Preliminary Analytical On The Effect Factors Of Acupoint-application Therapy For Preventing And Treating The Stable Stage Of Chronic Obstructive Pulmonary Disease Of The Aged

It is been a long time for advanced technology of Traditional Chinese medicine to use in clinical practice. The technology is based on the theory of " Huangdi Neijing" and "prevention of disease". Acupoint-application Theory is one of the advanced technology of TCM which is widely available in clinical practice. IT always be used in the prevention of various Chronic diseases, especially in the prevention of Chronic obs-tructive pulmonary disease. By using principles and thoughts of eviden ce-based medicine and methods of clinical epidemiology of modern. we reviews the related papers and recent clinical researches on the preven-tion and treatment of COPD with acupoint-application therapy in summ-er and conducted clinical observation in this study. Two parts are inclu-des in this study.1.Literature research about the acupoint-application therapy for COPD.2.Clinical research on the curative effect of acupoint-application therapy in the prevention of COPD in the aged of stable period of COPD.Objective:By collecting of literature and observing the clinical effect of acupoint-application therapy for the prevention of COPD, we analyzed the relevant influential factors, such as selection of the medicinal herbs, selection of acupoint and preparation methods. And provide a scientific basis for the therapy based this analysis, and make better understood about the law of "prevention of disease" and "Huangdi Neijing".Methods:With computer and manual operation, we selected acupo-int, COPD as keywords to retrieve databases such as CNKI and Vip. We filter the literature according to our standard, and analyzed the qualified ones. We use the cohort study to operating the clinical observation. The present study was conducted in three hospital. Three groups of the aged COPD were observed, and related data were analyzed.results:1. Literature researchThe frequently used top 4 medicinal herbs were Sinapis alba, Asarum, Euphorbia kansui, and fumitory in sequence. And the mixing ratio of those herbs were mostly 1:1:1:1. Ginger juice was the most common herbs which was used to reconcile the rest herbs. The frequently used top 5 acupoint, in sequence, were Feishu, tanzhong, pishu, shenshu and dazhui. Most of the patients were treated in dog days. The duration of the treat were mostly less than 6 hours.16 papers have the description for the skin reactions. Randomization was employed in 77.1% of the papers. Sample volume in these papers which greater than 500 was accounted 5.7%.2.Clinical reasearch300 patients who meet the standards were bring into our study in each of the hospital. And 72 cases were expulsed. We did not find significant differences in age、sex and course of diease(p<0.05). Patients from Affiliated hospital of Shanxi University of TCM group has no obvious seasonality. Remarkable significant difference was found among these groups about seasonality by Chi-Square Tests(p<0.1); No significant difference was found in the degree of severity by self-feeling(p>0.05). Pricking was usual skin reaction after different therapeutic regimen. And it showed a remarkable significant difference by Chi-Square Tests(p<0.1).Conclusion:As the one of the advanced technology of prevention of disease of Traditional Chinese medicine, Acupoint-application achieve-d prominent result and good for popularization. Form the literature rese-arch, we can conclude form both literature research and clinical resea-rch, that, selection of the medicinal herbs, acupoint, and the opportuni-ty, duration of the treatment, the reaction of skin have effect on the cli-nical therapeutic efficacy of acupoint-application. These factors impact on clinical efficacy of acupoint, and should be considered during the clinical application and the popularizing.