| Objective:Through literature survey into the literature and investigates the distribution characteristics of TCM constitution,as well as the pathogenic factors in asthmatic children.Taking the children in some areas of Shanghai as an example,the paper analyzes the distribution characteristics of TCM constitution in non-acute attack phase and related influencing factors,attempting to provide a train of thought for the clinical diagnosis and treatment of childhood asthma,and lay a theoretic foundation for using TCM constitution for early prevention of childhood asthma.Methods:Documentary research:After indexing the literature published in four major databases(CNKI,Wanfang Data,VIP and CBMdisc)in the recent ten years about the distribution of TCM constitution,as well as the pathogenic factors in asthmatic children,the author extracts data which meet the inclusion standard from the literature and uses Excel software to calculate and make a conclusion.Clinical research:Targeting child patients at the outpatient department of pediatrics of traditional Chinese medicine in hospitals in some areas of Shanghai,the author collects and sorts out related data by the means of questionnaire in the clinical investigation.And SPSS21.0 statistical software is used for frequency statistics,and chi-square test is used to test physical susceptibility factors.Results:There are 49 papers investigating the pathogenesis of childhood asthma.Statistically significant factors are included in these studies,such as allergic history,family history,infection,living environment,passive smoking,breastfeeding,seasonal changes in weather,exposure to irritating odors,pets,and exercise,use of antibiotics,mood changes,obesity,fetal birth,family income,maternal pregnancy,only child,partial eclipse,age,maternal education,rural population,gender,vaccination history.There are 14 papers on the distribution of TCM constitutional classification,involving 25 kinds of constitutional classification,of which qi deficiency and special enamel are main aspects,followed by qi deficiency with quality sputum,yang deficiency and phlegm.According to the clinical investigation data of 1035 in non-acute attack phase of children with asthma showed that the ratio of male to female is 1.5:1,52.08% of the children aged 3-6 years have a higher incidence,and 91.21% of the children have antibiotics within 0-2 years old,and 70.53% of the children have parks or entertainment facilities around their homes,63.48% children are affected by seasonal changes in the weather,toy contact accounted for 60.77%,affected by the frequency and intensity of exercise and dietary preference accounted are respectively 57.78%and 57.39%,62.90% have a history of allergic diseases,meanwhile 39.61% have a family history.The distribution characteristics of TCM constitutional classification are main biased in which qi deficiency(38.07%),special enamel(24.08%),and phlegm-dampness(13.92%)are susceptible for physique in children with asthma.Conclusions:1.The literature survey covers the pathogenic factors in children who live in some areas of Shanghai,including the allergic history,family history,history of infection,living environment and passive smoking.The qi deficiency and the specific endowment are the two main types of TCM constitution of asthmatic children.2.The survey finds that the main pathogenic factors in childhood asthma in some areas of Shanghai are as follows: use of antibiotics when babies are 0-2 years old,parks or recreational facilities around the home,seasonal weather change,touch with toys,frequency and intensity of movement,allergic disease,family history.3.TCM constitution in non-acute attack phase of asthmatic children divides into eight types,among which biased constitution is the dominant one.Qi deficiency,specific endowment,and phlegm-dampness are the susceptible constitution of children with asthma.Types of TCM constitution have different distribution characteristics in terms of age,diet preference,family history and allergic illness. |
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