Disrtibution Of TCM Syndroms Of CAG And Other Relative Research

Objective By means of prospective and retrospective study,it aims to summarize the relationship of gender,age,occupation Hp(Helicobactor Pylori) infection and predisposing factors with Chronic Atrophic Gastritis(CAG),and distribution of TCM(Traditional Chinese Medicine) syndromes as well as its relationship with gastric inflammation,atrophy,intestinal metaplasia and intra-epithelial neoplasia,thus finding out the regularity of this distribution to guide clinical treatment.Methods:On the basis of literature study,the data of patients' symptoms and signs are got through four diagnostic methods and data base is established by applying epidemiologic methods.Cluster analysis, descriptive statistics and chi-square test are used for statistic purpose,and the regularity of syndrome is summed up as well as the relationship of syndromes with gender,age,occupation,Hp(Helicobactor Pylori) infection and predisposing factors with Chronic Atrophic Gastritis(CAG) and distribution of TCM syndromes. The association of different TCM syndromes with gastric inflammation,atrophy,intestinal metaplasia and intra-epithelial neoplasia are analyzed.Results:Among gathered 320 cases,148are male,while 172are female;age ranges from 27 to 84 years old.The syndromes can be categorized into ten patterns,namely,spleen deficiency and qi stagnation, spleen deficiency and qi stagnation with accumulated heat,spleen deficiency and qi stagnation with blood stasis,spleen deficiency and qi stagnation with phlegm and dampness,disharmony between liver and stomach,deficiency of stomach-yin,deficiency of stomach-yin with accumulated heat.Among these, spleen deficiency and qi stagnation,spleen deficiency and qi stagnation with accumulated heat and disharmony between liver and stomach are most commonly seen in youngsters,spleen deficiency and qi stagnation and deficiency of stomach-yin are with high frequency in middle-aged people,while the elderly are more likely to demonstrate spleen deficiency and qi stagnation with blood stasis and spleen deficiency and qi stagnation with blood stasis and accumulated heat.The relationship of different TCM syndromes with various degrees of atrophy,intestinal metaplasia and intra-epithelial neoplasia is of statistical significance.Conclusion:Chronic Atrophic Gastritis generally manifest with spleen deficiency and qi stagnation syndrome, major etiological factors are blood stasis and accumulated heat.Middle-aged people and the elderly have a high morbidity.Spleen deficiency and qi stagnation with blood stasis and accumulated heat is commonly seen patients with severe mucosa atrophy and intestinal metaplasia.