Observation And Study On The Distribution Of TCM Syndromes Of Lumbar Disc Herniation Under The Guidance Of Six Meridians Theory

ObjectiveThrough clinical observation,Application of Six meridians theory to explore the Syndrome differentiation and Distribution of lumbar disc herniation(Lumbardischerniation,LDH),and to explore the general data,such as sex,age,pain and numbness distribution area and the correlation between the six meridian syndrome types of lumbar disc herniation,The purpose of this study is to provide a new idea for the clinical application of six meridians theory in TCM syndrome differentiation of lumbar disc herniation(LDH).MethodsA total of 835 patients with lumbar disc herniation who met the diagnosis and exclusion criteria in the outpatient and inpatient wards of the Department of Orthopaedics and Traumatology of Tianshui traditional Chinese Medicine Hospital from July 2021 to December2022 were selected.All the general data(including sex,age,occupation)and clinical data(complaint,the history of medicine,four diagnosis information,etc.)were inputted into the database establishde by SPSS25.0 software and then statistically analyzed.To study the distribution characteristics of six meridian syndrome types of lumbar disc herniation,and the relationship between the six-meridian type and the gender,age,pain and numbness distribution area was discussed.Results1.According to statistics,among the 835 patients with lumbar disc herniation(LDH),including 416 cases of qi depression and lack of yang syndrome,accounting for 49.8%;144cases of blood stasis syncope yin syndrome,accounting for 17.2%,117 cases of dampness stopping Taiyin syndrome,accounting for 14.0%,87 cases of Sun Yangming syndrome,accounting for 10.4%,and 71 cases of cold invading Shaoyin syndrome,accounting for 8.5%.2.After collecting the data of four diagnoses of lumbar disc herniation,clustering and PCA principal component analysis showed that LDH obtained 5 syndromes of each syndrome,and the names of each syndrome type and the main and secondary symptoms were as follows:(1)Syndrome of qi depression and lack of yangMain symptoms:Low back pain,Dry mouth,bitter mouth,poor appetite,irritability,chest pain,cold and hot exchanges,dry pharynx,thirst,sinking pulse.Secondary symptoms:The number of pulse strings,pulling pain,slippery pulse strings,light red tongue,thin yellow fur,thin pulse strings,yellow phlegm,hiccup.(2)Sun Yangming syndromeMain symptoms:Low back pain,Chills,fever,strong head pain,pulse floating,sweating,dry stools,sore throat.Secondary symptoms:Slippery pulse,yellow and greasy fur,red tongue,bad breath,epigastric pain,evil wind,floating pulse,yellow dry fur,distending pain.(3)Syndrome of blood stasis and syncope yinMain symptoms:Low back pain,Nausea,vomiting,heart fullness,acid regurgitation,lack of appetite,cold hands and feet,dark complexion,dark purple tongue or ecchymosis,thin pulse,tingling,insomnia and dreaminess.Secondary symptoms:The fur is thin and white,white and greasy,the pulse is astringent,the fur is thick and greasy,and the feeling of stiffness.(4)Syndrome of cold invading ShaoyinMain symptoms:Low back pain,Fear of cold limbs,increased nocturnal urination,sore waist and knees,mental fatigue,weak pulse,night sweats,pale tongue,lethargy,pale complexion.Secondary symptoms:Pulse count,belching,complexion,dull pain,whitening sputum,tinnitus,dizziness,yellowing complexion,tinnitus,dizziness,sallow complexion.(5)Syndrome of dampness stopping TaiyinMain symptoms:Low back pain,Muscle soreness,loose stool,slippery pulse,lack of breath and lazy speech,indifferent expression,cold pain.Secondary symptoms:Loose stools,muscle atrophy of lower limbs,dizziness,slippery pulse,thirst,lack of body heat,short urination.3.Differences of gender,age and pain and numbness distribution among different syndrome types(1)The difference of age among different syndrome types is statistically significant.(P <0.05).The pairwise comparison between the two groups suggested that the average age of the group of dampness stopping Taiyin syndrome was higher than that of qi depression Shaoyang syndrome,cold offender Shaoyin syndrome,sun Yangming syndrome and blood stasis syncope syndrome.(2)There was no significant difference in the distribution of pain and numbness among different syndrome types.(P > 0.05).Conclusion1.The six meridian syndrome types of patients with lumbar disc herniation from more to less are: Qi depression Shaoyang syndrome,blood stasis syncope yin syndrome,dampness stopping Taiyin syndrome,sun Yangming syndrome,cold invading Shaoyin syndrome.2.Through statistical analysis of the relationship between different syndrome types and regional distribution of pain numbness,the results showed that there was no significant correlation between pain and numbness distribution area and six meridian syndrome types.3.Syndrome differentiation of six meridians is a feasible method for clinical diagnosis and treatment of lumbar disc herniation(LDH).