| Objective:For the past few years, hypersensitive diseases has shown the tendency of increasing in the whole island of Taiwan year by year because of the reasons, such as environmental pollution, and changes of eating habits, etc, brought by the progress of civilization. Among them, bronchial asthma in children has great threat on the health of many kids.Nowadays, ronchial asthma is a kind of chronic airway diseases that is the most commonly seen in the world, the total number of patients with asthma in the whole world has reached 100 millions. However, in the last 20 years and more, the morbility of asthma has raised continuously, especially for that of asthma in children. According to the investigations and statistics, the morbility of asthma in children and youth in western countries has changed from 4% to 10%, the morbility of asthma in Australia rose from 12.9% in 1982 to 19.3% in 1992,26.2% in 1975 to 34.0% in 1989 in New Zealand, and 3.4% in 1981 to 8.0% in 1993 in Norway. While, the condition of Asia is also not optimistic, the morbility of asthma in Japan went from 0.5% in 1967 up to 4.6% in 1993,2.3% in 1984 to 8.2% in 1992 in Indonesia,4% in 1967 to 20.8% in 1991 in Singapore,6.6% in 1992 to 11.3% in 1995 in Hong Kong,2.4% in 1988 to 3.5% in 1995 in Guangzhou, and 0.75% in 1979 to 3.56% in 1989 in Shanghai. At the same time, the morbility of allergic asthma in children in Taipei is increasing rapidly. The statistic data of the deceased president of Cheng Kung Children's Hospital, professor Xie Guixiong, showed that, in 1975, the incidence of bronchial asthma in children (7 to 15 years old) in Taipei was 1.3%, while it reached 10.8% in 1994. According to the latest investigation of Taipei City Hospital entrusted by Taipei City Health Administration, the incidence of asthma has risen to 20.34%(1996), and it's still in increasing. Therefore, it can be predicted that the incidence of bronchial asthma in children would be higher, and asthma has become a serious public health problem and been paid attention to in different countries of the world. Dec, 11,1998 was named as the first world asthma day, so as to evoke the attention of the public on asthma.The attack of bronchial asthma in children is due to the exterior or interior allergen or non-allergen factors, which result in the reversible obstruction of the bronchus. In clinic, its main symptoms include short of breath, cough, frothy sputum and wheezing rale of the lung caused by the repeated and paroxysmal bronchial spasm. If it is not treated or controlled as soon as possible, it often affects the ability of children's activity and study ability, and also retards the growth of children correspondingly. For this reason, bronchial asthma in children is a kind disease that we should lay emphasis on. Although western medicine could control bronchial asthma in children very fast, it has great side effects, and the long-term effect is not so good. So there are many patients turning to the treatment of Traditional Chinese Medicine (TCM). There are various ways of TCM treatment, for instance, oral taking herbs, acupuncture, catgut implantation at acupoint, acupoint injection, point application and massage, etc. Even though there are so many therapies, a lot of children could not accept properly or take medicine on time, and therefore having a negative impact on the effect. In order to make the children easy to accept and with little side effect, point application was applied. The effect of this therapy was recorded in many medical books in the past. Now we use this way to deal with bronchial asthma in children, and it is used in dog-days of summer that is the hottest time, so as to achieve the function of warming Yang and invigorating Qi, removing the latent cold evil in the lung. Hope to provide a kind of effective and scientific therapy to benefit the children with bronchial asthma.Methods:About 120 children with bronchial asthma (short of breath) from 5 to 18 years old in the clinic were chosen as the study objects, and they were randomly divided into 4 groups, each group includes 30 cases. Different observations are as following:1. Point application on the back group:Da Zhui, Feng Men (both), Fei Shu (both) were selected, applied the plaster on the points respectively, fixed by air permeable adhesive tape, and sticked for 4 hour (according to the tolerance level of the skin of children). It began on the first dog-days, and continues once on middle dog-days and end dog-days respectively. The herbs was Guizhi powder 30%, Fuzi powder 30%, Baijiezi powder 20%, Suzi powder 10% and Xixin powder 10%, and they were mixed by ginger juice to the ointment according to the ratio.2. Point application on the sole of feet group:Yongquan (both), applied the plaster on the points respectively, fixed by air permeable adhesive tape, and sticked for 4 hour (according to the tolerance level of the skin of children). It began on the first dog-days, and continues once on middle dog-days and end dog-days respectively. The herbs was Guizhi powder 30%, Fuzi powder 30%, Baijiezi powder 20%, Suzi powder 10% and Xixin powder 10%, and they were mixed by ginger juice to the ointment according to the ratio.3. Medicine group:Took the concentrated powder of She Gan Ma Huang Tang in Shang Han Lun as the prescription,3 times per day,2.5g for 5-10 children each time,3g for 11-18 children each time, continue for 1 month.4. Extreme infra-red ray group:Tian Yan Extreme Infra-red Ray Instrument was used (power 800W,4-14μm), irradiated for about 15min, taking Shen Zhu point as the centre, once a week for 1 month.Results:Point application on the back group:3 cases showed clinical obvious effect,23 cases were effective,4 cases were invalid, total effective rate was 86.7%. Point application on the sole of feet group:the obviously effective, the effective and the invalid were 3 cases,22 cases and 4 cases respectively, total effective rate is 86.2%. Medicine group:they were 3 cases,20 cases and 6 cases, total effective rate was 79.3%. Extreme infra-red ray group:they were 0 case,8 cases and 20 cases, total effective rate was 28.57%. Comparing the clinical effects of the four groups, by Ridit analysis, the comparisons among point application on the back group, point application on the sole of feet group and medicine group showed no statistical meaning (P>0.05), and the effect of each of the three groups was better than that of extreme infra-red ray group (P<0.05).Indication:The clinical effect comparison of the Ridit value 95% confidence interval of the four groups:point application on the back group> point application on the sole of feet group> medicine group> extreme infra-red ray group.Conclusions:The results of this study indicate that the effect has obvious differences in the point application group, comparing with those of the medicine group and the extreme infra-red ray group by statistical analysis. It can be seen that point application therapy is a kind of simple, easily performing, little suffering and easily acceptable method to treat bronchial asthma in children due to deficiency. It's a good way in clinic of TCM. Although both of them used point application, the difference of point application on the sole of feet and that on the back is not so big, which can results in two conclusions:first, for point application to deal with bronchial asthma in children due to deficiency, the selection of points is very important; secondly, conducting the Qi back to its source is an essential idea in treating bronchial asthma in children due to deficiency. The children with bronchial asthma due to deficiency have the constitution of kidney deficiency (deficiency in origin) in some extent. Kidney is the congenital foundation, and this kind of constitution with kidney deficiency could be considered that these children have allergic constitution in congenital. The statistics indicate that the effect of using extreme infra-red ray to treat bronchial asthma in children due to deficiency is not as good as it was predicted, and the conclusion is that it could not take the place of point application yet. During the hottest time of the dog-days in summer, applying pungent-warm herbs with the function of expelling phlegm and scurrying on the related points invigorate the Yang Qi of human body, and remove the latent cold evil inside the lung. The idea based on treating winter diseases in summer is very important to the prevention and treatment of bronchial asthma that is easy to attack in autumn. It was thought that only bubbles on the skin occurred, could the point application be effective. In this study, the way that was used has little contacting area with the skin, the time is not very long, and the herbs do not belong to those with excessive stimulations. The result is that point application on children does not need strong stimulation, which may hurt the skin. Point application in treating bronchial asthma in children is mainly based on the theory of meridian system of TCM. Currently, western medicine dealing with bronchial asthma in children is mainly performed by resisting the inflammation of trachea, and the first selection is hormone. However, long time of using hormone may bring about inevitable side effects, which make the family of the diseased children hesitate, so point application is a good selection to treat bronchial asthma in children, and it's worthy of spreading and using. |
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