The Research On Syndrome Diagnosis Of Acute Hemorrhagic Stroke Basing On Elements Of Syndrome And Pathogenesis Theory

Objective:The flexibility of symptom differentiation induce the complexity of the syndrome.and it is rather difficult to standardize and unificate the syndrome. On the key scientific issue about how to stardardizate the syndrome and unificate the flexibile syndrome differentiation, we should differentiate symptoms based on pathogensis. Inspired by the opinion of the master of traditonal Chinese medicine Zhou Zhongying that the key to differentiate symptoms according to pathogensis is to find out the pathogenic factors. We set up the method of symptom differnetiation:firstly, to consider the clinical symptom elements as the smallest units and the core of the syndrome differnetiation, then to identify and standardize them as the limited and indubitable units. Finally to combine them into the diverse symptoms. It will contribute to the high level diagnosis and inspire ideas for the new syndrome differentiation system. It is not only consistent with modern clinical standards, also reflect the characteristics and advantages of TCM syndrome differentiation system which is flexible and profound.Method:The fundamental research part rested on the literature about pathogenesis of acute hemorrhagic stroke, analyzing the ascendancy and demerit of diagnostic criteria which is formulated by doctors, and the conclusion of disposition and variation of acute hemorrhagic stroke. We put forward the concept ESP (symptom elements of pathogenesis), and carry on the analysis to the hemorrhagic stroke acute stage clinical manifestation. We have abstracted eight ESP:Stasis heat, Wind, Fire, Hot phlegm, Wet phlegm, Blood stasis, Qi deficiency and Yin deficiency. We could make the diagnosis of the observed cases by the stardard symptom elements of pathogenesis. On the basis of certification of syndrome classfication and the rules of nomenclature, we could make the syndrome differentiation due to symptom elements of pathogenesis in order to reveal the rule of the symptom distribution and dynamic changing.Result:Stasis heat is main elements of syndrome and pathogenesis of hemorrhagic stroke. Stasis heat is734,(accounting for71.69%); Wind, Fire and phlegm follow it;Qi deficiency and Yin deficiency always be placed in two ends. The symptom elements of disease combines form:From complications to simple conversion.The elements of syndrome of disease combines appearance:Stasis heat always combine with Wind,Fire and phlegm."YureShangyin,fengtan Huokang" is main syndrome in the early stages of the disease;With the disease progression,"Stasis heat" is be come the main syndrome.The proportion of each syndrome is significant change in the first week of disease;"YureZuqiao,fengtanHuokang" and "YureZuqiao,tanhuoNneijie" increased in the first three days of disease and decreased after the third day;"Stasis heat" and "Blood stasis" increased significantly in the first three days to seven days of disease.With the relativity of general circumstance:Since go toward is known as the majority of the history of high blood pressure disease,and relate to Wind. Conclusion:The concept "elements of syndrome and pathogenesis"has science and function,this research for setting up dialectical new system of Chinese medicine to provide solid example and research backlog.The Epidemiology survey shows Stasis heat is main elements of syndrome;Stasis heatal always combine with Wind,Fire and phlegm;The proportion of each syndrome is significant change in the first week of disease and the proportion of each syndrome is rapidly chang in the first three days to seven days of disease.Since to go toward is known as the majority of the history of high blood pressure disease,and to relate to Wind.