Name: Zhou.

Sex: Male.

Age: 6 years.

Chief Complaint: Intermittent cough and asthma for half a year.

History of Present Illness: Half a year ago, the patient got cough and asthma due to a cold. At that time, he was treated in hospital, the symptom was greatly relieved. However, he had gotten frequent cough since then, furthermore, it was accompanied by less yellowish sticky sputum. When he coughed severely, asthma would be induced, which was usually accompanied with chest oppression; sometimes a persistent asthma would result in dizziness and purplish lips. Then he was sent to the local hospital for treatment again. Through some medical examination, it was diagnosed as "Bronchial Asthma, "he was treated with some antiasthmatic and antibiotic drugs. Under the treatment in the hospital, his symptom could be relieved effectively. But there would be recurrence as soon as he left the hospital. Then his parent had to send him to the hospital again. In the past 6 months, the repeated asthma obliged his parent to send him to hospital for treatment 8 times totally, it made his parent exhausted to the extreme. Then a relative lived in JiangYin invited them to come to JiangYin and introduced them to me for treatment on August 6,19.99. After the illness came on, the patient got excessive night sweat, poor appetite and bad sleeping, while his defecation and urination were all normal. There was not other complaint.

Physical Examination: The patient was conscious with a normal general condition. The pulse was thready, floating and rapid, the tongue was red with a thin layer of white fur. The mucous membrane of the pharyngeal wall was slightly congestive. Both tonsils were swelling I¡ã. The respiratory sounds were harsh. Some bubbling sounds could be heard occasionally. Some wheezing sounds could be heard at the end of inspiration. HR was 88 beats/min. The cardiac rhythm was regular. There were not systolic murmur and diastolic murmur. There was not other abnormal sign.

Diagnosis: Bronchial Asthma.

Differentiation: This disease, in TCM, belongs to the category of "ChuanZheng" (asthma). It was caused by accumulation of heat evil in the lungs and deficiency of spleen and kidney. Primarily, this illness was caused by the attack of exogenous Wind-heat. Because the wind-heat hadn't been removed effect-tively, it got into the lungs and caused sthenic heat-syndrome of lung. Therefore, the initial qi was prevented from flowing smoothly and normally. As a result of it, there were cough and asthma. When it occurred slightly, the patient merely coughed; when it occurred severely, the patient then gasped. Additionally, the repeated cough and asthma caused the functional activities of qi became disorderly, then there was deficiency of the middle-Jiao qi, which directly resulted in anorexia. At last, as a result of a long term of cough and asthma, the illness of mother-organ would involve its child-organ, then kidney-qi was extra consumed and there was a failure of kidney to take charge of reception of air. So that the illness became persistent and couldn't be cured easily.

Therapeutic Principle: Clearing away heat evil and cooling the lung, regulating qi and eliminating phlegm evil, invigorating spleen qi and activating the middle-Jiao qi, restraining the extra consuming of kidney-qi.

Recipe:

TaiZiShen,Pseudostellaria Root 50g

BaiZhu,Bighead Atractylodes Rhizome 15g

FuLing, Tuckahoe 15g

ShengShiGao,Gypsum 50g (to be decocted earlier)

ZhiMu,Windweed Rhizome 15g

HuangLian,Coptis Root 10g

HuangQin,Scutellaria Root 10g

MaHuang, Ephedra 15g

ShaRen,Amomum Fruit 15g

BaiOian,Swallowwort Rhizome 18g

QianHu,Peucedanum Root 30g

SangBaiPi,Mulberry Bark 15g

YiYiRen,Coix Seed 30g

ShanYao,Chinese Yam Rhizome 30g

SuZi,Perilla Fruit 12g

XingRen,Bitter Apricot Seed 8g

TuSiZi,Dodder Seed 15g

WuYao,Lindera Root 10g

FuPenZi, Raspberry 12g

DiGuPi, Wolfberry Bark 15g

BaiJieZi,White Mustard Seed 12g

YiZhiRen,Bitter Cardamon 12g

1 dose was prescribed. All the above drugs were to be ground into powder and mixed with some water to make pills, taking 5g of the pills each time, 3 times a day in morning, afternoon and evening separately. Greasy and hot food was forbidden during the treatment.

Effect Observation: After 1 month' s treatment, the patient' s appetite got better obviously, nigh sweat disappeared, there was not recurrence of cough and asthma any more. Physical examination showed the respiratory sounds became clear and there were not wheezing sounds and bubbling sounds in the lungs. After 1 year's follow-up through telephone, the asthma didn't recur all along, then it's ending.