Chronic Cough In Children Syndromes Elements And Traditional Chinese Drugs Law Clinical Study

ObjectiveThe research explored the distribution of the traditional Chinese medicine (TCM) syndrome elements and frequently used herbs of chronic cough in children. Then provide evidence for standardized discriminate analysis and treatment of TCM for chronic cough in children, by collecting thorough information, statistical analysis of TCM syndrome elements and drug rules of cases of chronic cough in children.MethodsThe research is a cross-sectional survey. It collected the140cases of chronic cough in children which were diagnosed clearly in pediatrics of Guangdong Provincial Chinese medicine hospital from January2013to March2014, in which male were86cases, female were54cases, who were in strict accordance with the inclusion criteria and exclusion criteria, statistical analysis of the TCM syndrome elements distribution and the traditional Chinese medicine using law in chronic cough in children of the128cases be treated effectively.Results1. The TCM syndrome element distribute law:disease location syndrome elements mainly were:lung, body surface, spleen, and stomach, kidney; nature of disease of syndrome elements:wind, cold, phlegm, heat, the secondly including drinks, wet, and qi stagnation, dyspepsia. The deficiency natures of disease of syndrome elements were qi deficiency, Yang deficiency, blood deficiency, Yin deficiency. The syndrome elements of evidence combination rule of chronic cough in children were12combination forms, the most popular combination form were5elements’combination, indicated by65cases, and the proportion was46.42%;other combinations under three were few, disease combination were mainly with two, three and four natures of disease combination, most of the cases with2or3disease location syndrome elements.2. Traditional Chinese medicine using law in chronic cough in children:information of128cases which had exact treatment effect in the140cases was collected. Total herbs are117varieties. The herbs with more than10frequency were48kinds. Studying the meridian tropism of the commonly used Chinese crude drugs of chronic cough in children, most drugs distribute to lung channel, then followed by spleen channel, stomach channel, liver channel, kidney channel, and heart channel. Top10of herbs were: cough-suppressing phlegm-transforming medicinal cough-suppressing phlegm-transforming medicinal, diaphoretic drug, qi-regulating drug digestant drug, heat clearing drugs, Astringent, drugs for dispelling internal cold, blood-quickening stasis-transforming medicinal, damp-clearing drug;herbs frequency from high to low were:Zhigancao, Banxia, Mahuang, Baishu, Xingren, Zhike, Xixin, Fangfeng, Chenpi etc.ConclusionChronic cough in children mostly posses exterior and interior syndrome, mixed with the excessive and deficiency syndrome, disease locations and forms of the syndrome elements combinations diverse. Correct differentiation is difficulty. By clinical investigation of TCM syndrome elements and drug use of chronic cough in children, we can quickly and accurately obtain the main characteristics of the disease, and use it to guide the quick and correct differentiation.Summarize the Traditional Chinese medicine using law in chronic chronic cough in children, through reasoning, conclusion is that Pathogenesis key of chronic cough are deficiency of lung and spleen and invaded by the outside world pathogenic factors and Phlegm turbidity block. It is conformity With the study of the characteristics of the chronic cough syndrome element. Therefore this study demonstrated the feasibility and reliability of syndrome element differentiation, and it is to scientific for guideing to use the drug.Clinical medicine chronic cough in children should be based on the patient and syndrome differentiation treatment, we must be support the healthy energy and dispel pathogenic factors on the basis of relieving cough and reducing sputum. If we want to improve therapeutic efficacy, we must seize the pathogenesis, benefit spleen soil, lower the lung and stomach, Expel wind to relieve exterior syndrome, warming middle-Jiao and dispelling cold, promoting Qi flow, dissolving sputum and resolving food stagnancy.