Heat-sensitive Moxibustion Therapy Research On Chronic Persistent Of Children Asthma

Objective:To pick up clinical information direct at Childish Bronchial Asthma meeting the clinical standards, provide moxibustion therapy prescription combining with specific acupoint theory, and investigate moxibustion sense response, curative effect of pulmonary function and clinical curative effect of those chronic persistent of Childish Bronchial Asthma based on heat-sensitive moxibustion therapy, to further observe the influencing factors of heat-sensitive moxibustion and the improve degree of the clinical effect.Method:Adopt randomized parallel control study, we intend to intake 60 cases of standard Childish Bronchial Asthma patients, who would be randomly divided into heat-sensitive moxibustion therapy group and mild moxibustion therapy group, and provide moxibustion therapy prescription according to categorical identification in terms of Internal Organs, categorical identification in terms of Eight Classes and specific acupuncture theory. Observe two groups of patients'index including acupoint perception response, acupoint skin temperature, forced expiratory volume in one second (FEV1), peak expiratory flow (PEF)and clinical symptom control situation before and after their treatment, and perform statistical analysis.Results:1. The score condition of Chinese-Childish Asthma Control Test (Ch-CACT):Both groups were compared before and after the treatment, the score of before treatment<the one after the first period of treatment<the one after the second period of treatment;Compared between two groups, after the first period of treatment, we find that the score of Ch-CACT exists a statistically significant difference(P＜0.05). After the second treatment:the score of Ch-CACT in two groups we find the difference was no statistical significance (P>0.05). After two course of induction therapy:(1) heat-sensitive moxibustion therapy group:12 cases are positively controlled, accounted for 40.00%; 18 cases are partially controlled, accounted for 60.00%; 0 is uncontrolled. (2) mild moxibustion therapy group:9 cases are positively controlled, accounted for 30.00%; 20 cases are partially controlled, accounted for 66.67%; 1 is uncontrolled, accounted for 3.33%.2. FEV1, PEF condition:Heat-sensitive moxibustion therapy group was not statistically significant differences between before and after the treatment(P>0.05); mild moxibustion therapy group was not statistically significant differences between before and after the treatment(P>0.05); They do not lead to distinctive different after treatment(P>0.05). 3. Acupoint temperature situation:In heat-sensitive moxibustion therapy group, the skin temperature when acupuncture perception response emerges was higher than the skin temperature, when acupuncture perception disappears, the distribution leads to distinctively different(P<0.01); after treatment, the skin temperature of heat-sensitive moxibustion therapy group when acupuncture perception response emerges was higher than the one of mild moxibustion therapy group, the distribution leads to distinctively different (P＜0.01); the skin temperature of heat-sensitive moxibustion therapy group when acupuncture perception disappears was higher than the one of mild moxibustion therapy group, the distribution leads to distinctively different (P＜0.01).4.Acupuncture perception situation:During heat-sensitive moxibustion therapy, the acupuncture perception response outcome is:diathermancy 100%, heat spreader 96.67%, heat diffusion 83.33%, constipation and tingling 20.00%, sore feeling 16.67%, scratchiness 6.67%.Conclusion:1. Heat-sensitive moxibustion therapy and mild moxibustion therapy is valid for clinical curing of chronic persistent asthma. However, heat-sensitive moxibustion therapies receive better effect in the case of controlling asthma in a short period of time.2. The emergences of moxibustion are to some extent affect curative effect, this topic preliminary studies suggest that sometimes is incomplete.3. Acupuncture temperature of heat-sensitive moxibustion therapy is apparently higher than that of mild moxibustion therapy. Moxibustion therapy temperature is moxibustion are the important factors influencing.4. The high-risk areas in chronic persistent of Childish Bronchial Asthma were around Point BL13 (Feishu). During heat-sensitive moxibustion therapy, they appear multiple acupuncture perception, but sole acupuncture perception occurs rarely.5. Both moxibustion therapies have little effect in reference to pulmonary function index(PEF,FEV1).6. Children with chronic persistent Bronchial Asthma have the features of deficiency of lung-qi, spleen-qi,kidney-qi and defense yang. According to the therapeutic principles of treating symptom for urgency and radical treatment in chronic case, the project makes children with chronic persistent bronchial asthma receive moxibustion treatment on Point BL13 (Feishu), Point BL20(Pishu), Point BL23 (Shenshu), Point CV4 (Guanyuan), Point GV14 (Dazhui). Preliminary studies suggest that this treatment can effect the function of lung governing diffusion descending, invigorating the function of the spleen and tonifying kidney, warming yang and benefiting qi, strengthening vital qi to resist pathogenic factor.