TCM Syndrome Characteristics And Evolving Law Of Elderly Community Acquired Pneumonia Patients

Purpose:To explore the TCM syndrome、evolving law of TCM syndrome and relationship between prognosis and TCM syndromeMethods:The retrospective survey method was used to collect basic information,blood routine,tongue diagnosis,pulse diagnosis,traditional Chinese medicine prescriptions,and TCM syndromes at various observation points.The data were entered into Excel to establish a database.SPSS 21.0 software was used for statistical analysis.The probability method was applied to analyze the evolution and prognosisResults:Total 303 cases were enrollen into the study,67%were male and 33%were female;the number of people aged 85-90 was the largest,accounting for 38.0%;the patients were concentrated in winter and spring(January to March);78.5%of the patients had no fever;47.52%of patients coughed up white sticky sputum;white blood cells were within the normal range of 74.6%;145 patients with measure of high-sensitivity C-reactive protein,58.6%suffering from elevated high-sensitivity C-reactive protein;35.3%of patients with reduced red blood cells;51.5%of those with low hemoglobin;pale tongue with reddish and dark tongue Red is the main,tongue coating is thin white,thin yellow,yellow greasy,etc.;pulse diagnosis is string,slippery,sinking,thin,count,etc.;common Chinese medicine prescription is Qingjin Huatan Decoction.On the day of admission,the old common type of syndrome was mainly phlegm-heat and lung syndrome,and the type had the best prognosisConclusion:(1)There are more males than females,with the largest number of patients aged 85-90 years old.The disease is concentrated in the winter and spring seasons.The patients who have not increased their body temperature are relatively higher.The elderly patients are mainly sputum sticky.(2)Leukocytes are within the normal range in elderly CAP patients,while C-reactive protein is more common,and red blood cells and hemoglobin are common.(3)The tongue color of the elderly patients with CAP is mainly reddish tongue,dark reddish tongue,thin tongue,thin yellow,yellow and greasy tongue fur,etc.;pulse pulses are more common,such as string,slippery,heavy,thin and count.The preferred prescription for treatment is Qingjin Huatan Decoction,which is a combination of traditional Chinese medicine and its addition and subtraction.It is supplemented with qi,nourishing blood,drying dampness and reducing phlegm.(4)There are three common types of TCM syndromes at the baseline points of community-acquired pneumonia in the elderly:phlegm-heat,lung syndrome,qi-yin deficiency syndrome,and phlegm-turbid obstructive lung syndrome.(5)In terms of evolutionary rules,the empirical category turns to normal cases more than the positive and evil ones,and the empirical category has a good prognosis.The probability of continued existence of each type of Zhengxu Xielian is higher than that of empirical type.During the 14 days,there was a mutual transformation of the symptoms of deficiency and reality.There were 5 cases of severely altered syndrome,all of which had no significant change.