- 期刊
2003年三伏天治療過敏性疾病初步分析：以中部醫學中心爲例
In 2003 Three Periods of Greatest Heat Treats the Allergic Disease Preliminary Analysis: Take a Taichung Area Medicine Center as the Example
摘要
根據行政院衛生署2002年全民健保醫療統計結果發現呼吸系統疾病門診就診率、門診費用、住院人數等皆佔第一或第二名，其中氣喘及過敏性鼻炎等過敏性疾病更呈現逐年增加的趨勢。 儘管，近年來對過敏性疾病免疫致病機轉和病因的研究及新藥開發有快速進展，然而，全世界氣喘及其他過敏性疾病的罹病率、嚴重度、住院率和死亡率卻持續增高。因此，尋求療效顯著、操作簡便、價廉、無痛、無副作用、具有預防功效的治療方法更顯出其重要性。 本研究依據冬病夏治理論，針對罹患過敏性鼻炎、氣喘等好發於冬季的過敏性疾病的門診患者進行中醫體質分析，並於夏季的三伏天以自製灸療膏進行穴位貼敷治療，期望藉由增強人體正氣，提高免疫力，驅散內伏寒邪，進而達到有效控制和減少疾病發作的目的。 本研究針對三伏天門診患者557例，以自製灸療膏進行穴位貼敷，共貼敷三次為一療程。初步觀察其疾病類別進行交叉分析及中西醫服藥治療情形。 三伏天門診患者共557例，有效問卷454例，經由兩位中醫師進行寒熱體質辨證論。綜合本研究結果得知不論寒熱體質50歲以下約佔7成以上，其中1~20歲佔3~4成以上。並以過敏性鼻炎為主佔8成以上，其合併氣喘約佔3成以上，尋求治療方式以西醫治療為主有4成以上，其次中西醫3成以上，單獨使用中醫治療2成以下。在緩解期依據冬病夏治理論進行穴位貼敷治療，此方法不僅操作簡便、成本低、無痛、無副作用，並能減緩症狀及發作次數，預防疾病發生，故此治療方式是值得推廣。
並列摘要
According to the Department of Health of Executive Yuan in 2002 all the people health insurance medical service statistics result discovered respiratory system disease all datas to occupy first or second (1). Asthma and allergic rhinitis and so on allergic the disease presents the tendency which increases year by year. Although, in recent years had the fast progress to understood allergic disease pathogenicity and researches and develops the new medicine, however, the world asthma and other allergic disease prevalence rate, being hospitalized rate and the mortality rate actually continued to advance (2). Therefore, seeks the curative effect to reveal, the operation is being simple, the moderate price, does not have the pain and the side effect prevention disease occurs methods of treatment to appear its importance. This research governs the theory based on the winter's diseases treat in summer (3) (4) (5), in view of suffers from contracts the allergic rhinitis and asthma patient carries on the moxibustion paste to paste spreads on acupuncture points at the three periods of greatest heat. Method of treatment expected the affiliation by enhances the immunity, then achieved the active control and the reduced disease manifest suddenly goal. This research in view of the three periods of greatest heat outpatient service patient 557 examples, carries on the acupuncture point by the self-made moxibustion paste to paste spreads, altogether pastes spreads three time is a treatment course. Initially observes its disease category to carry on the overlapping analysis and China and the West medicine treatment situation. Effectively asked the volume 454 examples, synthesizes this findings to know no matter below the cold and heat physique 50 years old approximately composes above 70%, 1～20 year old occupies 30～40%. And primarily occupies above 80% by the allergic rhinitis, its merge asthma approximately composes above 30%, seeks west medical treatment primarily to have above 40%, the China and the West medicine treatment above 30%, the Chinese medicine treats below 20%. In alleviating the time to govern the theory based on the winter's diseases treat in summer to carry on the acupuncture point to paste spreads the treatment, this method can slow down the symptom and manifest suddenly the number of times, prevents the disease to occur, therefore the treatment way is worth promoting.