Study On The Relationship Of Traditional Chinese Medicine Type Of Syndrome And Pathology

Objective:Chronic erosive gastritis is a common and recurrent disease. There are many advantages to the treatment of TCM to the disease such as high and reliable efficiency and little side reaction. By integrating of macrocosmic and microcosmic study on the relationship of traditional Chinese Medicine type of syndrome and pathology, in order to discover the regularity of the TCM type of the chronic erosive gastritis, discuss the relationship of the atrophy and ICM type, the intestinal metaplasia and TCM type, the dysplasia and TCM type in the Pathology diagnose, search for the basis of the treatment and the outlook for recovery to the chronic erosive gastritis and improve the curative effect and prevent precancerous lesions effectively.Methods:Adopt the method of observing cases and laboratory detect. The cases is altogether of the men who were diagnosed chronic erosive gastritis in the TCM hospital of Guangdong Province from March 2005 to March 2007. Write down the detail information including the symptoms syndrome type and result of the Pathology diagnose such as atrophy, intestinal metaplasia and dysplasia, ect. And then, collect all the information and make a database, and make the result by SPSS13.0 software mange descriptive statistics, use the X~2 test or Fisher accurate test, a=0.05.Results:Of the whole 147cases of chronic erosive gastritis in the study, 81 cases is the damp—heat syndrome of spleen—stomach type, it is 55.10% of all; and the functional incoordination of liver and stomach type, the spleen and stomach deficiency type, the blood stasis of stomach type, the deficiency of spleen and Qi stagnation type, the stomach Yin deficiency type are respective 27(18.37%), 18(12.24%), 9(6.12%), 9(6.12%), 3(2.04%). In the 147 cases, damp —heat syndrome of spleen—stomach type is the majority of all intestinal metaplasia positive, atrophy positive, dysplasia positive. The sequence of the cases of atrophy in the six typesis the damp—heat syndrome of spleen—stomach type＞the functional incoordination of liver and stomach type＞the blood stasis of stomach type = the deficiency of spleen and Qi stagnation type＞the spleen and stomach deficiency type=the stomach Yin deficiency type. The sequence of the cases of intestinal metaplasia in the six types is the damp—heat syndrome of spleen—stomach type＞the functional incoordination of liver and stomach type＞the blood stasis of stomach type = the deficiency of spleen and Qi stagnation type =the spleen and stomach deficiency type=the stomach Yin deficiency type. The sequence of the cases of dysplasia in the six types is the damp—heat syndrome of spleen—stomach type＞the functional incoordination of liver and stomach type= the blood stasis of stomach type = the deficiency of spleen and Qi stagnation type =the spleen and stomach deficiency type=the stomach Yin deficiency type. Atrophy is 24 of the 147 cases. It is 16.33%. The result of Pathology examine show that spleen and stomach deficiency type is significant difference (P＜0.05) by the Fisher accurate test to compare with the other types. Intestinal metaplasia is 27, of which low degree is 18(12.25%) and moderate degree is 9(6.12%). The result of Pathology examine show that damp—heat syndrome of spleen—stomach type and spleen and stomach deficiency type are significant difference (P＜0.05) by the Fisher accurate test to compare with the other types. Dysplasia is 6, of which low degree is 3(2.04%) and moderate degree is 3(2.04%) significant difference (P＜0.05) by the Fisher accurate test to compare with the other types.Conclusions:Discover that the rule of the distribution of TCM type of the chronic erosive gastritis is some of regularity by the study, the damp—heat syndrome of spleen—stomach type is predominant in the disease. The result of the study indicates that, of all the six types of chronic erosive gastritis, atrophy and dysplasia in the spleen and stomach deficiency type is fewer probable, while intestinal metaplasia and dysplasia in the damp—heat syndrome of spleen—stomach type is more probable. All of this is significant to the treatment of the chronic erosive gastritis.