The Academic Thought And Clinical Study On The Treatment Of Professor Wang Shizhen From The Spleen Deficiencytype Allergic Rhinitis

ObjectiveAllergic rhinitis (rhinitis allergic, AR), also known as allergic rhinitis, is a common clinical disease in the Department of ENT, the disease is easy to recur, the current western medicine on the treatment is still not ideal. This is a disease of traditional Chinese medicine "biqiu" category, the TCM understanding of allergic rhinitis has its own unique theory, the holistic concept and treatment based on syndrome differentiation is characterized, has accumulated for thousands of years of rich clinical experiences in the therapy of allergic rhinitis, reliable efficacy, side effects. Wang, Professor, has been committed to the theoretical and clinical research on TCM of ear, nose and throat, and a large number of allergic rhinitis patients, formed his own clinical experience. Through inheritance, finishing research professor Wang from the spleen on the treatment of deficiency type allergic rhinitis clinical experience of reinforcing spleen in treating deficiency type allergic rhinitis TCM origin and theoretical basis, this paper summarizes the professor Wang with tonifying spleen in treating deficiency type allergic rhinitis medication rules and core prescription and enrich Chinese medicine on allergic rhinitis syndrome differentiation system, further improve the Chinese medicine for allergic rhinitis clinical levels of diagnosis and treatment of.MethodsThis study is divided into three parts. The first part is literature research status and research of traditional Chinese medicine and Western Medicine on allergic rhinitis biqiu insight analysis. The second part is Professor Wang on the academic thought and clinical experience of treating allergic rhinitis are summarized. The contents include:1, with the whole concept of Chinese medicine to see ear, nose and throat orifices; 2, the whole concept of Chinese medicine as guiding ideology, emphasis on local and overall syndrome combination; 3, differentiation of syndrome differentiation and disease differentiation combined; 4, biqiu syndrome differentiation of Zang Fu organs, especially the spleen and stomach; 5, MeJA treatment combination, pay attention to the use of external therapy; 6, use of Tongqiao; 7, respected classical prescriptions in the diagnosis and treatment of diseases of the nose; 8. On allergic rhinitis unique understanding. The third part is clinical research. In June 2014 to 2015 during the month of August in Guangzhou University of Chinese Medicine First Affiliated Hospital otolaryngology clinic and by Wang professor of diagnosis and treatment of 87 cases of deficiency type allergic rhinitis and in accordance with persistent allergic rhinitis diagnosis of patients for research object, a comprehensive collection of the clinical data for statistical analysis, including gender, age, the severity of the disease, syndrome differentiation typing, drug application, before and after the treatment, the symptoms and signs integral, self visual simulation (VAS), RQLQ quality of life scale score and after treatment, the total efficacy results. Among them, according to all the cases of prescription application, respectively, by single drugs and combinations of drugs in one prescription application of frequency statistics analysis come to tutor in the diagnosis and treatment of deficiency type allergic rhinitis medication rules and core recipe, and by three groups of deficiency type cases treatment effects before and after the comparison of price index evaluation, evaluation complement spleen method of drug treatment in the curative effects of three groups of cases.Results1. clinical deficiencytype allergic rhinitis, the spleen and stomach and Qi deficiency is the most common syndrome, only less Kidney Yang deficiency.2. Tutor treatment of deficiency type allergic rhinitis with Xinwen gamping, tonifying the spleen and lung and Qufeng Tongqiao Decoction of traditional Chinese medicine, its rule of law is the tonic, tonic temper as the core, peitushengjin, by strengthening the spleen and replenishing qi method, or Zuo with Bufei, Qufeng Tongqiao; or junior to temperature compensation of spleen and kidney yang by Tongqiao. Core prescription is Sijunzi Decoction Combined with Yupingfeng powder, prescription consists of Huangqi (Radix Fici simplicissimae), Codonopsis pilosula (or heterophylla), Poria cocos, largehead atractylodes rhizome, ledebouriella root, prepared licorice (Glycyrrhiza glabra), magnolia flower, dahurian angelica root, cicada slough, earthworm.3. To supplement the spleen core recipe for basic recipe in treating deficiency type allergic rhinitis, weakness of the spleen and stomach, Qi deficiency, kidney yang deficiency group were, in before and after treatment the symptom integral, self visual simulation (VAS), RQLQ life quality score, the total curative effect evaluation comparison had significant difference (P< 0.05). The results showed that invigorating spleen prescription of deficiency type allergic rhinitis three syndrome types had significant effect, suitable for deficiency type allergic rhinitis three syndrome types.4. Tonic herbs of deficiency type allergic rhinitis three syndrome types after treatment symptoms and signs integral, self visual simulation (VAS), RQLQ quality of life scale score, total evaluation of curative effect between the groups compared no significant difference (P> 0.05), indicating that the method or herbs of invigorating the spleen deficiency type allergic rhinitis three syndrome types of therapy had no significant difference.Conclusion1.This study summarizes the mentor Professor Wang in the diagnosis and treatment of deficiency type allergic rhinitis diagnosis and treatment experience and academic thinking, the etiology and pathogenesis of allergic rhinitis can be simplified into two categories, one for cold type, the lung heat syndrome, including deficiency type is the most common clinical type. Lung, spleen and kidney deficiency caused by deficiency type. The spleen in allergic rhinitis factors most important and pathogenesis lies in the deficiency of the spleen.2. clinical deficiencytype allergic rhinitis, the spleen and stomach and Qi deficiency is the most common syndrome of kidney yang deficiency is rare, simple.3. The tutor treatment of deficiency type allergic rhinitis with Xinwen gamping invigorating spleen and lung and Qufeng Tongqiao Decoction of traditional Chinese medicine, the rule of law is the tonic, tonic temper as the core, by strengthening the spleen and replenishing qi method, or accompanied with Bufei, Qufeng Tongqiao; or junior to Wenyang Tongqiao. Core prescription is Sijunzi Decoction Combined with Yupingfeng powder, prescription consists of Huangqi (Radix Fici simplicissimae), Codonopsis pilosula (or heterophylla), Poria cocos, largehead atractylodes rhizome, ledebouriella root, prepared licorice (Glycyrrhiza glabra), magnolia flower, dahurian angelica root, cicada slough, earthworm.4. Tonifying spleen herbs in the treatment of deficiency type allergic rhinitis of weakness of the spleen and stomach, Qi deficiency, kidney yang deficiency group cases, clinical observation results show that invigorating spleen prescription of deficiency type allergic rhinitis three syndrome types had significant effect, suitable for deficiency type allergic rhinitis three syndrome types. And fill the spleen prescription of deficiency type allergic rhinitis three syndromes curative effect without obvious difference, prompts us to application of reinforcing spleen prescription in the treatment of deficiency type allergic rhinitis, not stick or obvious distinction belongs to Qi deficiency, weakness of the spleen and stomach or kidney yang deficiency what type, as long as we can distinguish don’t belong to deficiency type can use reinforcing the spleen prescription to treat, so for the treatment of this disease, TCM syndrome differentiation and treatment of numerous for brief, easier to clinical beginners to master, conducive to clinical practice.