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Primary Study on the Syndrome Distribution of TCM of Cough Post Infection

Author: SunXinQiang
Tutor: LinLin
School: Guangzhou University of Traditional Chinese Medicine
Course: Chinese medical science
Keywords: Cough after infection TCM Dialectical law Diagnostic criteria Normalization
CLC: R259
Type: Master's thesis
Year: 2010
Downloads: 208
Quote: 1
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Abstract


Background Cough is a common disease after infection with the disease, chronic cough up about 6% to 10%. Patients with a history of upper respiratory tract infection, about 11% to 25% will occur after infection cough, the incidence of the epidemic season of up to 25% to 50%. Protraction postinfectious cough illness to affect life and work is characterized by a serious impact on the patient's quality of life. This makes postinfectious cough gradually become a focus of social and public health problem, and thus rapid and effective treatment of this disease is particularly urgent. In recent years, Chinese scholars on the diagnosis and treatment of cough after infection has made considerable progress, reflecting the traditional Chinese medicine treatment after infection coughs advantage. However, the current research situation, the infection cough syndrome is no uniform standard, understanding is not uniform, there has not been on the application of epidemiological methods of investigation of postinfectious cough syndromes regular reports. Objective cough patients after infection site survey, through statistical analysis, preliminary study cough after infection syndromes composition distribution and the type of symptoms. Further development of the disease for both large sample, multi-center study of TCM syndrome diagnostic standardized basis. Methods The literature research, expert advice and pre-survey feedback correction methods, design and induction formed after infection cough TCM clinical questionnaire, drawing on interviews with social medicine in the questionnaire method, in February 2009 - February 2010 who came to our hospital clinic for 86 patients met the diagnostic criteria, the inclusion criteria after infection, cough syndrome in patients with standardized surveys completed by the investigator syndromes survey. Under the existing standard and cough syndrome combined with expert advice on the conduct postinfectious cough syndrome type, data will be collected to establish a database using SPSS13.0 statistical package, using descriptive analysis and other statistical methods, preliminary analysis and induction of cough after infection distribution characteristics of TCM symptoms and the type of composition, in order to further establish its basic syndromes and the appropriate diagnostic criteria basis. Results inclusion criteria after infection, 86 cases were patients with cough syndromes are divided into five kinds of syndromes were cold beam lung, wind heat invading card, hot lung injury, lung injury and wind dry lung Love Feng Xie , in which the cold beam wind heat invading the lung and the most common card were 27 cases and 22 cases, respectively, 31.4% and 25.6%, hot flashes lung injury, lung injury and wind dry lung Love Feng Xie also more More common were 16 cases, 11 cases and 10 cases, respectively, 18.6%, 12.8% and 11.6%. In the 86 cases of infection in patients with cough empirical (cold beam lung, wind heat invading card, hot lung injury, the wind dry lung injury) a total of 76 cases, accounting for 88.4%, the actual situation is mixed evidence (Feng Xie Love the lung) a total of 10 cases, accounting for 11.6%. This suggests that the main cause of infection cough mixture pathogenic wind cold, hot, dry evil invasion of lung health, lung failure declared down, complex due to loss of government mistreatment, failed to clear the evils that evil nostalgia, falling Haoshang righteousness, lingering disease refractory. Composed of various types of symptoms as follows: 1. Wind heat invading card: cough, sore throat, evil wind, sweat, sputum yellow or white color, sticky sputum, thirst, mouth pain, headache, hoarseness, chest pain , red tongue, thin white or thin yellow coating, pulse a few strings or breakdown. 2 cold beam lung: cough, Kesheng muddy, sputum thin white sputum, throat itching, bad cold, pale mouth thirst, body weight difficulties, headaches, no sweat, his back pain, loss of appetite, pink tongue , thin white fur, floating and tight pulse or tension. 3 hot lung injury: cough, shortness Kesheng, less sputum, throat, dry nose, cough and even chest pain, sticky sputum, headache, body fever, hoarseness, red, dark red tongue, white coating dry or thin yellow, rapid pulse, or wiry. 4 Wind dry lung injury: cough, sputum less, evil wind, chills, dry mouth, dry nose, sticky sputum, throat itching, white sputum, headache, sore throat, body pain, mental fatigue, pale, loss of appetite, pink tongue, red tongue, thin white fur, thin yellow tongue coating, floating and tight pulse, pulse tension. 5 Feng Xie Love lung: cough, itchy throat, phlegm white, sputum thin, evil wind, nasal congestion, spontaneous sweating, pale mouth, mental fatigue, dry mouth, loss of appetite, pale tongue, thin white fur, floating pulse slow. Through various syndromes after infection cough symptoms consisting of analysis, we can see that the conclusion of the study results are consistent with the literature survey, further research can be carried out as a syndrome type of reference. Conclusion postinfectious cough medicine clinical syndromes mainly for the cold beam lung, wind heat invading card, hot lung injury, lung injury and wind dry lung Love Feng Xie, in which cold beam and wind heat invading the lung permit most common lung injury hot wind dry lung injury and lung Love Feng Xie is also more common, which account for a large proportion of evidence. Showed that after infection cough mixture mainly pathogenic wind cold, hot, dry evil invasion of lung health, lung failure declared down, complex due to loss of government mistreatment, failed to clear the evils that evil nostalgia, falling Haoshang righteousness, duration hard to be cured. Preliminary reflects cough after infection syndromes distribution characteristics conducive to the next step for the clinical syndrome after infection, cough standardization and standardization of diagnosis and treatment for further research into the post-infection syndromes cough distribution foundation.

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