Correlation Between TCM Syndrome Types Of Fibromyalgia Syndrome And Depression And Anxiety

Objectives1.Based on the quantitative analysis of traditional Chinese medicine(TCM)acknowledge of fibromyalgia syndrome(FMS),pathogenesis,syndrome differentiation and clinical medication characteristics of FMS can be found.2.Based on modern literature classification characteristics,fibromyalgia syndrome and clinical experience of the relevant standards,through the correlation research between FMS’s syndrome differentiation and anxiety and depression,the correlation of different fibromyalgia syndrome of TCM syndrome and the correlation of pain and emotional disorders will be found.Methods1.Applying "Chinese medicine","Chinese medicine" and "fibromyalgia" and"fibromyalgia syndrome" keywords retrieved in CNKI,WanFang database and VIP.566 references were found,and 37 can be used which is conforming to inclusion criteria.After statistics processing,the analysis of characteristics of TCM syndrome differentiation and treatment of fibromyalgia syndrome will be found.2.60 cases of patients with fibromyalgia syndrome were diagnosed,and the classification criteria were divided into 4 types:liver qi stagnation,dampness and heat resistance,qi and blood deficiency,and liver and kidney deficiency,with 15 cases in each group.Demographic information,fibromyalgia syndrome affect questionnaire,pain and tenderness point number,the self-assessment lists of symptom severity,depression and anxiety self-assessment scale were observed,appling statistics,relationship between different fibromyalgia syndrome classification and depression and anxiety will be found.Results1.A total of 556 literatures were retrieved,according to the inclusion and exclusion criteria,excluded the repeated literatures were,37 articles were included.A total of 32 diagnostic criteria for primary fibromyalgia syndrome(86.49%)were developed by the American academy of rheumatology(ACR)in 1990.The criteria for classification and diagnosis of fibromyalgia syndrome recommended by ACR in 2010 were 3(8.10%).The diagnostic criteria of fibromyalgia syndrome diagnosis and treatment(2011),developed by the rheumatology branch of the Chinese medical association,were 2(5.41%).2.37 articles were included in the literature,and 14 syndromes were obtained after being sorted out.The cumulative frequency of single syndromes was 63,among which liver qi stagnation(24,38.10%),qi stagnation blood stasis(11,17.46%),and liver depression and spleen deficiency(7,11.11%)are common TCM syndromes of FMS,with a total of 66.67%.There are 90 kinds of herbals,and the cumulative frequency is 430.Over 2%application frequency for a total of 12 kinds of herbals are,respectively,radix paeoniae alba(29,6.74%),liquorice(26,6.05%),radix bupleuri(25,5.81%),angelica(23,5.35%),poria cocos(18,4.19%)and rhizoma chuanxiong(16,3.72%),atractylodes,3.26%(14),jujube(13,3.02%),sweet attached(12,2.79%),cassia twig(12,2.79%),ginger(9,2.09%),turmeric(9,2.09%),cumulative frequency 47.91%.Among them,white peony,licorice root,firewood,angelica,poria use the most frequently,cumulative use frequency 28.14%.There are 17 kinds of herbals.Application of cumulative frequency of 20 times or a total of seven kinds of Chinese medicine,tonifing deficiency medicine(124,28.84%)respectively,promoting blood circulation to remove blood stasis drugs(76,17.67%),nourish the medicine,16.05%(69),and qi(30,6.98%),the water permeability wet medicine(26,6.05%),sedative medicine(26,6.05%),((21,4.88%).There are 12 kinds of herbals,in them,which 4 kinds of herbals with cumulative frequency or greater than 15%,respectively,liver(240,20.51%),spleen(230,19.66%),and heart(180,15.38%).3.60 cases are in January 2017-January 2018 visiting to psychosomatic medicine of Guang’anmen Hospital of China academic of Chinese Medical Science,which are fibromyalgia syndrome patients.According to the classification standard is divided into four type of syndrome differentiation,respectively diseases with ease,humid heat,qi and blood deficiency type,kidney both deficiency type,15 cases in each group.In terms of age,there is a significant difference in the age between liver and kidney deficiency and liver qi stagnation and qi and blood deficiency,and the difference was statistically significant(P<0.01).There are significant differences between the two deficiency types of liver and kidney and dampness and heat resistance,and the difference is statistically significant(P<0.05).In the course of disease,there is a difference in the deficiency of liver and qi and blood deficiency,and the difference is statistically significant(P<0.05).There is no significant difference between the liver qi stagnation type,the dampness and heat resistance type and the deficiency of qi and blood type,and the difference is not statistically significant(P>0.05).There is no significant difference between the two virtual types of liver and liver,dampness and heat resistance and liver and kidney,and the difference is not statistically significant(P>0.05).4.VAS scores in each group are significantly different from that of the dampness and heat resistance type,and there was significant difference between the two VAS scores of liver qi,qi and blood deficiency and liver and kidney,and the difference is statistically significant(P<0.01).The VAS scores of liver and kidney are different in comparison with that of liver qi,and the difference is statistically significant(P<0.05).There is no significant difference in VAS scores between the deficiency of qi and blood deficiency and liver and kidney deficiency,and the difference is not statistically significant(P BBB 0 0.05).There is no significant difference in the VAS score between qi and blood deficiency and liver qi stagnation,and the difference is not statistically significant(P BBB 0 0.05).The WPI score of each group is different from that of the WPI,and the difference is statistically significant(P<0.01).Compared with diseases with ease type,qi and blood deficiency type WPI have differences,with significant difference statistically significant(P<0.01),liver and kidney deficiency type two WPI have differences,with significant difference statistically significant(P<0.05).There is no significant difference in the diffuse pain index between liver and kidney deficiency and qi blood deficiency,and the difference is not statistically significant(P>0.05).The SS score of each group is different from that of the liver qi stagnation type and the damp-heat resistance type,and the difference is statistically significant(P<0.05).There is no significant difference between the liver gas and the dampness resistance,and the difference is not statistically significant(P>0.05).There is no significant difference in the deficiency of qi and blood deficiency and liver and kidney,and the difference is not statistically significant(P>0.05).5.SDS scores in each group are significantly different from those of liver and spleen,and the SDS score of liver and kidney,with significant statistical significance(P<0.01).There is no significant difference in the VAS scores between the liver qi stagnation and the dampness and heat resistance type,and the difference is not statistically significant(P>0.05).There is no significant difference in VAS scores between the two deficiency types of qi and blood and liver and kidney,and the difference is not statistically significant(P>0.05).The SAS scores in each group are compared with the deficiency of qi and blood,and there is a difference in the type of liver qi stagnation and dampness,and the difference is statistically significant(P<0.05).The deficiency of liver and kidney is different,and the difference is statistically significant(P<0.01).There is no significant difference between the two virtual types of liver and qi,dampness and heat,and liver and kidney,and the difference is not statistically significant(P>0.05).Conclusion1.The TCM pathogenesis of fibromyalgia syndrome has not yet been unified,and it is considered from two perspectives of depression and organic rheumatism.Based on mood disorders diagnosis and syndrome differentiation of TCM type is more common in fibromyalgia syndrome,liver depression and qi stagnation,qi and blood stasis,liver depression,spleen is the main syndrome of fibromyalgia syndrome classification,three accounted for 2/3.FMS in TCM diagnosis and treatment should be to rethink,and FMS should not only consider from depression or functional rheumatism alone,from etiology,pathogenesis,syndrome differentiation and selected,the respect such as medication,deep thinking and psychosomatic medicine rheumatology relationship in fibromyalgia syndrome can achieve better curative effect in clinical and research.2.The research of TCM on FMS is still in initial stage,and the clinical diagnosis and treatment is still in controversial.The study of syndrome differentiation type is the first step to FMS,based on the perspective of psychosomatic medicine,combined with the latest diagnostic criteria,literature analysis and clinical experience will be divided fibromyalgia syndrome diseases into Liver Qi stagnancy,humid heat,qi and blood deficiency,kidney and liver deficiency type,a total of 4 kinds of syndrome types.Liver Qi stagnancy and humid heat are with the severe hurt.Qi and blood deficiency and kidney and liver deficiency type are with severe emotional disorder.Qi and blood deficiency is with severe anciety and humid heat type is with severe depression and hurt.Therefore,the syndrome of fibromyalgia syndrome is more severe in hurt,and the deficiency syndrome is more severe in emotional disorder.