| Objectives:Bronchial asthma is a common respiratory disease, the world there are about300million cases of asthma in children and adults, prevalence of about3.3%-29.0%and1.2%-25.5%respectively, the incidence of a disease is on the rise. Thereby increasing the burden to individuals and society. Traditional Chinese medicine treatment of asthma has a long history and unique advantages. This study by means of clinical questionnaire and data analysis, observation of patients with bronchial asthma in TCM syndrome factor distribution and the syndrome characteristic of science, to study the clinical characteristics and pathogenesis of the disease, in order to deepen understanding and the understanding of disease, and provide reference for clinical syndrome differentiation type, to better guide clinical treatment.Methods:This study collected172patients in the chronic duration or clinical remission of adult bronchial asthma cases, patients in the form of a questionnaire survey to collect data and information of syndromes. Which mainly elderly men, male to female ratio of1.53:1, patients age65years old, biggest minimum16years of age, age distribution to56-65age group accounts for the largest share, or41.3%of the total; Higher education level (bachelor degree or above college) and engaged in knowledge workers big proportion of the total number of patients, accounted for70.2%; Have a clear career allergen exposure history (19cases). There is family history of allergies to12cases, accounted for7.0%, personal history of allergies to104cases, accounted for77.9%. The longest duration of50years, the shortest2months, the average duration of12.3years. Course of the disease or the highest proportion of total5years or less, the second is6to10years. Nearly67%of the patients with inhalation or contact with specific sensitization was the main induced way;8.7%of patients induced by inhaling cold air or dry environment; A few patients induced by aspirin, sport or modern factors.Data analysis processing, first reference Zhu Wenfeng syndrome differentiation, scale, convert the signs and symptoms of collected into mapped to53standardized diagnosis of syndrome elements weights. And then observe the involves the distribution characteristics of syndromes elements. Threshold, the specific method is:set will diagnose weight is greater than the observed threshold syndromes elements extracted and system cluster, then reference clustering results justify syndrome elements focused observation analysis. Finally for syndrome factor differentiation syndrome characteristics were observed. Specific means is: set the diagnostic threshold, and the syndromes diagnostic weight is greater than the threshold factor extraction and combination, so as to get the card type; Card type to descriptive statistics, bronchial asthma syndromes resulting from learning characteristics.Results:Syndrome distribution: All involved syndromes, constitute more than50%in article11, including the spit, spontaneous sweating, cough, asthma, easy to catch a cold, shortness of breath and pulse string, bosom frowsty, languid, sputum color white, lumbar debility. Syndromes article3710%above, basic reflects the bronchial asthma in the acute phase the main symptoms of tongue and pulse, the spit, spontaneous sweating, cough, asthma disease of four frequency of most. After bluff syndrome classification statistics found that respiratory syndrome are: frequency is more than30%in spit sputum, cough, wheezing, shortness of breath, color white, wheezing sound in the throat, sputum less diluted. Systemic syndrome in frequency is greater than30%are:from the sweat, easy to catch a cold, bosom frowsty, languid, lumbar debility, giddiness, dizziness, insomnia, body (acid). Lingual arteries and veins, composition ratio greater than10%of the coating have moss thin white, yellow greasy coating on the tongue, tongue coating and tongue coating. Constituent ratio is more than10%of the tongue tongue teeth marks, dark red tongue, tongue (dark), red, pink tongue. Constituent ratio is more than30%of the pulse string pulse condition, greater than10%pulse, pulse number and pulse condition of arteries and veins, arteries and veins.The syndrome factors:Element in the justification of all involved, constitute a ratio greater than30%of the disease syndrome, kidney, spleen, known as the lung, table is greater than10%of the liver, heart, involves the least mind [brain] and stomach. Constituent ratio is more than30%of the disease syndrome known as Qi deficiency and phlegm, Yang deficiency, composition ratio more than10%of Yin deficiency, Qi is not solid, drinks, blood deficiency, dampness, and Qi stagnation, fire [hot], constitute less than10%have a cold, hand, water park, blood stasis, Qi depression. Involved in the disease syndrome factor concentration distribution in the lung, kidney, spleen, tables, disease syndrome factor concentration distribution in Qi deficiency, Yang deficiency, Yin deficiency, blood deficiency, phlegm, dampness, drinks, water park around. All patients have different degrees of Qi and blood deficiency of Yin and Yang,78.5%(135cases) patients with water fluid metabolic disorders.The characteristics of syndrome manifestations:Justification of the survey, the occurrence frequency of most type of pulmonary Qi deficiency syndrome, followed by lung phlegm turbidity resistance syndrome, lung and kidney deficiency syndrome, spleen deficiency syndrome, lung spleen kidney deficiency syndrome, lung spleen deficiency syndrome, Yin deficiency syndrome, lung pulmonary Qi and Yin deficiency syndrome and liver Yin deficiency fire certificate. Also exist the zang-fu organs and the4cases, for Qi deficiency of lung and liver depression and Qi stagnation syndrome, Qi deficiency of lung and liver and kidney Yin deficiency syndrome, lung and spleen deficiency and liver and kidney Yin deficiency syndrome, and Qi deficiency disease is not clear of the5cases, Qi and Yin deficiency syndrome in2cases.Conclusion: 1Viscera Qi deficiency is the important foundation of asthma onset and its main disease in the lungs, often accompanied by spleen kidney deficiency, is deficient in the nature of Qi (Yang) deficiency.2Phlegm is one of the important pathological factor controlling asthma. |
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