Clinical Observation Of Bufei Jianpi Recipe Combined With Lung Rehabilitation Therapy (Lip-Contraction-Abdominal Breathing) In Treating Stable Copd (Deficiency Of Lung And Spleen Qi)

Objective:to observe the effect of Bufei Jianpi recipe(Bufei Jianpi prescription)combined with Lung Rehabilitation Therapy(lip-constrictingabdominal breathing)on the clinical symptoms of COPD(deficiency of lung and spleen-qi Syndrome)patients before and after treatment,to clarify the clinical treatment advantages of this method,so as to provide a new way of diagnosis and treatment for stable COPD(deficiency of lung and spleen-qi).Methods:A total of 80 cases were randomly divided into treatment group(40 cases)and Control Group(40 cases)in the outpatient department of the First Affiliated Hospital of Heilongjiang University of Traditional Chinese medicine.The control group was treated with Salmeterol and fluticasone propionate powder inhalation.Treatment Group in the Control Group on the basis of medication plus self-made invigorating the lung spleen formula and contraction of lips-abdominal breathing training.Chinese medicine decoction is provided by the first hospital affiliated to Heilongjiang University of Chinese medicine.Every day,300 ML of decoction and 150 ml of decoction are taken in the morning and evening.The course of treatment is 2 months(8weeks).The changes of Cat Score,6-minute walking distance,total score of TCM syndrome and single product were observed and recorded before and after treatment.The data were analyzed by SPSS 25.0.Result:1.Before treatment,the age,sex,course of disease and smoking age of the two groups were compared.The results showed that p>0.05,the difference was not statistically significant.2.The total score of TCM Syndrome before and after treatment was compared between the two groups: the total score of Tcm Syndrome before treatment was compared between the two groups,p>0.05,there was no significant difference between the two groups;The total scores of TCM syndromes before and after treatment were compared between the two groups.The results showed that p<0.05,the difference was statistically significant,the total score of TCM Syndrome of COPD(deficiency of lung and spleen-qi)patients in stable stage was decreased by the treatment methods of the two groups,the results showed that the treatment group was better than the control group in reducing the total score of TCM Syndrome in stable COPD(deficiency of lung and spleen-qi),and the difference between the two groups was statistically significant(p<0.05).3.Before and after treatment,the scores of TCM syndromes in the two groups were compared: After treatment,the scores of TCM syndromes in the two groups were all higher than 0.05,and there was no significant difference between the two groups,two groups of patients were treated before and after treatment of Chinese Medicine Syndrome single integral comparison,the results showed that p<0.05,the difference was statistically significant,the results showed that the treatment of the two groups could reduce the single integral of TCM syndrome of COPD(deficiency of lung and spleen)in stable stage,and after the treatment,the two groups were compared with each other,the results showed that the treatment group was better than the control group in reducing the cough,wheezing,shortness of breath,bad wind,easy to catch a cold,taking little or no food,fullness of stomach or loose stools,the difference between the two groups was statistically significant(p<0.05),and there was no significant difference between the two groups in fatigue,fatigue or spontaneous sweating.There was no significant difference between groups(p>0.05).4.Comparison of the total curative effect of Tcm Syndrome before and after treatment: After treatment,the total effective rate of TCM Syndrome in the treatment group was 92.50%,the effective rate in the control group was84.62%,the results showed that Z =-2.744,p= 0.006<0.05,the difference was statistically significant.5.The CAT scores of the two groups before and after treatment were compared: The CAT scores of the two groups before treatment were compared,p>0.05,there was no significant difference between the two groups;The CAT scores of the two groups before and after treatment were compared.The results showed that both p<0.05,the differences were statistically significant,the results showed that the treatment of two groups had significant effect on reducing CAT score score of COPD(deficiency of lung and spleen)patients in stable stage,the results showed that the treatment group was better than the control group in reducing the CAT score of COPD(deficiency of lung and spleen)in stable stage,and the difference between the groups was statistically significant(p<0.05).6.The six-minute walking distance before and after treatment was compared between the two groups: The six-minute walking distance before treatment was compared between the two groups,p>0.05,there was no significant difference between the two groups;The walking distance of 6minutes before and after treatment was compared in the two groups.The results showed that p<0.05 had significant difference,the results showed that the six-minute walking distance between the two groups was significantly increased,and the six-minute walking distance between the two groups was significantly increased,there was a significant difference between the treatment group and the Control Group(p=0.003<0.01).It can be concluded that the six-minute walking distance in the treatment group was significantly higher than that in the control group,it showed that the effect of the treatment group was better than that of the control group in improving the exercise endurance of the patients.7.During the observation period,no positive indexes were found in HB,RBC,Plt,WBC,ALT,Bun,CR,urine routine and ECG before and after treatment,no adverse reactions were found in the two groups,indicating the safety of this test method.Conclusion:1.Bufei Jianpi decoction combined with Lung Rehabilitation Therapy(lip-abdominal breathing)in the reduction of stable COPD(lung and Spleen Deficiency Syndrome)in patients with cough;wheezing,shortness of breath;evil wind,easy to catch a cold;na Dai or less food and stomach distention or abdominal distention or loose stools,the effect was better than the control group.2.Bufei Jianpi decoction combined with Lung Rehabilitation Therapy(lip-shrinking-abdominal breathing)can make the CAT score of stable COPD(deficiency of lung and Spleen Qi)patients decrease more obviously,and6-minute walking distance is longer.3.Bufei Jianpi decoction combined with Lung Rehabilitation Therapy(lip-shrinking-abdominal breathing)can improve the clinical symptoms of COPD(deficiency of lung and spleen-qi)patients,significantly improve the quality of life and exercise tolerance,with good clinical efficacy.4.Bufei Jianpi decoction combined with Lung Rehabilitation Therapy(lip-constricting abdominal breathing)is feasible,simple and safe.