To Explore The Relationship Between The TCM Syndromes Of Ulcerative Colitis And The Microscopic Manifestations Under Colonoscopy

Purpose: To explore the possible relationship between the microscopic manifestations of ulcerative colitis under endoscopy and TCM syndromes,and to further explore the simple,clear and sensitive relationship between the TCM classification of ulcerative colitis and various manifestations under colonoscopy.Taking the mirror as the eye,taking the endoscope as the extension of the inspection,enriching the contents of TCM inspection of ulcerative colitis,and better playing the role of TCM in ulcerative colitis Advantages in diagnosis and treatment.Methods: In this study,a clinical data observation table was designed with reference to the "Consultations of Experts in TCM Diagnosis and Treatment of Ulcerative Colitis(2017Edition)" and "Consensus of Diagnosis and Treatment of Inflammatory Bowel Disease(2018Edition)",and selected from June 2017 to 2020.In January,patients with ulcerative colitis diagnosed in outpatient and inpatient departments of spleen and gastroenterology of Liaoning Provincial Hospital of Traditional Chinese Medicine were collected.Patient data were collected and a total of 76 patients met the inclusion and exclusion criteria.Statistical analysis was performed using SPSS Statistics 21 statistical software to explore ulcer Correlation between clinical characteristics,TCM syndromes and endoscopic performance in patients with colitis.Results:1.The most common syndromes are the large intestine dampness and heat syndrome,liver stagnation and spleen deficiency syndrome,spleen deficiency and dampness syndrome and spleen and kidney yang deficiency syndrome.2.The order is as follows: dampness and heat syndrome of large intestine> syndrome of deficiency of liver and spleen and deficiency of spleen: syndrome of deficiency of dampness of spleen and spleen: deficiency of spleen and kidney yang deficiency syndrome;Body fat with tooth marks,yellow fur,thin white fur,and white greasy fur on tongue coating,slippery pulses,string pulses,and clinical symptoms of diarrhea,mucus,abdominal pain,blood in thestool,diarrhea / bloating,stool Symptoms such as thinness,dry mouth,thirst,burning anus,and severe anxiety are the main symptoms,which reflects the essence of the disease,which is based on physical weakness and damp heat.3.The endoscopic mucosa color was mainly dark red and dark red.The mucosal damage was mainly large area ulcers.The surface attachment of the lesion was mainly yellow or dirty moss.There was no active bleeding under the endoscope.The mucosa of the terminal ileum is smooth in most patients,and no bowel irritation is manifested during colonoscopy.Most patients have normal bowel and wrinkle morphology,a few severe patients have disappeared colonic bags,narrowed bowel cavity,and have lead-like changes.It is found in the left colon and rectum.4.There is a statistically significant difference between TCM syndromes and endoscopic mucosa color,mucosal damage,endoscopic bleeding,end ileal mucosa,and presence of bowel irritation during colonoscopy(P <0.05).Large intestine The color of the mucosa of the damp-heat syndrome and the fever-toxin syndrome is mainly dark red and dark purple,and the deficiency of yin and blood is mainly pale white;the lesions of the large intestine damp-heat syndrome and the fever-toxin syndrome are mainly ulcers with large area ulcers,and the spleen and kidney The symptoms of yang deficiency syndrome and yin and blood deficiency syndrome under the endoscope are mainly scar,mucosal bridge and pseudopolyp.The spleen deficiency and dampness syndrome,liver stagnation and spleen deficiency syndrome are edema and erosion with rough particles or pestle hyperplasia.Symptoms are the main changes;spontaneous bleeding can be seen during colonoscopy in patients with fever and fever syndrome;the mucosa of the terminal ileum in patients with liver stagnation and spleen deficiency syndrome is rough and congested,and lymphatic follicle hyperplasia can be seen.Prone to intestinal irritation manifestations,how sensitive the intestinal cavity of patients with liver stagnation and spleen deficiency is,it is easy to be tense and convulsive,and the normal intestinal motility rhythm is easy to be disordered.Therefore,it is easy to be irritated during colonoscopy,and the ileum is digested.The tract is a rate-limiting site.If the peristaltic rhythm of the intestine is disordered or imbalanced,the retention time of the contents of the intestine at the end of the ileum can be prolonged,causing inflammatory changes in the end of the ileum.Conclusion:1.The traditional Chinese medicine syndromes of ulcerative colitis are mostly intestinal damp heat syndrome,liver stagnation and spleen deficiency syndrome,spleen deficiency and dampness syndrome and spleen and kidney yang deficiency syndrome.2.The endoscopic manifestations of ulcerative colitis are mainly dark red and dark red mucosa.Large intestinal ulcers are seen in the intestinal cavity.The lesions are covered with yellow and dirty moss.Most of the intestinal cavity and folds are normal.The colonic bag in some severe patients disappears.,Intestinal cavity is narrow,showing lead-like changes.3.There is a correlation between TCM syndromes of ulcerative colitis and mucosa color,mucosal damage,bleeding under endoscopy,mucosa at the terminal ileum,and presence of irritable bowel during colonoscopy.Dialectical treatment provides a reference basis.