ABSTRACT
ObjectiveTo observe the clinical efficacy and safety of Chinese herbal enema combined with fumigation as adjunctive therapy for non-dialysis chronic kidney disease （CKD） patients of stage 3-5 with spleen-kidney yang deficiency and turbid toxin blood stasis pattern. MethodsA total of 120 non-dialysis CKD，patients of stage 3-5 with spleen-kidney yang deficiency and turbid toxin blood stasis pattern were randomly divided into treatment group and control group， with 60 cases in each group. The control group received conventional western medical treatment， while the treatment group additionally received Chinese herbal enema combined with fumigation， with enema and fumigation performed alternately， once every other day， three times a week. The treatment course for both groups was 4 weeks. The levels of serum creatinine （Scr）， estimated glomerular filtration rate （eGFR）， and the total score of traditional Chinese medicine symptoms were compared before and after treatment in both groups. The efficacy of traditional Chinese medicine symptoms and clinical efficacy were compared between the two groups after treatment. Adverse reactions in both groups were observed during the treatment period. ResultsThe total score of traditional Chinese medicine symptoms was significantly reduced after treatment in both groups （P＜0.01）. Compared to the control group after treatment， the treatment group showed significant decreases in Scr and the total score of traditional Chinese medicine symptoms， and a significant increase in eGFR （P＜0.05）. The total effective rate of traditional Chinese medicine symptoms in the treatment group （96.67%） was higher than that in the control group （46.67%， P＜0.01）， as well as the total effective rate of clinical efficacy in the treatment group （75.00%） versus that in the control group （28.33%， P＜0.01）. During the treatment period， the vital signs of patients in both groups remained stable， and there were no significant abnormalities in blood routine， urine routine， stool routine， liver function indicators， and electrocardiogram after treatment. ConclusionChinese herbal enema combined with fumigation as adjunctive therapy can significantly alleviate clinical symptoms， improve renal function， and demonstrate good safety for non-dialysis CKD patients of stage 3-5 with spleen-kidney yang deficiency and turbid toxin blood stasis pattern.
ABSTRACT
Objective To compare the effects of Chinese herbal fumigation and ultraviolet light exposure on air disinfection in neurosurgical intensive care unit.Methods The floors and the tables in the rooms of ICU were all disinfected using 0.02%84 disinfectant.The air disinfection was performed in the rooms using Chinese herbal(elsholtziae,ramulus cinnamomi,forsythia suspense,flos caryophylli)fumigation as the experiment group and those using ultraviolet light exposure as the control group,both for 30 times.The two disinfection methods were compared before air disinfection,at hours 0,1,2,4,8 and 12 in terms of bacteria tests.Results The air quality on natural bacteria in both groups met the standard of Class Ⅱ Environmental Health Criteria at hour 0,l after air disinfection,without significant difference between the two groups at each time point(P>0.05).In the control group,the bacteria began to grow in number one hour after ultraviolet light exposure and overgrew two hours after air disinfection.In the experiment group,the bacteria grew less,never exceeding the standard level at all time points.The disinfection effect of the experimental group was all significantly better than that of the control group at the time points of 2 h,4 h,8 h,12 h(P<0.05 or P<0.01). Conclusions Chinese herbal fumigation is superior to the UV light irradiation disinfection.It is safe and harmless even in case of medical staff working in the unit.