lung,spleen and kidney.This reflects the correlation of the five internal organs of traditional Chinese medicine.The person is an organic whole with the five internal organs as the center;phlegm,drink,and phlegm are the perennial roots of asthma.The incentives are mostly wind and cold.It also reflects that the attack of bronchial asthma is affected by the change of the external natural environment,that is,the whole concept of the integration of man and nature.At the same time,under the guidance of the overall concept and thought,it is the key to understand the cause and mechanism of bronchial asthma to accurately analyze the internal relationship between the main syndroms and the concurrent syndroms.2 Clinical researchThrough clinical research,the method of cluster analysis were used to explore the characteristics of lung and spleen function in the chronic duration of bronchial asthma.Conclusion:In addition to cough,sputum,wheezing,chest tightness,and shortness of breath,the main features of lung and spleen function in patients with chronic persistent asthma are nasal congestion,nasal itching,sneezing,runny nose,sweat,dry mouth,mouth pain,dry throat,itchy throat,Abnormal stools,fatigue,poor sleep,etc.