The Curative Effect Observation and Effect of Pulmonary function Indicatrix of Curing Bronchial asthma

Patients by buring Chords with coordination

of Shu point and Mu point

Speciality:Acupuncture and Moxibustion of  Tradiational Chinese Medicine

Author:Duan Fangyan

Tutor:Professor  Lun  Xin

ABSTRACT

Bronchial asthma is an air passage chronic inflammation ailment eosinophilegranulocyte ,mastcells ,T-lymphocytes and so on participating with. The inflammation make susc have air passage altus reactance to various kinds of provocative factors, and evokes air passage thickening and angusty, resulting in dysfunction of ventilation. Clinical manifestation is brupt, recurrent attacks of gasping, anhelation, chest distress and cough. Regularity plexy and tensify at night and/or luce prima. These symptoms can relieve by themselves or by healing them. There are generous records about denomination, symptoms, etiological factors, pathogenesis and healing of bronchial asthma In traditional Chinese medical literature, Zhu Danxi（Yuan dynasty）initiated denomination, elucidate pathogenesis of bronchial asthma－technicality in “tan”，drew therapeutic principle－Before bronchial asthma couldn^‘t plexy，we should tonify healthy energy；when bronchial asthma plexied，we should invade evil factor affecting health.The theory of Traditional Chinese Medicine provided many referred experience and curative devices. In the literature of modern medicine，there is considerable exploration and discussion about definition  epidemiology，etiopathogenisis，patho-，degrees of pathogenetic condition and clinical symptoms. At present，in the stage of acute episode of bronchial asthma，modern medicine is cardinal device，Traditional Chinese Medicine is minor device.We should control symptoms and abscise inflammation by Lucocorticoid inhalation. in the stage of non－acute episode of bronchial asthma，in the tabasis，Traditional Chinese Medicine is cardinal device，it can accommodate eneral immunity function of the patients and obtain  better curative effect.

Objective：To cure bronchial asthma patients by two devices:buring chords

with combination of Shu point and Mu point combined foundation curing.(therapeutic group);foundation curing (control group),we shall analyze and contrast by curative effect  in the near future , long-term curative effect,pulmonary function indicatrix of prior treatment and post-treatment, course of treatment, compliance of patients, relapse rate of the two groups,so that evaluate could curative effect and effect of pulmonary function indicatrix of therapeutic groups.

Method:According to diagnostic codes, staging standards and standards of pathogenetic condition graduation that Respiratory Medicine Branch Asthma Group Institute of Medicine of China respiration  introduced “Prevention and Curing Companion of bronchial asthma”,we shall select the patients consistent with standards in the out-patient clinic and hospital room of department of acupuncture and moxibustion, hospital room of respiration of The First Hospital affiliated Guangzhou University of Chinese Medicine in the periods of February，2006 and April，2007.We shall divide these groups into two groups: therapeutic group in that there are 34  patients and control group in that there are 30 patients. Foundation curing:Slow-release Theopylline (Aminophylline Sustained-release Tablets, produced by Guangdong Mai Teyi Xinghua Drug Limited Company) direction:0.1，oral application, twice（mane and vesper），six weeks. Among the two groups, to light press patients, foundation curing is unnecessary. Pro Re Nate，applying β₂ receptor agonist （Ventolin）may be permitted. Severe patients may breathe in glucocorticosteroid(Becotide). By Chinese crude drug ,in the period of onset; chilly ,caloric and anemo bronchial wheezing symptom-complex patients deploy Shegan Mahuang Decoction,Dingchuang Decoction and Guizhi combined Houpu Xingzi Decoction plus and minus，in the catabasis，pulmonasthenia， splenasthenic syndrome and nephrasthenia syndrome symptom-complex patients deploy Yupingfeng San,liujunzi Decoction and Jinkui Shenqi Wan plus and minus，1 dosis，being decocted in water for oral dose. Therapeutic group:On the base of foundation curing, we select Feishu ,Zhongfu point; Pishu,Zhangmen;Shenshu Jingmen,a group per time,three groups are traded-off, per time 1 weeks,twice 1 course of treatment. Control group applies foundation curing.In the stage of therapy, other any medicines besides above-mentioned foundation curing can not be permitted among the two groups. After three courses of treatment,we shall observe the curative effects and use Pulmonary function Indicatrix, sings and symptoms of prior otreatment and post-treatment to evaluate curative effects.By EPI and SPSS statistics software,we shall undertake statistical analysis，then make the results undertake group comparison and inner group comparison.

Results: The two groups both have better manifestation about curative effect and pulmonary function indicatrix. About curative effect, therapeutic group surpasses control group furthermore(p﹤0.05),and to light ，midrange bronchial asthma patients in the acute stage and ones intermission state ，light and midrange persistence in the catabasis，curative effect is good.On pulmonary function indicatrix(FEV₁和PEF),therapeutic group surpasses control group(FEV₁p﹤0.05, PEFp﹤0.01)；On recurrence and patients compliance，two groups both have good manifestation.

Conclusion: The method of Buring chords with combination of Shu point and Mu point combined foundation curing can improve pulmonary function of bronchial asthma patients and promote their clinical control rate and effective power.To each pathogenetic condition(exept serious and dangerous in the acute period of onset and serious persistence pretherapy),curative effects are all good.Besides,this reseach demonstrates that this methods refer to different sexes and age-layers.In a word,the method of buring chords with combination of Shu point and Mu point combined foundation curing is the reliable and safe one that cures bronchial asthma patients.It has good curative effect small risk,few adverse reaction,low recurrence rate and good compliance,so it has better clinical application value.

Key words： Bronchial asthma ，coordination of Shu point and Mu point，

Buring Chords，clinical curative effect，Pulmonary  function Indicatrix