| 1.The purposeThis issue through the collation and analysis of clinical cases, attempts to summarize the incidence of RA in the laws of Hong Kong, medication characteristics,played by people,because when the principle of suiting measures to local conditions in order to provide physicians in our many inspiring reference.2.MethodThe basis literature report and clinical sees the kind of rheumatic arthritis patient's common symptom as well as is related with this sickness the factor,the design questionnaire.The formulation unified clinical observation table,the investigation content including the common material,gets sick the history material,the common symptom and the tongue,the arteries and so on,is clear about the diagnosis in Hong Kong area Chinese medicine clinic investigation for kind of rheumatic the arthritis's patient 60 examples,the unification filling in observation table,carries on the dialectical analysis.After the case investigates had finished,to has the survey form to carry on the data processing.3.ResultsCommon material:60 example class rheumatism arthritis patient,the feminine 45 examples,account for 75%,the masculine 15 examples,accounts for 25%,the feminine patient number is masculine 3 times.Patient's average age is 47 years old.Masculine average age 48.6 years old,feminine average age 45.4 years old.The housewife is in the majority,accounts for 60%.The body weight index has 35 examples in 15～18.5 between cases, accounts for 58.3%;The body weight index has 15 examples in 18.5～22.9 between cases,accounts for 25%;The body weight index has 8 examples in 23～24.9 between cases,accounts for 13.3%;The body weight index above 25,some 2 examples,account for 3.3%.The course is longest for 72 months; the course is shortest for 8 months,average course 36.96 months.The cause with excessively tired related has 38 examples,accounts for 63.3%, obviously is tired is the morbidity important attribute excessively. Related has 17 examples with the climatic factor,related has 3 examples with the environmental factor,related has 2 examples with the diet factor. Chinese medicine card period of five days:Spleen kidney two empty, wet note joint card for many,accounts for 51.6%;The wind cold-damp anti-, congeals the veins card to account for 16.7%coldly,after 50 years old, along with the age grows,but reduces gradually,but the liver deficiency of vittles of the kidneys empty,the phlegm stasis hands over the anticard to account for 31.7%,grows along with the age increases gradually. The liver deficiency of vittles of the kidneys empty,the phlegm stasis hands over in the anti- card,the course below 1 year,the only 1 example, accounts for 1.6%;lengthens along with the course,accounts for the proportion to increase obviously,above the complete course 2 years occupy 16 examples.The course is longer;the pathology change is more complex, condition aggravation.Symptom characteristic:Refers to the joint soft tissue by the two-sided near-end swelling or the water ache sees,has 28 examples,holds the knuckle swelling or the water 10 examples,double knee swelling water 10 examples,bowl joint swelling or water 12 examples.The ache nature the proportion which occupies by the painfully swollen is big,accounts for 43.3%.Ache aggravation factor:The joint moves when aggravates accounts for 55%obviously;The cloudy rainy day aggravation accounts for 16.7%;Meets the cold aggravation to account for 13.3%;At night the pain accounts for 15%really.The knee joint abnormal formation rate 16.7%,the two-sided near-end refers to the joint abnormal formation rate 46.6%,holds the knuckle during abnormal formation rate 16.7%,wrist abnormal 20%.The early morning stiff altogether occupies 49 examples, the anchylosis altogether 53 examples;the whole body follows the symptom: Occupies the proportion is in turn the spiritual exhausted 70%,waist knee worn out and aching 68.3%,is sensitive to cold 68.3%,facial color atrophies yellow 58.3%.Pip:The corpus linguae aspect,accounts for 16.6% normally,big and fat or has the indentation corpus linguae to account for 51.6%.The tongue substance pale or pale most sees,accounts for 33.3%; Dark or the ecchymosed accounts for 26.6%;Pale red accounts for 15%;Red accounts for 25%.Tongue coating Bai Huobai greasy sees,accounts for 35%; Thin or thin accounts for 31.6%in vain.Pulse condition:This group of patients tight most see by the arteries string,account for 21.7%;Sinks the arteries to account for 13.3%;The taut pulse accounts for 16.6%;The smooth pulse accounts for 20%;The stringer vein accounts for 13.3%;The weak and thread pulse accounts for 15%. 4.ConclusionThrough to 60 example patient's diagnosis,discovers Hong Kong area class rheumatic arthritis patients often testimony period of five days for the spleen kidney two empty,the wet note joint card;The patient is in the majority by the female,sends in the middle age;The pathological change spot refers to the joint by both hands to be swollen and painful primarily;The partner sends the symptom to see the waist knee worn out and aching,the spirit exhaustedly,to be sensitive to cold,the facial color atrophy yellow;This survey result discovered that the morbidity mainly with the physique factor,increases the age,the strain,the environmental variation,and so on to concern.The generalized analysis survey result,discovered that the RA patient by the spleen kidney two empty majorities,the kidney deficiency of yang,wet muddy,in the edema diseases sleepy,the blood line impeded and so on has the possibility is the RA main pathology foundation. |
PDF Full Text Request