Study On The Rule Of Syndrome Differentiation And Treatment Of Diarrhea

Objective:Through retrospective study of diarrhea patients,to discuss the clinical syndrome distribution of diarrhea and the using drugs regularity,hope to assist the clinical diagnosis and treatment and provide a reference for future clinical and scientific research.Method:First, by collecting138cases of diarrhea patients medical records, we organized the relevant data such as the general information,syndrome differentiation, treatment, medication. Second,we used the mathematical statistical software to analyze data,Last,we summarized and discussed the regularity of diagnosis and treatment in Traditional Chinese medicine.Result:1.General information:The total cases was138,among which61cases was male and77cases was female, the male to female ratio was about1:1.26.The minimum age was22years old, the maximum age was94years old and the average age was56.14±17.337years old. The diarrhea was most commonly found in autumn and on the common residents.2.The course and degree of the disease:the course was mainly chronic.The shortest duration for5days and the longest one for40years in the138patients.The degree mostly was mild,in which mild cases were98, moderate were31and severe were9. Moreover,there was no correlation between disease degree and course.3.The pattern of syndrome:The syndrome of those cases was divided into six types.the cases of Hot and humid syndrome were51,the deficiency of spleen and stomach syndrome50, the cold-damp syndrome18.the stagnation of live with spleen deficiency syndrome12,the deficiency of kidney-yang syndrome5and the food stagnation syndrome2.4.Medicine:The study ranged over177kinds,21classesof herbs, which were used2253times.the order of the classes according to their using percentage from high to low were:heat-clearing herbs(29kinds), qi-restoratives medicine (21kinds),damp-clearing medicine(16kinds), herbs of invigorating blood circulation and eliminating stasis(15kinds), qi-activating drug(13kinds), diaphoretic (12kinds),astringent drug (12kinds),hemostatic(9kinds), digestant drug (8kinds),etc.Conclusion:1. The syndrome of those cases was divided into six types, namely, damp-heat syndrome,cold-dampness syndrome, liver depression by spleen syndrome, food stagnation syndrome, spleen and stomach weakness syndrome, kidney-yang deficiency syndrome.The results showed that the most common clinical syndrome was damp-heat syndrome and spleen and stomach weakness syndrome.The results showed that the syndrome distribution had correlation with age, length of the course of the disease.however,each type in gender, age, seasons, length of course, degree of illness had no statistical difference.2.Traditional Chinese medicine used in the treatment of diarrhea in this study were mainly clear-heat medicine, qi-restoratives medicine and damp-clearing medicine in the category. The four nature of drugs is given priority to with warm drugs. The flavors of drugs is given priority to with pungent, bitter and sweetish.The channel tropism of the herbs were mainly spleen and stomach meridian, but also closely involved with the large intestine,heart, liver, spleen, kidney and lung meridian.