Summary Of Experience In Treating Damp-heat Cough With Ephedra Forsythia Red Bean Soup Add And Subtract

Objective From the aspects of etiology,pathogenesis,clinical manifestations,diagnostic points,and medications,systematic theoretical research on damp-heat cough,so that the Chinese medicine differentiation and treatment system for cough is more comprehensive,which is conducive to the treatment of syndromes and improve curative effect.To sum up the clinical experience of the instructor in the clinical application of ephedra forsythia red bean decoction add and subtract in the treatment of damp-heat cough,and observe the therapeutic effect of the patients.Methods Retrieving and understanding the ancient Chinese medicine's understanding of damp-heat syndrome,damp-heat cough,ephedra forsythia red bean decoction and the literature research of modern Chinese medicine on damp-heat cough and ephedra forsythia red bean decoction,combined with the clinical experience and academic inheritance of the instructor for many years,comprehensively summed up the instructor's use of ephedra forsythia red bean decoction.The academic experience of ephedra forsythia red bean decoction in treating dampness and heat cough.Thirty patients who took ephedra forsythia red bean decoction add and subtract for 2 weeks in the mentor clinic from November 2017 to December 2018 in the treatment of damp-heat cough were compared with their own pre-and post-treatment methods to compare cough symptom scores and TCM symptoms before and after treatment.Points,cough visual analogue scale,and changes in the leicester cough questionnaire.Results 1.Theoretical research results:(1)The cause of damp heat cough is mainly due to regional and climatic factors,unhealthy diet,emotional disorders and mistreatment and other factors leading to lung qi stagnation,lung loss and reversed cough.(2)The performance of the tongue can be used as the main basis for the diagnosis and judgment of the disease.(3)clinical application of ephedra forsythia red bean decoction add and subtract for the treatment of damp heat cough as long as the pathogenesis of lung disease is consistent with the loss of lungs,dampness and heat,regardless of the presence or absence of evidence,can be used.(4)treatment of damp heat cough when the wet evil is the weight,heat easy to clear and wet difficult,in the prescription medication could not use the bitter cold goods,need to add bitter warming drugs,and cure the wet,should not be frequently changed.(5)The treatment of damp heat cough needs to take care of the spleen and stomach from time to time.During the medication,you should avoid spicy and greasy dry roasted seeds and nuts.2.Clinical observation results: Screening out 30 patients who met the criteria for inclusion of damp-heat cough,including 16 cases of subacute cough,14 cases of chronic cough.There were 19 females and 11 males with an average age of 51.07±14.87 years old.Most patients(93.3%)had used before treatment.For drug treatment,the most frequently used drug for patients is cough and phlegm(73.3%),and antibiotics(56.7%)and proprietary Chinese medicines(53.3%)are also used more frequently.Damp heat cough can occur in all seasons,but mainly in summer(50%)and autumn(23.3%).The difference of daytime and nighttime cough symptom scores before and after treatment was statistically significant(P<0.01).There was significant difference between before and after treatment in the treatment of TCM main symptoms before and after treatment(P<0.01).The P value of TCM secondary symptoms before and after treatment was compared.All were less than 0.01,the difference was statistically significant,suggesting that secondary symptoms such as itchy throat,dry mouth do not want to drink water,urinary red sputum,stool sticky,red tongue greasy or yellow greasy symptoms have improved.The VAS and LCQ scores were improved compared with those before treatment,and the difference was significant before and after treatment(P<0.01).The total effective rate of clinical efficacy evaluation of cough symptoms after treatment was 96.67%,and the 95% confidence interval of the overall rate was(83%,100%).The total effective rate of TCM symptom evaluation after treatment was 90%,and the overall rate was 95%.The letter interval is(73%,98%).Conclusion Ephedra forsythia red bean soup add and subtract has a significant clinical effect on the treatment of dampness-heat cough,which can improve the symptoms of cough and quality of life and is worth promoting.