Clinical Observation On Yang-warming And Dredging Therapy Combined With Acupoint Application In The Treatment Of Bronchiectasis Due To Yang-deficiency And Phlegm Phlegm Obstruction In Stable Stage

Objective: This study is to watch the clinical effect of Yang-warming and dredging therapy combined with acupoint application therapy on patients with stable bronchiectasis due to yang-deficiency and phlegm obstruction,hoping to provide a new treatment idea for patients with stable bronchiectasis from the perspective of traditional Chinese medicine.Methods: From September 2019 to September 2021,50 patients who were hospitalized in the outpatient department of respiratory department of the affiliated hospital of Jiangxi University of Traditional Chinese Medicine were selected,which were in accordance with the stable stage of bronchiectasis and the syndrome type of yang-deficiency and phlegm obstruction.and the patients were randomly divided into treatment group and control group.Among them,25 patients in the treatment group and 25 patients in the control group,the treatment group were treated with Yang-warming and dredging therapy combined with acupoint application,while the control group was given oral erythromycin enteric coated tablets plus ambroxol hydrochloride tablets for 4 weeks.Observe the effective rate,acute attack rate,incidence of adverse reactions and the improvement of TCM symptom score and St.George’s respiratory questionnaire score before and after treatment in the two groups,and statistically analyze the results by SPSS25.0 to evaluate the clinical efficacy of the two groups.Results:1.TCM syndrome total score:after treatment,the total scores of TCM symptoms in both groups decreased,and the amelioration degree of treatment group was significantly better than the control group(P<0.01).2.TCM Syndromes:In improving the fraction of TCM symptoms,the treatment group can significantly improve the symptoms such as cough,expectoration,wheezing,shortness of breath,chills,spontaneous sweating,dry mouth and fatigue(P<0.05),while the control group can only improve some symptoms such as cough,expectoration,panting and shortness of breath(P<0.05)Moreover,the treatment group is better than the control group in improving the symptoms of expectoration,wheezing,chills and spontaneous sweating(P<0.05).The results show that the method of warming yang and dredging meridians combined with acupoint application can well improve the clinical symptoms of patients with bronchiectasis.3.After treatment,the total effective rate of the treatment group was 87.5% and that of the control group was 56.5%,which was higher than that of the control group(P<0.05).4.After treatment,both of the groups can reduce the symptom score of St George’s respiratory questionnaire(P<0.01);The treatment group can reduce the activity limitation score of patients(P<0.05),but there is no significant difference compared with the control group(P>0.05).Both groups can reduce the disease impact score of patients(P<0.01),and the treatment group is better than the control group(P<0.01).Both groups can significantly reduce the total score of St.George’s respiratory questionnaire(P<0.01),and the treatment group is significantly outstanding than the control group(P<0.01).5.During the treatment period,there was 1 case of acute attack in the treatment group,3 cases of acute attack in the control group,the acute attack rate in the treatment group was 4.2%,and the acute attack rate in the control group was 13.04%,but the treatment group was no significant difference compared with the control group(P>0.05).6.In therapy,no adverse reactions have happened in both groups,and the safety evaluation was good.Conclusion:Yang-warming and dredging therapy combined with acupoint application has a good clinical effect on stable bronchiectasis due to yang-deficiency and phlegm obstruction,which can significantly improve a series of clinical symptoms such as cough,expectoration,cold phobia and spontaneous sweating,significantly reduce the disease impact of bronchiectasis,It also can significantly improve the clinical symptoms and disease effects of patients,which is easy for patients to accept and worthy of clinical promotion.