clinical study on the treatment of chronic airway diseases (asthma, chronic obstructive pulmonary disease) with shu fei tie

Conditions: Chronic Obstructive Pulmoriary Disease (COPD); Asthma

Summary: conduct a multi-center, large-sample, randomized controlled clinical study of "winter disease being cared in summer" with shu fei tie prevent recurrence of asthma and copd, scientifically evaluate the clinical efficacy and safety of shu fei tie in reducing the recurrence of chronic airway diseases, identify target population, clarify the mechanism of efficacy, and establish a prevention and treatment technology plan for shu fei tie to reduce the recurrence of chronic airway diseases.

asthma and chronic obstructive pulmonary disease (copd) are the most common chronic airway diseases, and their recurrent episodes or acute exacerbations are the main reasons for the decline in patients' quality of life and heavy economic burden. based on the of "winter disease being cared in summer", traditional chinese medicine (tcm) has a long history and wide application in preventing and treating the recurrence of chronic air diseases, with obvious advantages of combining tcm and western medicine. however, there is a lack of integrated tcm and western medicine technical schemes for chronic airway based on high-level evidence-based evidence. the shu fei tie developed by our project team is a medical institution preparation that has been used clinically for a long. therefore, this study conducted a multi-center, large-sample, randomized controlled clinical study of the shu fei tie to prevent the recurrence of asthma and copd. the study subjects were patients in the remission period of asthma (1332 cases) and the stable period of copd (980 cases) on the basis of treatment guided by the guidelines, the experimental group was given the shu fei tie, and the control group was given a placebo of theu fei tie. the treatment started 10 days before the " the first fu" and was conducted every 10 days, a total of 5 times, each treatment lasted 6-8 hours, and the follow-up period was 45 weeks, for a total of 3 cycles (3 years). the outcome indicators were the number of acute attacks per year for asthma and the number of acute exacerbations per year for copd. the secondary outcome indicators for asthma included asthma control test (act) score, the asthma control questionnaire (acq), and the asthma quality of life questionnaire (aqlq). for copd, the secondary outcome indicators included clinical symptom scores and lung function. this study scientifically evaluated the clinical efficacy and safety of the shu fei tie reducing the recurrence of chronic airway diseases, identified the advantageous population, elucidated the mechanism of efficacy, and established a technical scheme for preventing and treating the recurrence of chronic airway diseases with the shu fei tie.

Eligibility criteria:
inclusion criteria: * meets the diagnostic criteria for asthma/copd(group e in the gold classification); ② age range from18 years to 80 years(asthma) and 40 yesrs to 80 years(copd); * the investigators agreed to participate in this clinical study by voluntarily signing an informed consent form. exclusion criteria: * patients with other pulmonary diseases (lung abscess, pulmonary interstitial fibrosis, active pulmonary tuberculosis, bronchiectasis，etc); * patients with severe cardiovascular and cerebrovascular diseases (malignant arrhythmia, unstable angina, acute myocardial infarction, heart grade 3 or above, stroke, cerebral hemorrhage, etc.); * patients with severe liver diseases (liver cirrhosis, portal hypertension, and caused by esophageal and gastric varices) and severe kidney diseases (dialysis, kidney transplantation, etc.); * patients with impaired consciousness or various illnesses who cannot communicate normally; ⑤pregnant and lactating women; ⑥patients who are participating in other clinical trials within one month prior to enrollment; ⑦patients who have received acupuncture or other traditional chinese medicine external treatments within the past year; ⑧ patients who are allergic to external patches

Keywords: chronic obstructive pulmoriary disease asthma shu fei tie winter disease being cared in summer randomized controlled trial