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| Etiological analyze of the syndrome elements' distribution of Chinese medicine in pediatric cough variant asthma |
| Hits 1737 Download times 1438 Received:December 10, 2016 |
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| DOI
10.11656/j.issn.1672-1519.2017.04.05 |
| Key Words
cough variant asthma;syndrome elements;disease position;disease character;children |
| Author Name | Affiliation | E-mail | | WENG Ze-lin | Guangdong Province Hospital of Traditional Chinese Medicine, Guangzhou 510120, China | | | LI Yan | Guangdong Province Hospital of Traditional Chinese Medicine, Guangzhou 510120, China | | | ZHENG Yan-xia | Guangdong Province Hospital of Traditional Chinese Medicine, Guangzhou 510120, China | | | YANG Jing-hua | Guangdong Province Hospital of Traditional Chinese Medicine, Guangzhou 510120, China | 413192282@qq.com | | XU You-jia | Guangdong Province Hospital of Traditional Chinese Medicine, Guangzhou 510120, China | |
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| Abstract
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| [Objective] This study used the form of questionnaire combined with syndrome differentiation method to investigate the children cough variant asthma in traditional Chinese medicine (TCM) disease position elements, disease character elements and combination rule, in order to improve the children's cough variant asthma clinical syndrome differentiation level and provide the basis for the prevention and control programs.[Methods] Ninety one cases in the outpatient department of pediatrics in our hospital tally with the diagnosis standard of disease patients were as the research object. Questionnaire survey was done and the diagnostic data was collected. According to the syndrome differentiation elements scale, weight of every symptom to the syndrome elements were found and calculated. Syndrome elements threshold more than 100 points were judged to be true. Disease position syndrome elements, disease character syndrome elements and the rule of combination of disease position and disease character syndrome elements were analyzed. [Results] There were seven disease position syndrome elements in pediatric cough variant asthma. Lung was the core disease position, and the frequency of occurrence (97.80%) was significantly higher than other syndrome elements and relatively commonly seen in the syndrome elements of disease position table (95.60%). Other syndrome elements of disease position were the spleen (57.14%), stomach (29.67%), kidney (3.30%), heart (3.30%) and liver (1.10%). The average score of four syndrome elements of lung, superficial, spleen and stomach were more than 150. The combination of syndrome elements of disease position mainly was two disease positions, three diseases positions, four disease positions; the occurrence frequency of single disease position is low. In the aspect of syndrome elements of disease character, there are nine sthenic disease characters and four deficiency disease characters. In sthenic disease characters, frequency of phlegm character (53.85%) was the highest, exogenous wind-evil (45.05%), cold (40.66%) and wet (27.47%) were relatively commonly seen. The frequency of excessive fluid (10.99%), qi stagnation (8.79%), heat (4.40%), dry (4.40%), dyspepsia (3.30%) was relatively lower. Deficiency disease character elements were qi deficiency, yang deficiency, blood deficiency and yin deficiency in turn. The frequency was 87.91%, 69.23%, 50.55% and 26.37% respectively. The average score of qi deficiency and yang deficiency was more than 150. It suggested the disease was severe. The combination of syndrome elements of disease character, two disease characters was the most common. The frequency was 61 cases (67.76%), followed by single disease character syndrome element; the frequency was 19 cases (21.11%). In the form of combination of disease positions and characters, occurrence frequency of the combination of two disease positions and single disease character “lung+ superficial+ qi deficiency” was 76 (83.52%), occurrence frequency of the combination of three disease positions and single disease character syndrome elements “lung + superficial + spleen+ qi deficiency” was 51 (56.04%). [Conclusion] core position of pediatric cough variant asthma is lung, and related to superficial and spleen. The development of the disease was deficient and excessive syndromes appearing together, and qi deficiency and yang deficiency played an important role in the disease occurrence and development. Phlegm and wind were the main sthenic disease characters. Of the total, phlegm was the main pathological product and causation of disease. |
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