| Chronic Obstructive Pulmonary Disease (COPD) is very rifeness, but we don't think much of it . It takes on the emphysema and the tardiness bronchitis , which are the character of the airflow block. The airflow block assume carrying through development, but part of them have reversibility. The disease is likely to the high reaction of the breathe path. The patients main symptom are ordinary breathe heavily (out of breath), sport endurance badness and the breathe path block so on. Chronic Obstructive Pulmonary Disease(COPD) has become an important question of commonality sanitation , owing to the much number of patients, high death rate and the weightily economy burden .The therapy of Traditional Chinese Medicine (TCM) take on the better curative effect, in the Alleviation Term of Chronic Obstructive Pulmonary Disease (COPD) .However a large number of questions are in existence. Most of them are sort of the normative Rx. With the development of TCM, we must starve for setting down a normative Rx of COPD. According to the disease trait of the weak lung, spleen and kidney, sputum and gore hinder lung , we put forward a new scheme of TCM, integrating long-term clinical practice and research. The research offers a definite gist for the applying of TCM into the alleviation term of COPD. 一, literature researchThe word of COPD doesn' t appear in TCM. Due to the clinical representation and the course of the pathological changes evolvement, COPD pertains to the categories of the internal injury cough, asthma and lung swell so on in TCM . TCM have considerably discussed the disease such as: the one of the lung swell patients such weak fill as to breathe heavily first appeared in《Lingshu · Zhanglun》 . The character of COPD belongs to the weak root of the weak gas of the lung, spleen and kidney , and the true sign of the six excessive,sputum and gore. The location of the illness is in lung , spleen , kidney, heart, liver and brain so on. The treated countermeasure will be generalized the dispel evil, help positive, vivid blood, turn gore, melt sputum and drop gas. As urgent, we must take temporary solution. As relaxed we must effect a permanent cure and give attention to two or more things.Modern medicine definitude have cognizance of it. COPD is a sort of the airflow limit disease, which bears on the abnormity inflammation reaction of the bad gas and granule. But now the mechanism has not perspicuity. The most studies of the mechanisms are the cell mechanism, unbalance of the albumen enzyme—contradict albumen enzyme system and oxidizer effect. According to the difference of the alleviation and aggravation term, we have established the corresponding treated principle. In the alleviation term of COPD, we will select the different therapy way, based on the difference of the severity degree. The Rx has a definite research foreground 二, clinical researchObjectives: To improve the lung function and survival quality, we choose the randomized antitheses and the former look up clinical experiments, and establish the TCM Rx of COPD. Methods: The study is designed as a randomized controlled trial. 200 subjects are enrolled. The patients of trial group take TCM and accept the same therapy of modern medicine as the controlled group. We investigate their clinical syndromes and detect the change of the index such as the lung function , survival quality, treated fee , the repetition times of hospital and MDA after a week and two weeks. Results: 1, After treated, The chough, sputum , asthma and asthma sound melioration of the controlled group have prominence (P<0. 01) . Of the collated group, the asthma sound melioration has prominence (P<0.01) and the chough, sputum and asthma melioration have prominence (P<0. 05) . After treated, the chough, sputum and asthma melioration have prominence between the controlled group and the collated group (P<0.05) . In improving the clinical symptom, the controlled group are better than the collated group. 2, Between the former and after therapy , the FEVl and FEV1% difference of every group has no prominence (P >0. 05). The FEVl of the controlled group descend 13ml/half year, about 0. 3% and the collated group descend 33ml/half year, about 1.4%. The level of Zrs and R5 is higher than the normal level before treated. After treated, The controlled group level of Zrs and R5 have prominence (P<0. 05) and the collated...
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