Sleep apnea syndrome treatment technology, traditional Chinese medicine

China's traditional Chinese medicine reported

        Obstructie sleep apnea hypopnea syndrome usually refers to the airway collapse caused jams on apnea and low inadequate entilation, specific adult in seven hours to sleep at night time, at least 30 times apnea, every time apnea time at least 10 seconds of above; Breathing during sleep airflow intensity is the basic level reduced by 50% or more, with blood and oxygen desaturation quartile 4%; Or apnea hypopnea index (or an average of every hour sleep apnea and low frequency ventilation) > 5. In addition to the obstructive sleep apnea, clinical and central sleep apnea and mixed sleep apnea. They all have different degree respiratory center damaged and some brain disease, such as head injury, encephalitis, brain abscess, brain tumors, the brain stem infarction, etc.

        The disease belongs to the traditional Chinese medicine "snore sleep" category.

        A, causes and pathology

        1. The western medicine etiology pathology

        (1), the upper airway Narrows, or jam: throat has three regions above prone to narrow and jam, namely the nose and nose pharynx, oropharynx and the soft palate, and part of cricoid cartilage and base of tongue. In the three to pharyngeal obstruction is given priority to, when pharynx cavity diameter and narrow diameter around before and after service of cricoid cartilage and base of tongue or swallow up and down to hypertrophic gorge path become smaller, so that in the soft palate in cause inferior, pharynx palatal bow and palatal hang a rapid tremors snoring. Clinical can see, the first nostrils, nasopharyngeal stenosis or closure, septi partial song, nasal polyps, hypertrophic rhinitis nasal and nasopharyngeal cancer, adenoid hypertrophy of the tonsils or body, XuanYongChui too long, pharynx palatal bow broad, the soft palate is flabby, pharyngeal submucosal fat deposition, pharynx JiMaBi, tongue body hypertrophy, jaw bone deformity, laryngeal cartilage softening and cervical malformations often cause the disease outbreaks.

        (2) obesity: a positive correlation between obesity and the disease. Obese people likely the reason for this disease to occur for: (1) body tongue thick, and the soft palate, palatal hanging and pharyngeal have too much fat deposition, easy to cause the airway jam. (2) the lung volume were significantly reduced, thus produce obesity sex lung ventilation deficiency syndrome. (3) lipid metabolism disorders: there are patients with lipid metabolism disorders, most have dyslipidemia.

        (4) the endocrine disorder, such as acromegaly cause tongue body increases, hypothyroidism cause mucous sex edema, women after menopause endocrine function disorder, etc.

        (5) old age group is flabby, hypotonia, lead to pharyngeal relaxation, collapse and move in this disease causes.

        (6) the genetic factors: the disease have family history or the family gathered phenomenon.

        2. TCM etiology

        The cause of the disease with innate endowment and acquired a lost about, the day after tomorrow factors include diet is not excessive, smoking section, work and alcohol, etc. A major disease in lung, spleen, heart, kidney involved, at the same time, with the opening of the throat, pathological changes also closely related. Disease of the empty mark sex more real. Main pathological factors is phlegmy wet, phlegmy heat, blood stasis, gas stagnation. Main pathogenesis is phlegmy wet internal resistance, or phlegmy heat warm inside, qi stagnancy and blood stasis, lung, spleen deficiency of the kidney, the heart Yang deficiency, especially in the spleen lost health shipment, lung gas adverse for the key.

        Second, syndrome differentiation and classification

        1. Lung spleen qi deficiency, phlegmy heat warm inside: when sleep snoring, loud snoring, off and on, rich, night of sleep, since morning dry mouth, sputum yellow and sticky, constipation, easy to sweat, lack of power. The tongue of red, yellow or coating on the yellow greasy, pulse string slippery number.

        2. Temper is insufficient, phlegmy wet resistance: when sleep snoring, loud snoring, was on and off, and body fat, since morning dry mouth is not obvious, the bosom is frowsty, sputum white thin, god exhausting the lethargy, sleep not refreshment, forgetfulness, new wan. Tongue qualitative reddish, the side have teeth marks, white or white greasy or coating on the white and smooth, pulse string slide or slow affect each other.

        3. Lung, spleen deficiency of the kidney, phlegm and blood stasis mutual ": when sleep snoring, loud snoring, off and on, the night of sleep, always a snore wake, dry mouth but do not want to drink, since morning headache, bosom frowsty, complexion is dull, forgetfulness, shortness of breath, god tired weakness, lumbar debility. Dark red tongue quality, or have ecchymosis stasis point, coating on the BoRun, pulse fine acerbity.

        4. Two empty heart kidney, sun be the spirit shortage: when sleep snoring, snoring not ring, off and on, the night of sleep, always hold back up, lethargy, sleep not solution to lack, was LiHei, fear of the cold, cold extremities, exhausting the god lazy to talk, the night urination, forgetfulness, bosom frowsty, lumbar debility. Tongue qualitative light fat, white and smooth tongue coating, pulse heavy.

        Three, Chinese medicine treatment

        1. Lung spleen qi deficiency, phlegmy heat warm in the card

        [treatment] yiqi resolving phlegm, the setting clear heat.

        [herbs] 6 gentleman decoction and small cap gas tonga decreases.

        2. Temper is insufficient, phlegmy wet resistance card

        [treatment] of the spleen wet, the gas eliminate sputum.

        [herbs] 6 gentleman decoction and eliphelet the kiss tonga have reduced.

        If a person ShiXie, can add cangzhu), diarrhea, kindhearted, wet YiRen wet; If the QingYang not rise, can add astragalus, cohosh, radix yiqi rise clearly.

        3. Lung, spleen deficiency of the kidney, phlegm and blood stasis syndrome each other "

        [treatment] having sun be the spirit, eliminating phlegm to promoting blood circulation.

        [herbs] four inverse add ginseng decoction and therapeutic tonga decreases.

        Add SuZi, white mustard, semen raphani the opening phlegm. If a person deficiency, can add astragalus strengthened the power of the gas.

        4. Two empty heart kidney, sun be the spirit deficiency syndrome

        [treatment] heart rubbing kidney, exciting sun be the spirit.

        [herbs] zhenwu tonga decreases.

        If a person Yang, can add the ginseng, dry ginger, roasted liquorice strengthen the power of the sun be the spirit rubbing; In the dampness stop, can add white nutmeg, rhizoma acori tatarinowii turn wet: tqbyp has good effect on allergic.

        Four, experience party

        1. Eliminating phlegm to remove stasis begin to party

        [drug composition] tangerine 10 grams, born sprouting 10 grams, poria cocos 15 grams, almond 10 grams, white mustard 6 g, white atractylodes 15 grams, rhizoma acori tatarinowii 10 grams, turmeric 15 grams, ligustici chuanxiong rhizoma l0 grams, danshen 20 grams.

        [efficacy] qushi resolving phlegm, removing stasis and switched on.

        [indication] obstructive sleep apnea hypopnea syndrome spleen deficiency of wet trapped, phlegm and blood stasis resistance opening certificate.

        [usage and dosage] a daily agent, water frying clothing.

        [use notice] to the disease treatment.

        2. Zi tonga flavour party

        [drug composition] zi 20 grams, ligustici chuanxiong rhizoma 10 grams, poria cocos 15 grams, altogether 10 grams, liquorice 10 grams, dried tangerine or orange peel to 10 grams, sprouting 10 grams.

        [efficacy] the blood and liver, yangxin/god, heat except vexed, expectoranting spleen.

        [indication] obstructive sleep apnea hypopnea syndrome.

        [usage and dosage] irrigation, cold water to immerse 60 minutes, after two points with fry, fry pan after boiling for every 20 minutes, two Fried blending, and about 500 ml, daily a dose, three times of clothing. Cooperate to take life pulse two of the capsule, 3 times a day. A month for a period of treatment.

        Five, the microwave ablation method

        [treatment]

        1. Routinely performed before treatment routine blood, electrocardiogram and fiber laryngoscope in check and remove the scar physical and blood diseases patients, preoperative instructing patients to fast.

        2. Conventional do mouth weeks and pharyngeal disinfection, 1% tetracaine intermittent spray pharynx chamber 3 ~ 5 times to anesthesia pharynx mucosa 15 minutes, with 2% after lidocaine 6 ml add a little 1% adrenaline do the soft palate and palatal hang down 3 points anesthesia the invasion, each point of note medicine a ml.

        3. The microwave power transferred to melt instrument 40 ~ 50 W, time for 8 seconds; Adjust to snore gun, left hand hold a spatula to two-thirds of the tongue pressure before, the first being right hand gun with double-sided to snore gun hanging hypertrophy of the gripping palate, trample tight foot, 8 seconds after the gripping mucosa is seen turned white, this time can; Double clip to back the soft palate with method of hypertrophic treatment, the mucosa with amyotrophic lateral hypertrophy, single clip adhere hypertrophy mucosa after 6 seconds can achieve the same results.

        4. Given the anti-inflammatory and hormonal drugs, vein to cefazolin sodium latter thiazide 4 g needle, needle dexamethasone 10 mg once a day, two days gone with aerosolized treatment: gentamycin needle 80000 uR dexamethasone 5 mg needle, once per day, spray a week.

        5. After two days before into liquid diets, mouth Thai (xylitol chlorine up gargle mouthwash, daily outpatient visits to a to observe the curative effect.

        [advantage] the treatment obstructive sleep apnea hypopnea syndrome stable effect, and can in the short term to achieve the ideal treatment effect and symptoms fast. Won't cause the swallow mucosa after scar and adhesion, local reaction light, seven to 10 days but wound healed completely, do not affect work, curative effect is accurate.