Efficacy Observation of Addition and Subtraction Therapy of Xuanshen Ganju Tang Combined with Sanniutang to Post-infection Cough with Lung Injury Caused by Dryness and Heat
10.13422/j.cnki.syfjx.20190342
- VernacularTitle: 玄参甘桔汤合三拗汤加减治疗燥热伤肺型感染后咳嗽的疗效观察
- Author:
Hui-fen HUANG
1
;
Liang FAN
1
;
Ru-mei FU
1
;
Yue-hua LIN
1
;
Rong CHEN
1
;
Cheng-xia LIN
1
Author Information
1. Haikou Hospital of Traditional Chinese Medicine, Haikou 570216, China
- Publication Type:Research Article
- Keywords:
post-infection cough;
Xuanshen Ganju Tang;
Sanniutang;
symptom of lung injury caused by dryness and heat;
allergic airway inflammation;
neurogenic inflammation
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2019;25(3):125-130
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To observe the clinical efficacy of addition and subtraction therapy of Xuanshen Ganju Tang combined with Sanniutang to post infection cough (PIC) with lung injury caused by dryness and heat, and investigate its effects on allergic inflammation and neurogenic inflammatory mediators.Method: One hundred and eighty eligible patients with PIC were randomly divided into control group (58 cases) and observation group (122 cases) according to the visiting sequence. Patients in control group got compound methoxyphenamine capsules, 2 capsules/time and tid. Patients in observation group got addition and subtraction therapy of Xuanshen Ganju Tang,combined with Sanniutang, 1 dose/day. The treatment course was 7 days in both groups. Symptom scores for cough (day and night), visual analogue scale of coughing (VAS) and scores for lung injury caused by dryness and heat injury were graded. Time to relieve a cough, time to relieve symptoms, time to vanish cough, and cough recurrence were recorded. Life quality was evaluated by cough-specific quality of life questionnaire (CQLQ), and the levels of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), IL-6, IL-8 and substance P in sputum neurogenic inflammatory mediators (SP), neuropeptide A (NKA) and calcitonin gene related peptide (CGRP) were detected.Result: Ridit analysis showed that the clinical efficacy in observation group was better than that in control group (P<0.05). After treatment, scores of coughing at daytime and night, VAS and lung injury caused by dryness and heat were all lower than those in control group (P<0.01). Time to relieve a cough, time to relieve symptoms, and time to vanish cough were all shorter than those in control group (P<0.01). Remission rate of cough and vanishing rate of cough in observation group were higher, while recurrence rate of cough was lower than those in control group (P<0.05). Expect for emotional health and fear of personal safety, scores of other items in CQLQ, the total score and levels of TNF-α, IL-1β, IL-6, IL-8, SP, NKA and CGRP in observation group were all lower than those in control group (P<0.01).Conclusion: Addition and subtraction therapy of Xuanshen Ganju Tang combined with Sanniutang can control systems of cough, shorten coughing course, reduce recurrence rate, improve patients' life of quality, and can inhibit allergic inflammation and neurogenic inflammatory mediators in the treatment of PIC with symptom of lung injury caused by dryness and heat, with a better clinical efficacy than pure compound methoxyphenamine capsules.
