Objective

2

To observe the clinical efficacy of modified Danggui Liu Huang Decoction combined with guasha(scraping) therapy in the treatment of recurrent suppurative tonsillitis in children.

Methods

2

Ninety children with recurrent suppurative tonsillitis were assigned to the treatment group and control group according to the parallel control method

with 45 cases in each group. The control group was treated with routine symptomatic treatment of Western medicine

and the treatment group was treated with modified Danggui Liu Huang Decoction combined with guasha(scraping)therapy once a week for 4 weeks. The short-term clinical effects of the two groups were observed

such as the disappearance time of clinical symptoms and signs

and the long-term clinical efficacy of repeated attacks of tonsillitis in 6 months before and after treatment were also observed.

Results

2

In the treatment group

20 cases were cured

22 cases were effective

and 3 cases were ineffective

with a total effective rate of 93.33%; in the control group

19 cases were cured

21 cases were effective

5 cases were ineffective

with a total effective rate of 88.89%.The short-term curative effect of the treatment group was similar to that of the control group

according to the rank sum test

Z

= 0.549

P

= 0.768

P

>

0.05. After treatment

the fever abatement time

pharyngalgia relief time and purulent secretion disappearance time were less than those before treatment in each group (

P

<

0.05). Meanwhile

the fever abatement time

pharyngalgia relief time and purulent secretion disappearance time were significantly shorter in the treatment group than in the control group

and the difference was statistically significant (

P

<

0.05)

indicating the treatment group was superior to the control group. The frequency of recurrent attacks in the treatment group was lower than that before treatment (

P

<

0.05)

but there was no significant difference in the control group after 6 months of treatment (

P

>

0.05). After 6 months of treatment

the frequency of recurrent attacks was significantly lower in the treatment group than in the control group

and the difference was statistically significant (

P

<

0.05).After treatment

8 cases were clinically cured

13 cases were markedly effective

18 cases were effective and 6 cases were ineffective

with the total effective rate of 86.67% in the treatment group; while in the control group

2 cases were clinically cured

9 cases were markedly effective

18 cases were effective

16 cases were ineffective and 29 cases were total effective

with the total effective rate of 64.44%. The long-term effect was betterin the treatment group than in the control group according to rank sum test

Z

= -2.866

P

= 0.004

P

<

0.05.

Conclusions

2

Modified Danggui Liu Huang Decoction combined with guasha(scraping) therapy has a good clinical effect in the treatment of recurrent suppurative tonsillitis in children.