Discussion On The Relationship Between TCM Syndrome Types And Disease Season And Hair Follicle Infection In Patients With Acne Vulgaris

Objective:Try to explore the distribution of syndrome types in patients with acne vulgaris in different seasons,as well as the infection of Demodex in different seasons,and to explore the related factors,aim to provide better guidance and better service to the patients with acne in different seasons.Methods:To design a questionnaire for the patients with acne vulgaris by using epidemiological methods,from gender,season of onset,the patient’s symptoms and other related conditions.In the course of the investigation,the doctor will classify the patient’s skin type,skin lesions,TCM syndromes,etc.,while the incidence of Demodex infection and fill out the questionnaire survey.Collecting the questionnaire,establishing of Excel database,processing and analysising data through the SPSS20.0 software.Result:1.General situation of patients with acne vulgarisA total of 474 patients with acne vulgaris were investigated.Among them,there were 104 male patients and 370 female patients.The number of women was about 3.5 times that of male patients.The proportion of different skin types in patients with acne vulgaris,combination accounted for 44.9%of,oily skin accounted for 38.9%,dry skin accounted for 16.2%.74 cases of acne patients,the severity of skin lesions of Ⅱ degree of the largest number of patients,accounting for 43.9%,followed by Ⅰ degree,accounting for the proportion of 33.7%,III and IV degree is the lowest proportion.The majority distribution of TCM syndromes are gastrointestinal damp heat syndrome(33.8%)and phlegm fire and blood stasis(24.5%),Lung wind heat syndrome(21.5%)and heat syndrome due to yin(13.7%)are in turn,the liver qi stagnation and blood stasis(6.5%)at least.There were 305 positive cases and 169 negative case about Demodex,account for 64.3%and 37.5%.2.Related factors of positive infection of DemodexThe positive rate of combination skin acne patients was the highest,and dry skin was the lowest.The positive rate of infection about Demodex was different syndrome types,they were gastrointestinal damp heat syndrome,lung wind heat syndrome,phlegm fire and blood stasis,heat syndrome due to yin and the liver qi stagnation and blood stasis in turnThe infection rate about Demodex was highest in summer(33.4%),followed by spring(29.8%),and the lowest in winter(14.8%).There was no statistical significance between the infection of Demodex and the severity of gender and skin lesions.3.Analysis of the correlation between the onset seasons of acne vulgarisThere were 474 patients with acne vulgaris,127 patients were collected in spring.Among them,the most in lung wind heat syndrome(42.5%),followed by gastrointestinal damp heat syndrome(33.9%).In the summer,122 patients were collected,with the gastrointestinal damp heat syndrome(35%)and phlegm fire and blood stasis(25.2%).In autumn,114 patients were collected,with the gastrointestinal damp heat syndrome(34.2%)and phlegm fire and blood stasis(26.3%).In winter.110 patients were collected,the phlegm fire and blood stasis was the most(37.3%),followed by gastrointestinal damp heat syndrome(31.8%).Spring,summer,autumn three seasons with liver qi stagnation and blood stasis at least(4.7%,6.5%,5.3%),the lung wind heat syndrome at least in winner(7.3%).There was no significant difference between patients with acne severity and season.4.Analysis of the basic situation of different syndromes in patients with acne vulgarisThere were significant differences between the severity of skin lesions and TCM syndrome type in patients with acne vulgaris.In the acne patients about the severity of skin lesions was Ⅰ degrees and Ⅱ degrees,the highest proportion is gastrointestinal damp heat syndrome,Respectively accounted for 31.5%and 33.2%.The severity of skin lesions of Ⅲdegrees,Ⅳ degrees of acne patients,the highest proportion of phlegm fire and blood stasis,were 40%and 41.4%,respectively.The distribution of the lung wind heat syndrome has a significant difference in four seasons,the highest proportion in the spring(52.9%),the lowest percentage in winter(7.8%).The proportion of phlegm fire and blood stasis in winter was the highest(35.3%),followed by summer(26.7%),the lowest in spring(12.1%).The heat syndrome due to yin in autumn was the highest(43.1%),followed by winter(23.1%),the lowest in spring(15.4%).The distribution of gastrointestinal damp heat syndrome and the liver qi stagnation and blood stasis in the four seasons is not significant.Conclusion:1.Acne vulgaris prone to combination skin,the degree of severity is Ⅱ degree.2.The infection of demodex was correlated with skin type,season of onset and TCM syndrome types.3.Seasonal incidence of acne vulgaris patients.TCM syndrome type distribution has certain characteristics,the spring in the lung wind heat syndrome,summer and autumn prefer to gastrointestinal damp heat syndrome,and in winter phlegm fire and blood stasis was the most.4.Comparison of different types of syndromes,the distribution of lung wind heat syndrome,phlegm fire and blood stasis and heat syndrome due to yin has a significant difference in the four seasons,gastrointestinal damp heat syndrome and the liver qi stagnation and blood stasis have no difference in the four seasons.The severity of skin lesions was related to the TCM syndrome type.