Clinical Observation Of Chinese Medicine Combined With Acupoint Application In Treating Children With Wind-heat Phlegm Syndrome Of Acute Cough

Objective:Through this prospectie cohort clinical research,the application Chinese medicine treatment of children acute cough(common cold)cold clamp on the basis of phlegm syndrome with acupuncture points,after three days of observation of children’s cough cure rate,the recovery,effective,by analyzing the predominance of acupoints were applied with traditional Chinese medicine therapy,so as to optimize treatment of infantile acute cough(common cold)cold treatment of phlegm syndrome.Methods: According to the diagnostic criteria,inclusion criteria and exclusion criteria(abscission criteria),a total of 58 cases of children with acute cough syndrome of chill and phlegm inclusion were collected,and 30 cases of pure Chinese medicine + acupoint application treatment experimental group and 28 cases of pure Chinese medicine treatment control group were set up.Experimental group: Maxingshigan decoction combined with Suxia decoction plus or minus traditional Chinese medicine treatment,1 dose per day,divided into three doses in the morning,middle and evening,50 ml for 1-3 years old,100 ml for 3-6 years old,and 150 ml for 7-15 years old.At the same time,acupoint application treatment(Dazhui,Feishu and Shanzhong)was given for 3 days,with a total course of3 days.Control group: Maxingshigan decoction combined with Suxia decoction plus or minus pure Chinese medicine was given,1 dose a day,divided into three doses in the morning,medium and evening,50 ml for 1-3 years old,100 ml for 3-6 years old,and 150 ml for 7-15 years old.The total course of treatment was 3 days.Before treatment and after 3 days of treatment,the score data of cough scale were statistically analyzed,and the final statistical results were analyzed and compared using SPSS25.0 statistical software.Results:(1)Before treatment,there was no statistical difference between the two groups in gender,age,distribution,course of disease,disease condition and other general information,showing comparability.(2)According to the statistics,the total effective rate of the two groups was 96.7% in the experimental group and 67.9% in the control group,which was significantly higher in the experimental group than that in the control group(P < 0.01),with statistical significance.(3)The improvement of cough symptom scores in both the experimental group and the control group after treatment was statistically significant(P < 0.01),and the efficacy of the experimental group was better than that of the control group(P < 0.01).(4)Before and after treatment,the differences in day-daytime cough scores and night-night cough scores between the experimental group and the control group showed significant improvement in cough scores(P < 0.01).After treatment,the daily and night cough scores of the control group were significantly compared(P < 0.01).There was significant improvement in intergroup and daytime cough score between the experimental group and the control group,and the curative effect of the experimental group was better than that of the control group(P < 0.01).(5)Before and after treatment,there were significant improvements in the efficacy of the same age group in the experimental group(P< 0.01),and significant improvements in the efficacy of 4-6 years old(P < 0.05)and 7-12 years old(P < 0.01)in the control group.After treatment,there was no statistical significance in efficacy comparison between the two groups in the same age group,and no age difference was found at present.After treatment,the efficacy of children aged 4-6 years(P < 0.01)and 7-12 years(P< 0.05)in the experimental group was better than that in the control group,with statistical significance.(6)Before and after treatment,the improvement of cough efficacy in children of different genders in the test group and the control group was significant(male-male,P < 0.01),female-female,P <0.01;In the control group,male-male P < 0.01,female-female P <0.05).After treatment,there was no statistical significance in the improvement of cough efficacy in children of different genders in the two groups,and no gender difference was found at the moment.After treatment,the improvement of cough in children of the same sex between the two groups was better than that in the control group(male-male P < 0.05,female-female P < 0.01),and the difference was statistically significant.(7)Before and after treatment,there were significant differences in the cough efficacy of children with mild and moderate disease in the two groups(P < 0.01),and severe children could not be counted.After treatment,the comparison of each disease group in the two groups was mild to moderate(experimental group P < 0.05,control group P < 0.01),with statistical significance.After treatment,the effect of mild(P < 0.01)and moderate(P < 0.05)cough in experimental group was better than that in control group,which was statistically significant,while severe children could not be counted.Conclusion :The clinical efficacy of TCM acupoint application combined with TCM in the treatment of children’s acute cough(cold,wind and cold with sputum)is better than that of the control group,and the relieving degree of cough in the daytime is obviously better than that of the control group.For children aged 4-6 and 7-12,the efficacy was better than that of the pure Chinese medicine group;At the same time,the effect is better for children with mild cough than for children with moderate cough.Therefore,infantile acute cough(cold cold clip phlegm syndrome)treatment,in the early stages of the disease,especially for pre-school children with cough,school-age children and the daytime obvious tile should be in traditional Chinese medicine and acupuncture points apply combination therapy,can block the progress of the disease in time,alleviate the symptom such as cough and expectoration,children do have disease prevention,in line with the characteristic of Chinese medicine "cure not ill".