Study On Syndrome And Syndrome Distribution Of Chronic Atrophic Gastritis In Different Pathological Stages

Object:There exists a high incidence of CAG, TCM was used to its unique diagnosis and treatment methods which had an advantage in the treatment of the CAG.This study is based on TCM theory, the literature research clinical expert consultation, which combined with a variety of statistical methods, discussed the CAG syndrome and syndrome elements distribution characteristics, and analyze its etiology and pathogenesis. Finally, it takes attempts and makes some exploration to provide a scientific and clinical standardization of this disease.Methods:There are two parts in the article, including theoretical research and clinical research.There are two papers in the first part, the first states the study of CAG in the field of modern medical research and emphatically introduces the pathogenesis, the evolution process of the standard in the pathological diagnosis,the progress of prevention and treatment in modern medical fields, etc. The second summarizes the related concepts of CAG and the etiology and pathogenesis of TCM.The second part is clinical studies, this study observed cases of CAG in different pathological stages with clinical data, from general information and diagnostic message. It takes the study of syndrome and syndrome elements distribution characteristics and etiology and pathogenesis of CAG, with the use of statistical analysis, including descriptive analysis, difference test, clustering analysis, factor analysis.Results:This study collected 281 cases of CAG patients and different pathological stages for definite diagnosis of atrophy in 49 cases, intestinal metaplasia in 152 cases,80 cases of dysplasia. This study by statistical analysis found in different pathological stages in course of disease, history of alcohol and tobacco, Hp infection and gastroscopic diagnosis distribution were different. By using clustering analysis, we can conclude that symptom elements of atrophy disease location are stomach, liver, spleen, the pathogen syndrome elements are qi stagnation, wet, heat, blood stasis, qi deficiency, yang deficiency, the classification of syndromes:the weakness of the spleen and stomach syndrome, syndrome of incoordination between liver and stomach, liver stagnation and spleen deficiency syndrome, liver stomach heat syndrome; the symptom elements of intestinal metaplasia disease location are stomach, liver, spleen, the pathogen syndrome elements are qi stagnation, wet, heat, blood stasis, qi deficiency, yang deficiency, yin deficiency, the classification of syndromes:the weakness of the spleen and stomach syndrome, liver stomach heat syndrome, liver stagnation and spleen deficiency syndrome, spleen stomach damp heat syndrome, stomach collateral stasis, syndrome of incoordination between liver and stomach; the symptom elements of dysplasia disease location are stomach,spleen, liver, the pathogen syndrome elements are qi stagnation, wet, heat, blood stasis, yang deficiency, qi deficiency, yin deficiency, the classification of syndromes:the weakness of the spleen and stomach syndrome, liver stomach heat syndrome, spleen stomach damp heat syndrome, liver stagnation and spleen deficiency syndrome, stomach collateral stasis, syndrome of incoordination between liver and stomach.Conclusion:(1)CAG with different pathological stages of the main syndrome type of the weakness of the spleen and stomach syndrome, liver stomach heat syndrome, liver stagnation and spleen deficiency syndrome, spleen stomach damp heat syndrome, syndrome of incoordination between liver and stomach,stomach collateral stasis, the weakness of the spleen and stomach syndrome is the main syndrome in each pathological stage, atrophy stage syndrome without spleen stomach damp heat syndrome and stomach collateral stasis syndrome, mainly in liver stagnation and spleen deficiency syndrome and syndrome of incoordination between liver and stomach,no obvious damp heat and stagnated heat performance, with the development of the disease, the liver and stomach syndrome of stagnated heat, spleen and stomach damp heat syndrome and the stomach meridian stasis syndrome were gradually increased, liver stomach disharmony percentage became gradually reduced.(2)The main location factors are stomach, liver, spleen, as the disease progresses, the transformation from the stomach, liver, spleen to stomach, spleen, liver. Disease of syndrome elements in atrophy pathological stage dominated by qi stagnation and dampness, qi deficiency,heat is not obvious, and no blood stasis performance, with the development of the disease, heat and blood stasis produced, qi and yang damaged, yin increased. The disease of TCM syndrome characteristics is intermingled deficiency and excess. We can conclude that the disease of the pathogenesis of TCM are including aspects:deficiency, heat, dampness and blood stasis, deficiency syndrome are mainly about qi and yang.(3)In the general information, the distribution of history of alcohol and tobacco, Hp infection and gastroscope diagnosis are distinctly different in pathological stages, and Hp infection were positively correlated.