Boat song debris flow disaster prevention of diarrhea after cold Chinese medicine research

LiuLi FengLei HuangShengHui PengXiaoMing LiuDongHan

Gansu college of traditional Chinese medicine

ZhouQuXian gansu province people's hospital

Gansu college of traditional Chinese medicine hospital

Lanzhou university first affiliated hospital

China's traditional Chinese medicine to

        On August 8, 2010, the "8.8" boat song jumbo debris flow disaster, water pollution, urban garbage piles, the bodies and animal body height and corruption, residents and rescue workers nearly eighty thousand people live in only 1.9 square kilometers of county town, the weather high temperature hot with a shower. August 8 to 12,, the county health care facility in the number of reported several reflects gastrointestinal diseases and respiratory diseases and skin diseases has high prevalence trends. In such unusual circumstances, always have the possibility of infectious disease outbreak, epidemic prevention the situation has been very serious. Traditional Chinese medicine in the long struggle with infectious diseases development, rise, formed its own system, has accumulated a wealth of valuable experience, so the disaster area in gansu province health department organization of medical institutions and medical personnel, a large number of decoction has the epidemic prevention health care function of traditional Chinese medicine decoction, began on August 12, every day in 6 facilities, 3 school and two square 11 hair medicine points were free to extend, the number of medicine from the initial hundreds of people every day increased to later every day of nearly 20000 people, at the same time daily respiratory and gastrointestinal tract disease toll steadily declining, the effect is very significant.

        Traditional Chinese medicine decoction was also the disaster area residents of the popular, many people except in with the issuing point taking outside, still have bring from home to home for bottle inconvenience travel old man and children to take. Debris flow disaster prevention of large-scale use of traditional Chinese medicine disease occurred in China is still is the first, in order to further reveal the Chinese native medicine to prevent and cure diseases, and improvement of immunity mechanism of action, so that the traditional Chinese medicine into the emergency relief system in gansu province health department, under the support of the gansu college of traditional Chinese medicine and the people's hospital of ZhouQuXian joint research project. We in the disaster area environment sinister, abnormal conditions difficult, uncontrollable factors very many cases, set many force design research plan, in the local bureau of health and education bureau under the energetic support of smooth implementation. Blood specimen after low temperature preservation, long distance transportation in gansu college of traditional Chinese medicine after the experiment center of the laboratory assistant, tutors, graduate students struggle together, after a week night fighting, concentrated completed data detection. For the disaster area people take Chinese traditional medicine decoction to prevent common disease prevention effect to make objective evaluation, to promote Chinese native medicine and provide scientific basis. The experiment process and the results of the study concludes.

        Clinical data

        A selection object

        Take the whole group sampling method, extraction ZhouQuXian independent middle school second grade students as the object of study, will be freewill take medicine students into the experimental group, will not take medicine students as control group. Treatment group of 278 people, 218 people in control group.

        Give medicine way

        Treatment group take cold prevention party every morning, afternoon take preventing diarrhea party decoction each of The Times, each time 200 ml, and even served 20 days, don't take any medicine control group, two groups of tracking observation 20 days, statistical colds and diarrhea disease number, at the same time two groups of students with relevant immunological indexes laboratory testing, in order to reveal its mechanism.

        Daily by ZhouQuXian hospital sent five people, by agricultural vehicle in the morning at 9 o 'clock in the afternoon and half past three will be delivered decoction, according to the class, the teacher in charge accompanied, in independent high school points 4 groups at the same time hair medicine, four associate chief physician for disease diagnosis, the head nurse to list registration, medication record. Students on the spot heat uniform, ensure that did not happen agent dumping, leakage suit, accidental wait for a phenomenon. The drug group by four of doctor of vice director of daily patrol diagnosis time, accompanying nurses list registration. In two groups of students who did not come on, are all required in the test period no longer taking other drugs.

        Diagnosis standard

        Sure cold patients must be in the following five symptoms, accounting for more than three (including 3), can diagnose: fever 37.5 ℃ above; Throat pain, A blocked or watery; Have a headache; All joints. Diarrhea symptoms indications include stools, day line 2 times or more (including 2 times), may be associated with abdominal pain, abdominal distension, nausea, vomiting, loss of appetite, etc. The determination of cases: with ZhouQuXian hospital, deputy director of the above the doctor diagnosed according to the result.

        Chinese traditional medicine prescription and decoction method

        Basic prescription by the gansu province old doctor of traditional Chinese medicine professor LiuDongHan provide:

        (1) prevent diarrhea square: tuckahoe 30 grams, Fried semen coicis 30 grams, white Kou kernel 10 grams, ageratum 10 grams, the ginger 6 grams, dangshen 20 grams, Fried rhizoma atractylodis 10 grams, semen plantaginis 10 grams, 10 g dried tangerine or orange peel, Fried rhizoma atractylodis macrocephalae 20 grams, roasted liquorice 10 grams, kudzuvine root 10 grams, cortex magnoliae officinalis 10 grams. Efficacy: nourishing spleen and enriching qi, dehumidification change chaotic. Attending for feeling cold dampness and cause diarrhea bowel, wan abdominal distension with nano stay.

        (2) cold prevention square: herba schizonepetae 10 grams, wind 10 grams, asarum 3 grams, ageratum 6 grams, platycodon grandiflorum 6 grams, raw radix rehmanniae 10 grams, xuan and 10 grams, burdock 20 grams, coke hawthorn 20 grams, white nutmeg 10 grams, raw radix astragali 30 grams, roasted liquorice 10 grams, notopterygium 10 grams. Efficacy: nourish the change wet, qi and. Attending for feeling cold dampness and the snuffle runny nose, sneezing, dry throat pain, ache all over.

        A decoction of medicinal ingredients decoction method: the above formula for one dose, every time take 50 Ken prevention diarrhea party or cold prevention party, washed for 10 minutes, put three respectively in the pot, each pot water 60 kg. Local birch wood ignition fire, surround with bituminous coal block. Boil after 10 minutes residue take soup, immediately barreled.

        Treatment outcome

        ZhouQuXian independent middle school second grade 496 students, take medicine group of 278 people, the boy has 227 people, female 51 and control group in which 218 people, the boy has 175 people, female 43 people; Group is compared between age, sex without significant difference, p > 0.05.

        Take medicine group of cold, diarrhea two diseases in the number on August 30, to September 18, gradually decreasing during, the first four days of average daily the 19 / day, reduced to the last four days of average daily disease in 2 cases/day. Control the number two diseases on August 30, to September 18, gradually decreasing during, the first four days of the average 17.8 cases per day, reduced to the last four days of the average 6.8 cases per day. Take medicine group of cold, diarrhea morbidity were lower than those of the control group, the rate of between the two groups is significant difference (P < 0.01).

        All the students venous blood sampling, lymphocyte subsets, full red blood cells, hemoglobin content changes: take medicine group compared with controls, CD4 / CD8 ratio, hemoglobin increases, comparison between the two groups have statistical significance.

        discuss

        Traditional Chinese medicine decoction can improve the disaster victims immunity, reduce the incidence of colds, diarrhea, whose mechanism is probably and cell immunity enhancement and the increase of hemoglobin on.

        After the disaster of a variety of factors, increase the chance of disease. Traditional Chinese medicine health epidemic prevention in China for thousands of years of history. Famous ancient physicians in the Ming dynasty wu and write the world-famous "plague theory", to plague the causes of disease and treatment puts forward unique opinion, and the first drain through the method of. The large-scale use traditional Chinese medicine decoction for post-disaster epidemic prevention in the national is belong to the first, according to the feedback of the facilities, the crowd, the Chinese medicine response is very good. LiuDongHan director nourishing lishi is given priority to, WenHua moisture, moisture remove cloud for formula principle, the main medicine is the tonic temper, water dehumidification drugs, in support of the upright, but also reflects the wu and behavior of the drain through the method, thus played a very good effect. To reveal its prevention mechanism, this research selected the lymphocyte and classification index, incidence rate index.

        T cell belong to cellular immunity, CD4 representative T auxiliary/induce T cell, CD8 representative inhibition/cytotoxic T cells. CD4 / CD8 heighten, is the body cell immunity enhancement, resistance to infection immunity good performance. In the design of perovskite-type I ZhouQuXian independent high school whole group sampling control test study, CD4 / CD8, hemoglobin is compared between the two groups have statistical significance; The differences of hemoglobin, although not directly immune index, but can really reflect the whole body function state. From the cold and the incidence of diarrhea view, two groups have statistical differences. The experiment results show that the doctor of traditional Chinese medicine taking group cell immune function increase, Experimental data from the microscopic Angle reveals the Chinese native medicine and improve the body's immune capacity mechanism for traditional Chinese medicine (TCM) for the popularization and application of post-disaster epidemic prevention has made important experimental basis.

        This research in Taiwan for the first time. The humanity will certainly and disaster and infectious diseases coexist, the doctor of traditional Chinese medicine also face new opportunities and challenges. Traditional Chinese medicine plays their traditional advantage at the same time, also want to actively participate in major disasters or public health emergencies, and constantly improve and simplified decoction technology, decrease costs and improvement of dosage form, facilitate promotion, make traditional Chinese medicine after disasters in disease prevention and play a bigger role.