Analysis on the syndromes distribution characteristics of upper airway cough syndrome based on clinical retrospective study
LUO Jingshu1 MA Jianling2 SHI Liqing2 WANG Liyun2 JI Kun2 DONG Shangjuan2 FAN Yuhan1 LIU Zhilin1
1.The Second Clinical School of Medicine, Beijing University of Chinese Medicine, Beijing 100078, China; 2.Department of Respiratory Heat Disease, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing 100078, China
Abstract:Objective To investigate the distribution of traditional Chinese medicine syndromes of upper airway cough syndrome. Methods A total of 117 patients with upper airway cough syndrome admitted to the Department of Respiratory Heat Disease, Dongfang Hospital of Beijing University of Chinese Medicine from January 2009 to August 2023 were selected as the study objects. Their gender, age, medical history, and syndromes were statistically analyzed, and the high-frequency symptoms and commonly used Chinese medicines were systematically clustered. Results A total of 159 times were diagnosed in 117 patients, among which the syndrome of wind pathogen invading lung was the most, followed by the syndrome of dampness-heat stagnated in lung-defense phase and syndrome of phlegm-damp amassing in lung. The traditional Chinese medicine syndrome type of patients with upper airway cough syndrome was related to age (P<0.05), but was not related to sex or common rhinitis disease type (P>0.05). Traditional Chinese medicine syndromes were characterized by lung symptoms, wind, phlegm, dampness, and heat. Systematic clustering could be divided into three association combinations, including the syndrome of wind pathogen invading lung, the syndrome of dampness-heat stagnated in lung-defense phase, and syndrome of phlegm-damp amassing in lung. By systematic clustering, the commonly used Chinese medicine can be divided into three groups: the drugs of activating qi-flowing and dissipating phlegm for resuscitation, clearing heat and eliminating dampness, and dispelling wind and arresting cough. Conclusion The main syndromes of upper airway cough syndrome are wind evil and lung stagnation, followed by dampness-heat stagnation and phlegm-dampness accumulation of lung. The manifestations of wind, phlegm, dampness, and heat are common. Therefore, targeted treatment can be carried out in clinic.
罗景舒1 马建岭2 史利卿2 王丽云2 季坤2 董尚娟2 范钰晗1 刘智霖1. 基于临床回顾性研究的上气道咳嗽综合征证候分布特点探析[J]. 中国医药导报, 2023, 20(34): 139-143.
LUO Jingshu1 MA Jianling2 SHI Liqing2 WANG Liyun2 JI Kun2 DONG Shangjuan2 FAN Yuhan1 LIU Zhilin1. Analysis on the syndromes distribution characteristics of upper airway cough syndrome based on clinical retrospective study. 中国医药导报, 2023, 20(34): 139-143.