The Study On The Distribution For Four Seasons Of Community Acquired Pneumonia TCM Syndrome Types In Guangdong

Objective:To retrospectively study the characteristics of patients with community acquired pneumonia in Guangdong,to understand the distribution pattern of TCM syndrome types and its correlation with seasonal factors,and to explore TCM syndromes and inflammatory indicators(such as white blood cell count,C-reactive protein,and procalcitonin).Correlation,find the distribution law of community-acquired pneumonia pathogens,provide reference for TCM syndrome differentiation of community-acquired pneumonia in Guangdong,and provide evidence-based medical basis for the diagnosis and treatment of community-acquired pneumonia by integrated Chinese and Western medicine.Methods:A retrospective study was conducted to collect 240 subjects,including 60 in the spring group(February 3 to May 4)and 60 in the summer group(from May 5 to August 6).From August 7th to November 6th,60 cases,winter group(from November 7th to February 2nd)60 cases.The patients were all community-acquired pneumonia patients hospitalized in Guangdong Provincial Hospital of Traditional Chinese Medicine.The patient’ s TCM syndrome type,inflammation index and pathogen were recorded.The characteristics of TCM syndrome,pathological and pathological factors in the four seasons of community acquired pneumonia were analyzed.The correlation between TCM syndrome type and inflammation index and the distribution of pathogen were discussed.Results:Distribution pattern of syndrome types:The distribution of the top five syndromes in the year is as follows:68 cases of wind-heating pulmonary syndrome,accounting for 28.3%of total;63 cases of phlegm-heat-sickness syndrome,accounting for 26.3%of total;lung and spleen deficiency,phlegm and blood stasis There were 38 cases,accounting for 15.8%of the total;16 cases of phlegm and obstructive pulmonary syndrome,accounting for 6.7%of the total;12 cases of evil prisoner’ s chest and lung syndrome,accounting for 5.0%of the total.The top three types of syndromes in the four seasons are as follows:In the spring group,24 cases of wind-heat-cold lung syndrome,accounting for 40 0%;18 cases of phlegm-heat-sickness syndrome,accounting for 30%;6 cases of lung and spleen deficiency-phlegm-heat-sickness syndrome,accounting for 10%.In the summer group:16 cases of phlegm-heat-sickness syndrome and16 cases of lung-spleen deficiency-phlegm-heat-stagnation syndrome,each accounting for 26.7%,16 cases of wind-heat syndrome,accounting for 16.7%;3 cases of damp-heat and stasis syndrome,accounting for 3.0%.In the autumn group,15 cases of pulmonary syndrome were committed,accounting for 25%;11 cases of phlegm-heat-sickness syndrome,accounting for 18.3%;7 cases of phlegm-blocking lung syndrome,accounting for 11.7%.In winter group:19 cases of wind-heating pulmonary syndrome,accounting for 31.7%,18 cases of phlegm-heat-sickness syndrome,accounting for 30%;10 cases of lung and spleen deficiency-phlegm-heat-sickness syndrome,accounting for 16.7%.Sickness:Among 240 patients,174 were positive,66 were mixed,and 0 were false.Pathological factors:181 cases of heat evil,152 cases of scorpion scorpion,76 cases of wind evil,60 cases of viscera deficiency,13 cases of congestion,8 cases of cold stagnation,7 cases of wet stagnation.Inflammatory index:There is a statistically significant correlation between TCM syndrome type and white blood cell count and procalcitonin.There was no significant correlation between TCM syndrome type and C-reactive protein.Pathogens:Of the 240 cases,212 patients underwent pathogen examination,accounting for 88.3%of the total.Among them,1 case of bacterial was cultured,3 cases of Fungus were cultured,and 208 cases were not found.The positive rate of sputum culture was low,and the number of patients without pathogens was 86.7%.Conclusion:1.The TCM syndrome type of community-acquired pneumonia in Guangdong is mainly caused by wind-heat-cold lung syndrome,followed by phlegm-heating and phlegm syndrome.The distribution patterns of the four seasons syndromes are similar,but each has its own characteristics.In addition to the hot summer card,the other seasons have the most evidence of wind and heat.In addition,the card of yin deficiency and heat in autumn is also obvious.2.Community-acquired pneumonia is mainly characterized by evidence,false and real inclusions.There is no simple deficiency syndrome.The pathological factors are mainly heat,phlegm and wind.There are also many patients with physical weakness and congestion.3.There was a certain correlation between TCM syndrome type and white blood cell count and calcitonin in community-acquired pneumonia,but there was no significant correlation with C-reactive protein.