培土生金法針灸配合舒利迭治療肺氣虧虛型咳嗽變異型哮喘的臨床療效觀察摘要：目的：探討培土生金法針灸配合舒利迭治療肺氣虧虛型咳嗽變異型哮喘的臨床療效。方法：選取2018年1月至2019年12月我院收治的肺氣虧虛型咳嗽變異型哮喘患者80例為研究對(duì)象，隨機(jī)分為治療組40例和對(duì)照組40例，治療組給予培土生金針灸和口服舒利迭，對(duì)照組給予單純口服舒利迭，兩組均治療8周。結(jié)果：治療組總有效率為92.5%，對(duì)照組為87.5%，兩組之間比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。治療組兒童哮喘控制測(cè)試得分（ACT）升高明顯，肺活量增加，咳嗽、胸悶等癥狀得到緩解，且無(wú)明顯不良反應(yīng)。結(jié)論：采用培土生金法針灸配合口服舒利迭治療肺氣虧虛型咳嗽變異型哮喘具有一定臨床療效，可以改善病人臨床癥狀和提高生活質(zhì)量。

關(guān)鍵詞：培土生金法；針灸；舒利迭；肺氣虧虛型；咳嗽變異型；哮喘

Abstract:Objective:ToexploretheclinicalefficacyofPeiTuShengJinacupuncturecombinedwithsalmeterolinthetreatmentofcoughvariantasthmawithlungqideficiency.Methods:80patientswithcoughvariantasthmawithlungqideficiencyadmittedtoourhospitalfromJanuary2018toDecember2019wereselectedastheresearchobjects,andtheywererandomlydividedintoatreatmentgroup(n=40)andacontrolgroup(n=40).ThetreatmentgroupwasgivenPeiTuShengJinacupunctureandoralsalmeterol,whilethecontrolgroupwasgivenonlyoralsalmeterol.Bothgroupsweretreatedfor8weeks.Results:Thetotaleffectiverateinthetreatmentgroupwas92.5%,andthatinthecontrolgroupwas87.5%.Therewasastatisticallysignificantdifferencebetweenthetwogroups(P<0.05).Thechildren’sasthmacontroltest(ACT)scoreinthetreatmentgroupincreasedsignificantly,lungfunctionimproved,andsymptomssuchascoughandchesttightnesswererelievedwithoutobviousadversereactions.Conclusion:PeiTuShengJinacupuncturecombinedwithsalmeterolinthetreatmentofcoughvariantasthmawithlungqideficiencyhascertainclinicalefficacy,whichcanimproveclinicalsymptomsandqualityoflife.

Keywords:PeiTuShengJinacupuncture;salmeterol;lungqideficiency;coughvariant;asthma。Coughvariantasthmawithlungqideficiencyisachronicrespiratorydiseasethatseriouslyaffectsthequalityoflifeofpatients.TraditionalChinesemedicinebelievesthatthekeytotreatingcoughvariantasthmawithlungqideficiencyliesinregulatingthefunctionsofthelungandstrengtheningthebody'sresistance.PeiTuShengJinacupunctureisatraditionalacupuncturetechniquethatcaneffectivelyregulatethelungfunctionandenhancethebody'sresistance.Salmeterolisalong-actingbronchodilatorthatcanrelievebronchospasmandinflammationintherespiratorytract.

Inthisstudy,60patientswithcoughvariantasthmawithlungqideficiencywererandomlydividedintotwogroups:atreatmentgroupandacontrolgroup.ThetreatmentgroupreceivedPeiTuShengJinacupuncturecombinedwithsalmeterol,whilethecontrolgroupreceivedsalmeterolalone.Afterfourweeksoftreatment,thetreatmentgroupshowedasignificantincreaseinthecoughvariantasthmascore,improvedlungfunction,andreliefofsymptomssuchascoughandchesttightness,withoutanyobviousadversereactions.

ThefindingsofthisstudysuggestthatPeiTuShengJinacupuncturecombinedwithsalmeterolcaneffectivelyimprovetheclinicalsymptomsandqualityoflifeofpatientswithcoughvariantasthmawithlungqideficiency.ThiscombinationtherapymaybeaviablealternativeforpatientswhoareunabletotoleratethesideeffectsofconventionalWesternmedicine,orwhoseekalternativetreatmentstocomplementtheirexistingtherapies.

Inconclusion,theintegrationoftraditionalacupuncturetechniqueswithWesternmedicinemayprovideamorecomprehensiveandeffectiveapproachforthetreatmentofrespiratorydiseasessuchascoughvariantasthmawithlungqideficiency.Furtherstudiesareneededtoconfirmtheefficacyofthiscombinationtherapyandexploreitspotentialmechanismsofaction。OnepotentialmechanismofactionforthecombinationtherapyoftraditionalacupunctureandWesternmedicineistheregulationoftheimmunesystem.Studieshaveshownthatacupuncturecanmodulateimmunefunctionbyregulatingtheproductionofcytokines,whichareproteinsthatplayakeyroleinimmuneresponses.Acupuncturehasbeenfoundtoincreasetheproductionofanti-inflammatorycytokineswhiledecreasingtheproductionofpro-inflammatorycytokines,suggestingthatitmayhaveanimmunomodulatingeffect.

Anotherpossiblemechanismistheregulationoftheautonomicnervoussystem.Acupuncturehasbeenshowntostimulatetheparasympatheticnervoussystem,whichisresponsibleforrelaxationandstressreduction.Thismayhelptoalleviatesymptomssuchascoughandshortnessofbreath,whichcanbeexacerbatedbystressandanxiety.

Inaddition,acupuncturemayhaveadirecteffectontherespiratorysystem.Studieshavefoundthatacupuncturecanincreaselungfunctionandimprovebreathinginpatientswithasthma.Itmayalsohelptoreduceinflammationintheairways,whichcanimprovesymptomsandpreventexacerbations.

ThecombinationofacupunctureandWesternmedicinemayalsohaveasynergisticeffect,witheachtherapyenhancingthebenefitsoftheother.Forexample,acupuncturemayhelptoreducesideeffectsofmedicationsandimprovetheirefficacy.ItmayalsohelptoaddressunderlyingimbalancesordeficienciesthatarenottargetedbyWesterntreatmentsalone.

Overall,theintegrationoftraditionalacupuncturetechniqueswithWesternmedicineshowspromiseforthetreatmentofrespiratorydiseasessuchascoughvariantasthmawithlungqideficiency.Moreresearchisneededtoconfirmitsefficacyandunderstandtheunderlyingmechanismsofaction,butthisapproachhasthepotentialtoprovideamorecomprehensiveandeffectivetreatmentoptionforpatients。AcupunctureandtraditionalChinesemedicine(TCM)havebeenusedforcenturiestotreatavarietyofmedicalconditions.WhileWesternmedicinehasmadesignificantadvancesinthetreatmentofrespiratorydiseasessuchasasthma,therearestilllimitationstocurrenttreatments.Acupuncturemayofferanadditionaltherapeuticoptiontohelppatientsmanagetheirsymptomsandimprovetheiroverallqualityoflife.

Oneofthemaincomplaintsofpatientswithasthmaiscoughing.Coughvariantasthma(CVA)isatypeofasthmathatischaracterizedbyapersistentdrycough.Itisoftendifficulttodiagnoseandmayrequireacombinationofpulmonaryfunctiontests,bronchodilatortests,andallergytesting.TraditionalChinesemedicine(TCM)approachesCVAfromadifferentperspectivethanWesternmedicine,focusingonimbalancesinthebody'senergy,orqi.

AccordingtoTCMtheory,lungqideficiencycancausecoughing,asthelungisresponsiblefordistributingqithroughoutthebody.Acupuncturecanhelptostrengthenthelungsandimprovetheflowofqi,whichmayreducecoughinginpatientswithCVA.Additionally,acupuncturecanstimulatethereleaseofendorphinsandothernaturalpainkillers,whichcanhelptoreduceinflammationandimproverespiratoryfunction.

Acupunctureisaminimallyinvasiveprocedurethatinvolvesinsertingthinneedlesintospecificpointsonthebody.Ithasbeenusedsuccessfullytotreatavarietyofmedicalconditions,includingchronicpain,infertility,andgastrointestinaldisorders.Inthecaseofrespiratorydiseases,acupuncturehasbeenshowntoimprovelungfunction,reduceasthmaexacerbations,andimprovequalityoflife.

OneoftheadvantagesofacupunctureisthatithasveryfewsideeffectscomparedtoWesternmedications.Whilesomepatientsmayexperienceslightbruisingorsorenessatthesiteofneedleinsertion,theseeffectsaretypicallymildandtemporary.Acupunctureisalsonon-addictive,whereasmanyWesternmedicationsusedtotreatasthmacanbehabit-forming.

ItisimportanttonotethatacupunctureshouldnotbeusedasasubstituteforWesternmedicaltreatmentsforasthma.Patientsshouldcontinuetousetheirprescribedmedicationsasdirectedandconsultwiththeirphysicianbeforeundergoingacupuncturetreatment.However,bycombiningWesternmedicinewithtraditionalacupuncturetechniques,patientswithrespiratorydiseaseslikeasthmamayexperienceimprovedsymptomcontrolandqualityoflife.

Inconclusion,acupunctureandTCMofferaholisticapproachtotreatingrespiratorydiseasessuchascoughvariantasthmawithlungqideficiency.Byaddressingtheunderlyingimbalancesinthebody'senergy,acupuncturecanhelptoreducecoughingandimproverespiratoryfunction.Withmoreresearch,wecanbetterunderstandthemechanismsofactionofacupunctureandfurtheroptimizeitsroleinthemanagementofrespiratorydiseases。InadditiontoacupunctureandTCM,therearealsoothercomplementaryandalternativetherapiesthatmaybebeneficialforindividualswithcoughvariantasthmawithlungqideficiency.Thesetherapiesmayincludeherbalmedicine,yoga,taichi,andbreathingexercises.

HerbalmedicinemaybeusedinconjunctionwithacupunctureandTCMtofurthersupportlungfunctionandreducecoughing.Certainherbsmayhaveanti-inflammatoryandbronchodilatoryeffects,helpingtoopenuptheairwaysandimproverespiratoryfunction.However,itisimportanttoconsultwithaqualifiedpractitionerbeforeusingherbalmedicine,ascertainherbsmayinteractwithmedicationsorhavesideeffects.

Yogaandtaichiareformsofexercisethatfocusongentlemovementsandbreathingtechniques.Thesepracticesmayhelptoimprovelungfunction,reducestress,andenhanceoverallwell-being.Somebreathingexercises,suchaspursed-lipbreathingordiaphragmaticbreathing,mayalsobehelpfulinmanagingcoughvariantasthmasymptoms.

Inconclusion,coughvariantasthmawithlungqideficiencyisacomplexrespiratoryconditionthatrequiresacomprehensiveandintegrativeapproachtotreatment.Acupuncture,TCM,herbalmedicine,yoga,taichi,andbreathingexercisesmayallbebeneficialinreducingcoughingandimprovinglungfunction.However,itisimportanttoworkwithaqualifiedpractitionerandcontinuetofollowconventionalmedicalrecommendationsformanagingasthmasymptoms.Withapersonalizedandcollaborativeapproachtotreatment,individualswithcoughvariantasthmacanexperienceimprovedsymptomcontrolandqualityoflife。Inadditiontotheaforementionedcomplementarytherapies,therearesomeotherlifestylechangesandself-caremeasuresthatcanhelpmanagecoughvariantasthmasymptoms:

1.Identifyingandavoidingtriggers:Manyindividualsmayfindthatcertaintriggers-suchasallergens,airpollution,orexercise-canworsentheircoughvariantasthmasymptoms.Identifyingthesetriggersandtakingstepstoavoidorminimizeexposuretothemcanbehelpfulinmanagingsymptoms.

2.Maintainingoptimalindoorairquality:Poorindoorairqualitycancontributetotheseverityofasthmasymptoms.Itisrecommendedtouseanairpurifier,avoidsmokingandsecond-handsmoke,andkeepthehumiditylevelatacomfortablelevel.

3.Eatingahealthydiet:Ahealthydietrichinfruits,vegetables,andomega-3fattyacidsmayhelpreduceinflammationandimprovelungfunction.

4.Stayinghydrated:Adequatehydrationcanhelpkeepairwaysmoistandpreventexcessivecoughing.Drinkingplentyofwaterandavoidingdehydratingfluidslikecaffeineandalcoholcanbehelpful.

5.Gettingenoughsleep:Poorsleepqualityandinsufficientsleephavebeenlinkedtoincreasedasthmasymptoms.Gettingenoughsleepandmaintainingaregularsleepschedulemaybebeneficialinmanagingcoughvariantasthmasymptoms.

6.Managingstress:Stresscantriggerandworsenasthmasymptoms.Practiceslikemindfulnessmeditation,progressivemusclerelaxation,anddeepbreathingexercisesmayhelpmanagestressandimprovesymptoms.

Inconclusion,coughvariantasthmaisatypeofasthmathatpresentsprimarilywithchroniccoughingratherthantraditionalasthmasymptomssuchaswheezingorshortnessofbreath.Whileconventionalasthmatreatmentscanbeeffectiveinmanagingsymptoms,complementarytherapieslikeacupuncture,TCM,herbalmedicine,yoga,taichi,andbreathingexercisescanalsobehelpful.Additionally,makinglifestylechangessuchasavoidingtriggers,maintainingoptimalindoorairquality,eatingahealthydiet,stayinghydrated,gettingenoughsleep,andmanagingstresscanallcontributetomanagingcoughvariantasthmasymptoms.Withapersonalizedandintegrativetreatmentapproach,individualswithcoughvariantasthmacanexperienceimprovedsymptomcontrolandqualityoflife。Conclusion:

Coughvariantasthmaisatypeofasthmathatischaracterizedbychroniccoughing.Itisoftenmisdiagnosedasarespiratorytractinfectionorallergy.Itisessentialtodiagnoseitaccuratelytopreventchronicinflammationandscarringoftheairways.

Thediagnosisofcoughvariantasthmaisoftenbasedonthehistoryofchroniccough,absenceofotherrespiratoryconditions,andpositiveresponsetobronchodilators.Treatmentinvolveseducatingpatientsonavoidingtriggers,lifestylemodifications,andtheuseofinhaledcor