Professor Wang Xuefeng 's Experience In Treating Children' S Multiple Tourette By Pinggan Decoction And

Purpose:Adopt the method of literature research of modern literature children tourette syndrome of TCM syndrome type distribution statistics and objective evaluation, it is concluded that the distribution of TCM syndrome types of the disease, reveals the card type distribution, provide the basis for clinical classification and standardization of syndrome differentiation research. Used in the study of traditional Chinese medicine treatment of MT generic Yale comprehensive twitch severity scale at home and abroad, and combining with the scale of syndromes, objective evaluation the method of liver Xi Feng polyester phlegm of Professor xue-feng wang of treatment the curative effect of MT, relapse and safety, looking for MT is safe and effective method of treatment.method:1. Literature research:To use computer and manual two kinds of retrieval methods, knowledge retrieval China journal full-text database(CNKI), chongqing weipu full-text journals database(CQVIP), a database of ten thousand, from 1998-2013, a total of 15 years. Search strategy: Foul with tourette syndrome, twitch a syndrome as the search term, therapy of traditional Chinese medicine and modern medicine combined therapy in combination into different retrieval model for retrieval. Will be included in the standard of traditional Chinese medicine and traditional Chinese and western medicine combined with literature according to the TCM syndrome type of cases of frequency and frequency. 2. Clinical research: MT 74 cases of clinic patients can be divided into two groups, Chinese traditional medicine group 42 and combined with 32 people. Chinese traditional medicine group to oral brain stop soup, combined with the group on the basis of oral brain soup stop gradually reduced until the stop using western medicine. To the YGTSS, TCM symptom scale for clinical observation. Observation: irritability, wheezing due to retention of phlegmin throat, REINS swelling in,mental state, sleep, mainland, tongue veins. YGTSS score including damage movement twitch, voice twitch, comprehensive, overall twitch. Observation before and 4 weeks, 8 weeks treatment, after treatment, the improvement of TCM symptoms and YGTSS deduction, situation, evaluate the curative effect after 12 weeks, And test the safety evaluation of drugs. Observed after 3, 6 months follow-up of 2 times, mainly records relapse and rebound.Results: 1. Retrieve a total of 596 articles, a total of 147 articles were included in the standard.Literature evidence type name totaled 89 kinds, appear in the certificate of classification, total 36 kinds, frequency, a total of 196 times in the literature statistics, the total number of cases in 8145 cases. 2.The high rate of syndromes of TCM on the Children with tourette syndrome according to the literature are Hepatic port of spleen deficient, Liver syndrone(22.45%), liver syndrone pixu(spleen deficient) pneumatic syndrome(14.29%), kidney, liver syndrone(7.65%), the wind, phlegm on one card(5.61%), liver and kidney Yin deficiency syndrome(4.59%), followed by sputum poly(4.08%), heart syndrome(4.08%), gas fire Yu Hua fire certificate(3.57%), Yin deficiency, pneumatic certificate(3.57%), heart deficiency syndrome(3.06%); Cases according to the frequency for the justification of the top 10: liver syndrone pneumatic syndrome(23.24%), followed by liver syndrone(20.90%), the wind, phlegm on the interference of syndrome(8.57%), kidney, liver syndrone(7.38%), followed by sputum poly(4.98%), heart the fire(3.77%), spleen and kidney deficiency(3.35%), two gas Yu Hua fire(2.99%), liver and kidney Yin deficiency(2.90%), Yin fire(2.86%). 3. MT of men than women, about 2.6:1; MT good hair at children under the age of 12, 8 to 10 years for the onset of peak. 4.Traditional Chinese medicine group and combination group each index had no significant difference before treatment, the baseline is consistent,comparable.Both groups can significantly improve tourette syndrome of irritability, wheezing due to retention of phlegm in throat, REINS swelling in, sleep not solid, complexion, mainland and other symptoms. Compared with the combined group, Chinese medicine treatment group is better than the combination group.The two groups before and after treatment of Yale scale twitch scoring average comparison, TCM syndrome score in the group, with significant difference statistically significant(p < 0.01), but the Chinese medicine treatment group is better than the combination group.In the process of the treatment combined with group 4 weeks and 8 weeks treatment Yale twitch score difference was statistically significant(P < 0.05), suggesting combined with western medicine on a rebound after the symptoms. 5.Followed up for 3 months, the recurrence of traditional Chinese medicine group and the rebound is lower than the combined group(P < 0.05); 6 months, the recurrence and rebound of differences between the two groups(P > 0.05).Safety and adverse reactions assessment: the experiment was not observed medication on cardiovascular, liver, kidney and blood system have abnormal effects and adverse reactions.Conclusion:1. Liver syndrone pneumatic, hepatic port ofsple en deficient is the main syndrome types tourette syndrome in children. 2. The basic pathogenesis of the disease of the basic pathogenesis of the disease for modern disorders, liver pathogenesis, poor person, diseases with ease, Yu Jiu fire, burning jin Lian Ye for phlegm, or by the spleen and stomach weak, wet to phlegm, long yu and the heat, phlegm heat actuating, autumn zephyrlily carry phlegm walking meridians, on the qing dynasty. This disease in the main in the liver, and lungs are lung, kidney, etc. The method of liver Xi Feng polyester phlegm of Professor xue-feng wang can effectively improve children tourette syndrome in children with irritability, throat phlegmy bloated with sound, REINS, complexion, sleep, such as mainland syndromes. The fungicides were played flat liver Xi Feng polyester phlegm effect, the whole party drug use reflected the method of liver Xi Feng polyester phlegm of professor xue-feng wang treatment of thought. 3. Method of liver Xi Feng polyester phlegm treatment of MT, can significantly improve children sports twitch, reduce the patient’s comprehensive damage twitch and Yale generally twitch score, curative effect is superior to the combination group. At the same time also can improve the voice twitch, and combined treatment group. 4. Disease relapse: to take western medicine to treat the disease of children, using traditional Chinese medicine(TCM) at the same time, to rapidly, western medicine not to increase disease recurrence and rebound, avoid the side effects of western medicine.