The Study On The Distribution Of Rheumatoid Arthritis In Clinic Traditional Chinese Medicine Syndromes

Objective:Through investigation methods of clinic epidemiology to get some guidance to make clinic treatment dialectically and choose more effective schemes of traditional Chinese medicine(TCM) therapy,a research in the relationship between rheumatoid arthritis and the TCM syndrome was done to seek the characteristics of the distribution of RA in clinic TCM syndromes.Methods:On the study,203 cases with RA were selected,according to the selection criteria, classi-fied into five types:cold-damp blocked, damp-heat blocked, phlegm and blood stasis blocked, kidney and liver yin asthenia,and kidney-yang deficiency.The diagnosis of TCM syndromes was made at the first time patients caming to see us whether they were the first fall sick or recurresce. Then, the data of patients were analyze with statisticsto find out the distribution of RA in clinic TCM syndromes.Results:1 The disease occurred in the age from 40 to 60 principally,accounting for 65.52%. There were significant differences among the different TCM syndromes in the age(χ2= 20.391,P<0.05).2 There was no significant difference among the different TCM syndromes in the gender distribution(χ2=0.684,P>0.05).3 The Syndromes of cold-damp blocked and damp-heat blocked permitted shorter courses,and there was no significant difference between them.But compared with an other syndromes,there were significant differences.It was longer that the courses in the syndrome of phlegm and blood stasis blocked,kidney and liver yin asthenia,and kidney-yang deficiency.There was no significant difference among the three syndromes(P>0.05).4 The X-ray stage of the patients'hands are mainly in stageⅡ,and rarely in stageⅣ.5 There were significant differences among the different TCM syndromes in the X-ray stage(χ2=30.507,P<0.05).There was no significant difference among the different TCM syndromes in the Related laboratory indicators such as rheumatoid factor (RF),dynamic ESR (ESR), C-reactive protein (CRP),platelets (PLT) and so on.Conclusion: 1 On the study,the main performance of the disease's TCM syndrome in age and course is as follows:It is the Syndromes of cold-damp blocked and damp-heat blocked that occour in the younger patients.With the age older,the number of the patients who are troubled in the syndrome of phlegm and blood stasis blocked,kidney and liver yin asthenia,and kidney-yang deficiency rises. The courses of the disease are longer in the syndrome of phlegm and blood stasis blocked,kidney and liver yin asthenia,and kidney-yang deficiency than in the Syndromes of cold-damp blocked and damp-heat blocked.2 On the study,the patients are mainly in the Syndrome of damp-heat blocked phlegm and blood stasis blocked.3 On the study, the X-ray stage of the patients' hands are mainly in stageⅡ,and rarely in stageⅣin the five TCM syndromes.The patients' X-ray stage in the the Syndromes of cold-damp blocked and damp-heat blocked are mainly in the stageⅠandⅡ,then the patients' X-ray stage in the the Syndromes of phlegm and blood stasis blocked,kidney and liver yin asthenia,and kidney-yang deficiency are mainly in the stageⅡandⅢ.4 On the study,there is no significant difference among the different TCM syndromes in the Related laboratory indicators such as RF, ESR, CRP, PLT and so on.It indicates that these related laboratory indicators reflect the characteristics of RA, and be difficult to reflect the TCM syndrome features of RA.