Professor Wu Weiping 's Academic Thought And Experience In Treating Chronic Cough

Cough is refer to the lung of gas upward reversal, with Lung function disorder, occured cough, or a liquid cough spit lung disease. It is not only a major symptom of pulmonary disease, but also a disease of independence.In many diseases of the lung, even in daily life, cough both as a disease Symptoms or independent are very common, affecting people’s life and health, so carry on comprehensive study of cough literature, on the understanding and treatment of the disease, to ensure that quality of life has important significance.This paper will introduce two parts through literature review and clinical research.The first part, literature research were reviewed. Traditional Chinese Medcine part includes the study of ancient physicians for chronic cough or long cough, focuses on "all the organs can cause cough" academic point of view; modern physicians in inherits the predecessor " chronic cough "based on the study of the play, including the name of the disease discussion,etiology and pathogenesis, syndrome and treatment, according to the doctors of chronic cough resolution disease diagnosis and treatment experience of understanding, manifests the Chinese medicine treatment of chronic cough advantage. Some western modern western medicine to chronic cough etiology and pathogenesis, standard of diagnosis and treatment for the understanding of chronic cough, at present western medicine to chronic cough onset of internal factors have certain understanding, can provid more positive effect on further treatment of chronic cough.The second part:clinical retrospective study. Background:chronic cough usually refers to the last of time for more than 8 weeks of cough. There are no obvious significant abnormal chronic cough in clinical chest X ray film, and it is difficult to diagnosis and treatment.C linical medicine of doctor of traditional Chinese medicine on the treatment of chronic cough with unique effect, and the clinical experiences of the famous old doctor of traditional Chinese medicine represents the highest level of contemporary Chinese academic development, conforms to the modern Chinese medicine treatment of chronic cough syndrome rule for inheritance and summarize the experience of the famous old doctor of traditional Chinese medicine is very important. The clinical most name old doctor of traditional Chinese medicine research is in clinical test case and discusses the research, and mathematical statistics with close enough, failed to fully in the summary of the experience of the famous old doctor of traditional Chinese medicine using statistical tools for data mining, lack of scientific and systematic demonstration, of chronic cough experience data of survey research and the summary of famous old doctor of traditional Chinese medicine on chronic cough syndrome and treatment experience distribution rule, to guide the clinical dialectical theory of governance is a necessary research.Objective:the purpose of this study is to summarized Professor Weiping Wu clinical chronic cough treatment experience, from the perspective of descriptive statistics of Professor Weiping Wu knowledge about the disease analysis and to explore the dialectical way of thinking and drug laws, through the analysis and discussion of the statistical results, sum up the different experience of professor Weiping Wu on the treatment.Methods:the records of Weiping Wu, Dongzhimen Hospital VIP Clinic in 85 cases of chronic cough cases, detailed records of patients with first diagnosis of disease inducement, medical history, symptoms, conditions into the laboratory examination (blood gas analysis or SpO2. lung function, lung CT), recorded clinical treatment method of medicine. According to the main symptoms of cough cured, improved and healed evaluation criteria, referral cases curative effect statistics. Using Epidata to establish the database of chronic cough patients,meanwhile,by the application of statistical software SPSS 20 for the dialectical and the relevance of the use of the clustering analysis.Results:1.Account for 85 of the patients,cluding 34.1% men and 65.9% women,in which the lasting of the disease over 1 years about 47, the differences comparing the patient’s gender are statistically meaningful.2 According to the statistics, more patients with moderate cough, cough severity in patients with serious times, at least mild cough. The cough with expectoration and cough without sputum accounted for 81.18%, another for 18.82%.3. With expectoration of most patients with sputum viscosity (57.65%), white (51.76%), less (57.65%), there is another expectoration yellow (23.52%) and yellow and white (5.88%), quality Qingxi (14.12%) and frothy sputum (9.41%), sputum amount more than 30.58%. The majority of patients with sputum difficult to sputum, accounting for 63.53%. Basic body accompanying symptoms are thirsty, poor sleep, pharyngeal itching, shortness of breath, chest tightness, irritability, fatigue, dry stool, chills, hands and feet are heavily heat. Tongue is fat in dark, cracked, yellow greasy moss, pulse string to slip, and fine.3 the clinical syndrome type distribution:phlegm obstructing lung> phlegm heat intrinsic> dryness invading the lung> anger make lung> deficiency of both qi and Yin> lung qi deficiency, lung deficiency of yin deficiency, virtual wind volts, cold make lung and pathogenic wind outside the beam card, because a small amount of data, statistical significance was not. Composite syndromes most common (n>5) respectively for phlegm dampness and stagnation of liver qi stagnation, accumulation of phlegm and heat intrinsic pathogenic wind outside the beam card, virtual wind spathogenic wind beam or dryness invading the lung combined lung yin deficiency syndrome combination, the documents appear low frequency.4. Prescription:clinical statistics commonly used drugs for bupleurum root, Peucedanum root, almond, Radix Scutellariae, Qing pinellia tuber, Radix Saposhnikoviae, radix paeoniae rubra, fried Fructus aurantii. mulberry leaf Ephedra Sinica, Chuanbei, plum, licorice, Bulbus Fritillariae thunbergii. forsythia. Magnolia, Schisandra, gypsum, uncaria, coix lacryma jobI. Frequency than the commonly used formula are:Xiaochaihu, Zhisou scattered, bupleurum and Magnolia 23 soup, Yupingfeng powder, qingzhaojiufei decoction, sang Xingtang, louqinzhisou fried.5. According to the statistical results, tanshiyunfei syndrome mainly with Erchen decoction, and clamping stagnation of liver qi stagnation syndrome, inverse gas and cough with magnolia, Suzi, and other drugs. Phlegm heat intrinsic card is mainly used Weilou Qin stop cough fried, dryness invading lung partial air temperature who sang Xing Tang, deficiency of both qi and Yin and Qingzao save Decoction; pulmonary, lung qi deficiency syndrome with Yupingfeng San, Qi and yin deficiency syndrome with Shengmai Decoction and syndrome of liver fire invading lung with Xiebai San Lung Yin deficiency syndrome with Shashen Maidong Decoction of Nourishing Yin, virtual wind within the card mainly used allergy fried, wind cold invading the lung syndrome using Sanao decoction, external wind evil beam card.Conclusion:In Professor Weiping Wu’s oppion,chronic cough has recurrently attacks,which is a lingering illness, clinical treatment is available.During clinical treatment, flexibility in the use of four methods of treating cough, namely:"from the wind on the treatment, liver and lung homology, expelling wind to"," from phlegm on the treatment, lung and spleen similarly "," treatment based on the gas, lung liver and stomach treatment together, and falling for gas is the first "and" from deficiency on the treatment, lung, spleen and kidney with raises,can not ignord Qi, blood, yin and Yang "; clinical medication nourishing slow tune, according to samples priorities and treatment. In addition to the treatment, with the adjustment of daily life, pay attention to weather changes, mood unobstructed, proper exercise to enhance physical fitness, keep healthy, evil can not be dry, make the patient to the foundation to improve the ability of the body resistance, to effect a radical cure purpose.