Effect Of Self-designed Zhike Decoction On Children’s Cough Variant Asthma (Wind-Phlegm-Obstructing Lung)

Objective:Based on the literature collation and combined with the clinical experience of the tutor Zhang Wei for many years,a more comprehensive and in-depth discussion on the theory of "treating from the lungs and liver" to children’s cough variant asthma was carried out,and then the role of this theory in clinical application was explained.Using this as a guide,the self-made antitussive decoction is used to treat children with cough variant asthma(wind phlegm obstructing the lung syndrome),and explore its efficacy and advantages.Methods:61 children with cough variant asthma(wind-phlegm obstructing the lung syndrome)were randomly divided into an experimental group of 31 cases and a control group of 30 cases.The experimental group was given self-made cough decoction,and the control group was given montelukast sodium chewable tablets(Shunerning).The course of treatment was 14 days in both groups.And record the curative effect index and LCQ scale score before and after treatment.Using before and after and between groups,the two groups of symptom scores and LCQ scores were used to compare the clinical efficacy of the two treatment methods in children with cough variant asthma(wind phlegm obstructing the lung syndrome).All the results of the above data are statistically processed and analyzed using spss24.00.Results:1.Clinical efficacy:After 2 weeks of treatment,the total effective rate of the treatment group was 96.67%,higher than the total effective rate of the control group 70.00%.The difference was statistically significant(P < 0.05)2.Comparison of main symptom scores:Both groups had obvious improvement before and after treatment,and the treatment group had better effect on sputum symptomsThe control group.The difference was statistically significant(P < 0.05).However,there was no effect on the treatment of cough in the two groups There was no statistical signi ficance(P > 0.05).3.Comparison of total scores of secondary cases:Both groups were significantly improved before and after treatment(P<0.05),and the treatment group was better than the control group in improving TCM symptoms,and the difference was statistically significant(P<0.05).4.LCQ score comparison:Both groups were significantly improved before and after treatment(P <0.05),and the treatment group was improved in TCM syndrome prescription And the difference was statistically significant(P < 0.05).Conclusion:1.The overall efficacy of self-designed Zhike Decoction in the treatment of children with cough variant asthma with wind-phlegm lung obstruction was better than that of montelukast sodium control group.2.The self-designed cough relieving soup in the treatment of cough variant asthma in children with wind-phlegm lung obstruction can effectively improve the primary and secondary symptoms,and the therapeutic effect of sputum coughing,shortness of breath,chest tightness,throat itching,nasal congestion,runny nose and sneezing is better than that of the control group.3.The total LCQ score,physiological score and psychological score after treatment were reduced by self-designed cough relieving soup,and the efficacy was better than that of the control group.And with the increase of psychological score,the physiological score is positively correlated with the increase.