小儿喉状瘤病中医病证

【Abstract】wWw.shuoshilunwen.com ObjectiveTraditional Chinese Medicine Treatment of JORRP, has its advantages, which can be effective control of postoperative complications, and to some extent, reduce the recurrence of the disease. But the Chinese medicine treatment of this disease has not been long and the lack of large sample comparative study in the clinical reports, while the methods for the treatment of children with special physical he been increasingly inadequate. This study was conducted in Traditional Chinese Medicine Research funded projects supported young people. It sought the guiding significance JORRP Chinese medicine theory by studying the ancient classics and modern literature. And through the whole syndrome of clinical syndromes domain preliminary investigations in a large sample, it could get the main clinical syndromes of TCM, and make a more comprehensive analysis of disease-related factors in children, while observing the "Special Prescription " to effects ahbout the disease process and its clinical efficacy. And the essay analyzed the main syndromes of this disease and its causes and pathogenesis through the" syndrome differentiation through formula effect asesent " approach.MethodsTheoretical study1 Had analyzed ancient texts, this essay systematically reviews on this disease’s " TCM Naming School " and " laryngology and pediatric of characteristic theory" in this disease applications.2 Through a retrospective analysis of modern study of this disease, it get the common feature of traditional Chinese medicine syndromes in the distribution.3 By the analysis of" Special Prescription ", this essay could get to grasp its "construction of formular " and the main treatment.Clinical study1 This essay has made the "symptom investigation" about 116 cases of JORRP (including the symptoms and signs) and established a database, so to carry out a variety of factors (age, sex, incidence of the season, geography, etc.).2 Applicating the "symptom-weighted integral method", it has received preliminary discussion of the main syndromes of this disease3 The 116 cases were randomly divided into treatment group and control group, comparing two groups of children with treatment and further analyzing the rule.ResultsTheoretical study1 Based on the study of ancient literature, JORRP will be known as "throat mushroom", and it concluded the origins of "throat relate to lung" and "Tai Du" theory, so as to treat this disease.2 this essay has established the main pathogenesis of this disease and divided its process into "before, during and after" three terms, so to set up a " Special Prescription "to carry out this disease in the adjuvant treatment of Chinese medicine.Clinical study1 "Associated Factor Analysis" found that:①children with gender differences are not very clear;②the peak of "Starting Age" appeared in the 1-year-old and 3-year-old;③the incidence of children with an erage of days concentrated in 1-3 months, to 30 days mostly;④the geographic distribution of this disease, mostly concentrated in economically underdeveloped provinces(including counties and rural areas), such as Henan, Jiangxi, Hubei and Shanxi Province.2 The specific data suggests that:the distribution of the disease syndromes, according to frequency of high to low, are as follows:(1)blood-tinged sputum(23.28%), (2)stagnation of phlegm-damp(19.83%), (3)qi stasis(16.38%), (4) deficiency of lung qi (12.07%), (5) deficiency of spleen qi (9.48%), (6) qi and blood stasis(8.62%), (7)flaring of fire due to yin deficiency(6.90%), (8)wind-cold tightening the lung(1.72%), (9)wind-heat tightening the lung (1.72%).3 The result points out:two groups of data he a significant difference. The erage number of days in the control group is 31.88 days, the treatment group the erage number of days is 38.96 days. They indicated the number of days has extended. There is a certain effect. About the TCM for the adjuvant treatment of JORRP.ConclusionsTheoretical study1 This essay uses the signs of its prominent as a named basis, and finally named as "throat mushroom". It is more reasonable.2 " Throat related to lung " and "Tai Du" theory, is the cause of the disease and the expansion about treatment of the interpretation. They are Both ancient statues but also innovations.3 Using three terms on the method of treatment, doctors grasp of the major development of this disease, Meanwhile, they he created a foundation for the establishment of " Special Prescription " and《the TCM treatment of JORRP (draft)》.Clinical study1 The clinical epidemiological cross-sectional survey found that:There were some differences between the epidemic characteristics of China and foreign reports. The prominent characteristics are as follows:①"Starting Age" is early;②the erage number of days is shorter. The main reason is:The level of China’s economies behinds more developed countries. Therefore the people are much little aware of prevention and cure. For example,the mother during pregnancy infected with condyloma virus, without timely medical treatment. The infants they infected is JORRP. And the baby after birth vaccination as well as the care is not perfect. With the distribution of children in China, mostly in economically underdeveloped provinces, is the same proof of this reason.2 Analyzing the nine kinds of syndrome, this essay suggests that the" pattern of deficiency-excess complex" is the main syndrome. The excess evil included "qi, blood, sputum, wet"; the deficiency evil relied on "lungs, spleen". However, the process of JORRP often appears accompanying symptoms.3 The author believes that:the main cause of this disease is " syndrome of intermingled phlegm and blood stasis, Qi and Yin deficiency", combined with the theory about " syndrome differentiation through formula effect asesent ". Therefore, this prescription for the JORRP, taking into account on children with special physical. It distinguished patients firstly and has treatment based on syndrome differentiation secondly. It has met "treating both the branch and the root simultaneously".