Discussion On The Characteristics Of TCM Syndromes In Acute Exacerbation Of Patients With Comprehensive Evaluation Of Chronic Obstructive Pulmonary Disease

Chronic obstructive pulmonary disease(COPD)is a common respiratory disease characterized by progressive,recurrent attacks and decreased lung function.It results in large economic losses;heavy burdens of society and families;high mutilation rate and high lethality rate.In recent years the morbidity of COPD keeps a yearly increased tendency,while along with the dramatic decline of Cardiovascular Disease morbidity.According to our epidemiological survey,COPD causes 1 million mortality a year.Respiratory diseases mainly COPD are the fourth leading cause of death in city and the first leading cause of death in rural area.At present,COPD lakes of specific drug in sake of its’various pathogenic factors and western medicine has relatively large toxic and side effects.Traditional Chinese Medicine has original priority in the treatment of COPD,and the efficacy and safety of TCM has been accepted preliminary in clinic.Traditional Chinese medicine is a special therapeutic way on management and prevention in our country and so many clinical researches show that TCM has positive effect on preventing acute exacerbation and improving the manifestations in COPD.Since the system for study the syndromes of COPD is not properly,to set up a good program for TCM syndromes is a major project.The paper is composed by document reviews and clinical research.Document review:The review of traditional Chinese medicine documents included pathogenesis of TCM,syndrome differentiation,treatment method on chronic obstructive pulmonary disease.Traditional Chinese medicine treatment of AECOPD were summarized,including the medical treatment,auricular therapy,acupuncture sticking,etc.The review of Western medicine documents included the definition of COPD pathogenesis,diagnosis,standards of’ stage and grade and risk factors,treatment and so on.Clinical research:Objective:Study relationship between the Comprehensive assessment of Chronic Obstructive Pulmonary Diseases(COPD)and symptoms of traditional Chinese medicine syndromes of Acute Exacerbation Chronic Obstructive Pulmonary Disease(AECOPD)。Taking the Comprehensive assessment of COPD as the standard,it studies inherent laws of AECOPD including organs disease,pathogenesis change,common syndrome.Method:A retrospective analysis is adopted.Stable patients is graded by comprehensive assessment of classification.The patient’s acute syndromes are collected.Disease location,disease resistance,pathogenesis,etc.are statistical analyzed.The complex syndromes summarized as simple syndrome,all levels syndromes were compared.Results:Sputum、deficiency、and stasis run through the whole development of AECOPD.Stable patients with severe disease(lung function FEV1<50%predicted)in the acute phase got yin deficiency significantly increased.Disease occurrence form lung to kidney gradually increased.Stable patients with mild disease(FEV1/FVC>50%)got two common syndromes.The common syndromes are qi deficiency blood stasis phlegm-heat accumulated in the lung and qi deficiency blood stasis phlegm blocking in lung.Yin deficiency is low.Disease occurrence form lung to kidney has no significant related with the severity of the disease.Conclusion:The patients of AECOPD have deficiency syndrome accompanied with excess syndrome.Sputum、deficiency、and stasis run through the whole development of AECOPD。Chronic obstructive pulmonary disease mainly relates to the lung、kidney and spleen.Disease occurrence form lung to kidney gradually increased and yin deficiency significantly increased in the patients with severe disease.