Abstract
Objective
To observe the clinical efficacy and the change of airway responsiveness to Chinese medicine (CM) in treating cough variant asthma (CVA).
Methods
Ninety-four patients who had confirmed the diagnosis of CVA were selected and randomly assigned to the treatment group and the control group by the blocked randomization method. The ratio of the two groups was 2:1. The treatment group had 63 patients that were treated by CM, lost in 10 cases, 53 patients had finished the trial. The control group had 31 patients that were treated by montelukast tablets and theophylline, lost in 5 cases, 26 patients had finished the trial, two weeks as one therapeutic course. The syndrome efficacy, cough efficacy, symptom score and the airway responsiveness between two groups were observed.
Results
The comparison of the syndrome efficacy: the total effective rate of the treatment group was 90.57% and the control group was 76.92%, and the two groups were significantly different (P<0.05). The comparison of the cough efficacy: the total effective rate of the treatment group was 98.11% and the control group was 80.77%, and the two groups were also significantly different (P<0.05). Syndrome scoring and cough scoring were all significantly lowered, but the airway responsiveness was not significantly lowered.
Conclusions
The treatment of CM could ease the cough, improve the syndrome, and shows obvious advantages compared with the control group, which is worthy of extensive clinical application.
Similar content being viewed by others
References
Dicpinigaitis PV. Chronic cough due to asthma: ACCP evidence-based clinical practice guidelines. Chest 2006;129(1 Suppl):75S–79S.
Liu GL, Lin JT. Unexplained cause of chronic cough and clinical features of composition analysis. Chin J Tuberc Respir Dis (Chin) 2009;32:422–425.
Nakajima T, Nishimura Y, Nishiuma T, Kotani Y, Funada Y, Nakata H, et al. Characteristics of patients with chronic cough who developed classics asthma during the course of cough variant asthma: a longitudinal study. Respiration 2005;72:606.
Wang LM, Xia XZ. Inhaled corticosteroid treatment of cough variant asthma treatment observation of the Chinese community physicians. Chin Community Doctors 2010;12(13):90.
Nobata K, Fujimura M, Tsuji H, Ishiura Y, Myou S, Nakao S, et al. Longitudinal changes of pulmonary function and bronchial responsiveness in cough-variant asthma treated with bronchodilators alone. Allergy Asthma Proc 2006;27:479–485.
Luo SW. CHAO En-xiang’s experience in treatment of cough variant asthma. J Tradit Chin Med (Chin) 2002;43:74–75.
Luo SW, Liang LW, Shan HL. Shufeng Xuanfei method has influenced airway hyper-responsiveness of the CVA patients. J Tradit Chin Med (Chin) 2003;19:288–289.
Miao Q, Fan MR, Zhang YP, Zhang WJ. Treatment of cough variant asthma study. Lishizhen Med Mater Med Res (Chin) 2009;20:2841–2842.
Zhang Y, Feng C, Cao K. Effect of Ziyin Qingsang Decoction on interleukin-4 and interleukin-5 levels in peripheral blood mononuclear cells of children in acute stage of cough variant asthma. J South Med Univ (Chin) 2011;31:707–708.
Wu DJ. Xiaochaihu Tang treating cough variant asthma in 56 cases. Hebei J Tradit Chin Med (Chin) 2000;22:455.
Zhang FL, Liu CM. Treatment of cough variant asthma with modified Chaibu Decoction. Acad Periodical Coll Changchun Tradit Chin Med (Chin) 2003;19:23.
Miao Q. Wang SC. Zhang YP. The efficacy observation Guangji Zhike Decoction treating cough variant asthma 30 cases. J New Chin Med (Chin) 2006;38(2):25–27.
Zheng CX. Modified Guomin Decoction for treatment of 32 cases with cough variant asthma. Anhui J Tradit Chin Med Clinic (Chin) 2003;15:305.
Lu JZ. The experiencement of Professor LIU Du-zhou in treating humid cough by Ganlou Xiaodu Dan. J New Chin Med (Chin) 1991;14(10):12.
Hong GX. My view of chronic dry cough treatment. J Tradit Chin Med Pharm (Chin) 2006;21:346.
Wei PC, Miao Q, Fan MR, Zhang YP. Treatment of cough caused by damp-heat study of traditional Chinese medicine prescriptions. Chin J Tradit Chin Med Pharm (Chin) 2010;25:2028–2030.
Wei PC, Miao Q. Ma Xing Yi Gan Dection combined with cough Powder treating hot and humid two cases of cough. Jiangsu J Tradit Chin Med (Chin) 2010;42(6):48–49.
Deng YY, Wu DJ, Liu YH. Xiaoqinglong Tang treating 62 cases of cough variant asthma. J Guangxi Tradit Chin Med Univ (Chin) 2007;10:11–12.
Chen ZX, Hu GH. Effect of modified Shegan Mahuang Decoction on cytokines in children patients with cough and variant asthma. Chin J Integr Tradit Wed Med (Chin) 2010;30:208–210.
The Ashma Group of Respiratory Disease Branch of Chinese Medical Association. The guidelines of cough diagnosis and management: Chin J Tuberc Respir Dis (Chin) 2009;32:407–413.
The State Administration of Traditional Chinese Medicine. Traditional Chinese medicine syndrome diagnostic efficacy of the standard. Nanjing: Nanjing University Press; 1994:77.
American Thoracic Society. Standardization of spirometry, 1994 update. Am J Respir Crit Care Med 1995;152:1107–1136.
Zheng XY, ed. Guiding principle of clinical research on new drugs of Chinese medicine. Beijing: China Medico-Pharmaceutical Sciences and Technology Publishing House; 2002:128–131.
De Diego A, Martinez E, Perpina M, Nieto L, Compte L, Macian V, et al. Airway inflammation and cough sensitivity in cough-variant asthma. Allergy 2005;60:1407–1411.
Gong CJ, Xu YL. Flavored Cough Powder for patients with cough variant asthma effects of airway hyper-responsiveness. Beijing J Tradit Chin Med (Chin) 2007;26:147–148.
Wang GH. Zini Jinzhisou Dection treating cough variant asthma in 30 cases. Sichuan Tradit Chin Med (Chin) 2008;26:71–72.
Liang KF, Chen J. Chaiao Zhisou Powder treating 54 cases of cough variant asthma. J Sichuan Tradit Chin Med (Chin) 2009;27(6):70–71.
Author information
Authors and Affiliations
Corresponding author
Additional information
Supported by the Third Advantage Project of Xiyuan Hospital of China Academy of Chinese Medical Sciences (No. CACMS08Y0033)
The author is in Yanqing Chinese Medicine Hospital, Beijing (102100), China
Rights and permissions
About this article
Cite this article
Miao, Q., Wei, Pc., Fan, Mr. et al. Clinical study on treatment of cough variant asthma by Chinese medicine. Chin. J. Integr. Med. 19, 539–545 (2013). https://doi.org/10.1007/s11655-013-1508-5
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11655-013-1508-5