The Relevance Between(infection Period)TCM Syndrome And TCM Constitution About Recurrent Respiratory Tract Infection

Objective: By studying the relationship between TCM symptoms and physical constitution of children with recurrent respiratory tract infectionduring the acute infection period,we applied the treatment model of combining the identification of quality and evidence to the treatment of recurrent respiratory tract infections(infection period),hoping to reduce the prevalence and improve the clinical efficacy through early interventi-on in the children’s physical constitution;at the same time,we also provided reference for the prevention and treatment of the disease from the perspective of physical conditioning.Methods: A questionnaire was used to investigate children with recurrent infection in the acute infection period who attended the pediatric outpatient clinic of the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine from March 2021 to February 2022.The survey included information about the general condition of the children,the TCM evidence type during the infection period,and the physical condition of the children with recurrent infection.The data were recorded into Excel tabs to establish database information,and SPSS statistical software was used for statistical analysis.Results: 1.General information of 220 children with relapsed sensa-tion:(1)Gender: 128 males and 92 females,male to female ratio1.39:1,more males than females.(2)Age: The youngest age was 1 year and 2 months,and the oldest age was 5 years,with an average age of(3.48±1.07)years.The age of children aged 3 to 5years is the most common,accounting for about 80%.(3)Preferredseasons: winter,irregular and spring were the most frequent cases,with 59(27%),48(21.8%)and 40(18.1%)cases,respectively.2.The distribution of TCM types during the infection period in 220 children with recurrent infection: 97(44%)cases of windcold cold >89(40.5%)cases of wind-heat cold>34(15.5%)cases of summer cold.There was a correlation between the TCM evidence type andthe season at the time of consultation,and no correlation with gender,age and disease duration.Wind-cold colds were more commonin winter and spring,summer colds were more common in summer,and wind-heat colds were more common in spring and autumn.3.220 children with recurrent illnesses had the following physical distribution:166 cases(75.5%)had a single body type;54 cases(24.4%)had a compound body type.The distribution of single constitution was qi deficiency(20.5%)> pinghe(16.9%)>yin deficiency(15.1%)> damp-heat(14.5%)> special endowment(13.8%)> yangdeficiency and phlegm-damp(9.6%).There were no children with qi-yu or blood stasis.54 children with recurrent respiratory tract infections had a composite body type distribution of qi-vacant + yin-vacant(35.2%)> yin-vacant +damp-heat(25.9%)> qi-vacant + yang-vacant(22.2%)> damp-heat +phlegm-damp(16.7%).Therewas no correlation between each body type and gender,age,disease duration,and season(P > 0.05).4 Correlation between TCM evidence and body type:(1)Wind-cold cold was positively correlated with Qi-vacant,Yang-vacant,and Qi-vacant+Yang-vacant complex body types,and negatively correlated with Damp-heat,Yin-vacant,Phlegm-damp+Damp-heat complex body types,and Yin-vacant+Damp-heat complex body types(P < 0.05).(2)Wind-heat cold was positively correlated with yin deficiency,damp-heat,and yin deficie-ncy + damp-he complex,and negatively correlated with qi deficie-ncy,yang deficiency,and qi deficiency + yang deficiency complex(P < 0.05).(3)There was a positive correlation between summer colds and phlegm-damp,damp-heat,and phlegm-damp +damp-heat complex body types(P < 0.05).Conclusion(s):1.The distribution of TCM evidence during the acute infection period in children with recurrent infection is closely related to the seasons.2.The physical constitution of children with recurrent infection is characterized by qi deficiency,pinghe,yin deficiency and damp-heat.3.Qi deficiency and Yang deficiency children tend to suffer from wind-cold colds;Yin deficiency and Damp-heat children tend to suffer from wind-heat colds;Phlegm-damp and Damp-heat children tend to suffer from summer colds.