| Objective:The purpose of this research is using Cluster and other statistical analysis method to evaluate the syndrome and laboratory examinations of PNS patients which were investigated from hospitals in the Pearl Triangle and then to find out the principle of TCM diagnosis on these PNS patients, and find out the relationship between TCM diagnosis and laboratory examinations.ethods:It' saretrospect research. Through strictly selective criterion, we chose the PNS in-patients of the main TCM hospitals in the Pearl Triangle, such as The First Hospital of Guangzhou TCM University, the Shenzhen Hospital of TCM, The Foshan Hospital of TCM, The Zhongshan Hospital of TCM, then collected their demography data, individual medical record, independent syndrome, and laboratory examination results etc., Finally, put these data into SPSS11.5 software to evaluate their contributions, and then draw out the primary TCM diagnosis on PNS.Result:This research comprises 331 patients, some patients data were collected twice according to different period in diseases-edema period and non edema period. Thus we collected 480 cases finally, including 336 edema cases and 144 nonedema cases. The courses of disease of these cases are different widely from days to over 20 years. There is static significant different of the course from edema and non edema cases and no significant different of ages and sexes from edema and non edema cases.The most commonly seen independent symptoms of PNS are both lower extremities edema, lassitude, poor appetite, face edema, oliguria, languor, lumber soreness and so on. The most commonly seen independent symptoms of edema period cases are poor appetite, at 44.3%, lassitude, at 43.4%, short urine, at 41.1%, dry mouth, at 33.0% tired, at 32.7%, abdominal distension, at 32.1%, diarrhea, at 24.4%, waist soreness, at 23.2%, yellow urine, at 18.7% and flavocomptexion, at 17.0% and so on. The most commonly seen independent symptoms of non edema period cases are lassitude, at 74.3%, waist soreness, at 54.2%, poor appetite, at 53.7%, tired, at 41.7%, short urine, at 40.3% cold extremities, at 31.3%, insomnia, at 22.9% and so on. Observing these symptoms, we find out that deficiency symptoms are more often than the demonstration symptoms.In edema cases, basing on the diagnose criterion of syndrome of deficiency of Yin-Yang and Qi-Blood, the most commonly syndrome is the Qi deficiency, at 48.5%, and the next one is Yang deficiency, at 9.5%, then is the Yin deficiency, at 8.0%. The Blood deficiency is the least one, at 3.3%. Basing on the diagnose criterion of syndrome of deficiency of five viscera, syndrome of spleen deficiency is the most commonly one which rate is 53.3%, following by syndrome of kidney deficiency, at 47.0%, the heart deficiency, at 14.3%, the liver deficiency syndrome is the least one, which rate is 4.8%. Basing on the criterion of deficiency of-syndrome of complicated deficiency, it is the syndrome of Qi deficiency of both kidney and spleen the most commonly seen syndrome (15.2%), following by the Qi-Yin deficiency (7.4%), the Yin-Yang deficiency (2.7%), the Qi deficiency of both lung and kidney (1.2%), and the Yin deficiency of both sliver and kidney (0.9%). In demonstrated syndromes,the damp-heat syndrome (34.2%) is the most commonly one except damp syndrome, following by the blood stagnation syndrome (15.8%), the catching cold syndrome (15.2%), the damp-dirty syndrome (3.9%), and the Qi stagnation syndrome (0.8%) is the least one in them. In clinic, the TCM syndromes of PNS in edema stage are most complicated with deficiency syndromes and demonstration, which rate is 83.3%. Only the damp-heat syndrome, the damp-dirty syndrome and the catching cold syndrome are displaying as demonstration. The most commonly complicated syndrome of the edema cases are the damp and the Qi deficiency of both spleen and kidney, the damp and the Yang deficiency of both spleen and kidney, the damp-heat and the Qi deficiency of both spleen and kidney and the blood stagnation and the Qi deficiency of both spleen and kidney. After cluster analysis, the edema cases are divided into 7 clusters, the syndromes of these clusters are the same as upper. In non edema cases, basing on the diagnose criterion of syndrome of deficiency of Yin-Yang and Qi-Blood, the most commonly syndrome is the Yin deficiency, at 50.7%, and the next one is Qi deficiency, at 50%, then is the Yang deficiency, at 20.8%. The Blood deficiency is the least one, at 4.9%. Basing on the diagnose criterion of syndrome of deficiency of five viscera, the syndrome of kidney deficiency is the most commonly one which rate is 43.8%, following by syndrome of spleen deficiency, at 37.5%, the heart deficiency, at 12.5%, the liver deficiency syndrome is the least one, which rate is 5.6%. Basing on the criterion of deficiency of syndrome of complicated deficiency, it is the syndrome of Qi-Yin deficiency the most commonly seen syndrome (29.2%), following by the Qi deficiency of both spleen and kidney (25.0%), the Yang deficiency of both spleen and kidney (6.3%), the Qideficiency of both lung and kidney (1.2%) is the least one. In demonstrated syndromes, the damp-heat syndrome (34.7%) is the most commonly syndrome, following by the blood stagnation syndrome (31.9%), the catching cold syndrome (11.8%), the damp-dirty syndrome (11.8%), and the Qi stagnation syndrome (2.1%) is the least one in them. In clinic, like edema cases the TCM syndromes of PNS of non edema cases are most complicated with deficiency syndromes and demonstration also, which rate is 93.7%. Only the damp-heat syndrome, the blood stagnation syndrome is displaying as demonstration, and the catching cold syndrome and the damp-dirty syndrome are complicated with deficiency syndromes.The most commonly deficiency syndrome of the non edema cases are the Qi deficiency of both spleen and kidney and the Qi-Yin deficiency syndrome. The most commonly complicated syndrome of the non edema cases are the damp-dirty and the Qi-Yin deficiency syndrome, the catching cold and the deficiency of lung. After cluster analysis, the non edema cases are divided into 7 clusters, the syndromes of these clusters are the same as upper.Conclusion:The results of the research of symptom and syndrome of PNS in the Pearl Triangle show that:1. Form the analysis of the occurrence of symptom in PNS cases, we found out that the deficiency symptoms are more than the demonstrated symptoms in both edema cases and non edema cases2. In edema stage, the most commonly demonstrated syndromes of PNS are the damp-heat syndrome, the damp-dirty syndrome and the catching cold syndrome. The most commonly complicated syndrome of the edema cases are the damp and the Qi deficiency of both spleen and kidney, the damp and the Yang deficiency of both spleen and kidney, the damp-heat and the Qi deficiency of both spleen and kidney and the blood stagnation and the Qi deficiency of both spleen and kidney. In non edema stage, the most commonly demonstrated syndromes of PNS are the damp-heat syndrome, the damp-dirty syndrome and the catching cold syndrome. The most Commonly deficiency syndrome of the non edema cases are the Yang deficiency of spleen and kidney, the Qi deficiency of both spleen and kidney and the Qi-Yin deficiency syndrome. The most commonly complicated syndrome of the non edema cases are the damp-dirty and the Qi-Yin deficiency syndrome and the catching cold and the deficiency of lung.3. The character of the syndrome of both edema and non edema stage cases is that deficiency and demonstrated syndromes are complicated sophisticated.4. The research of the relationship of laboratory examinations and TCM syndromes show that in edema stage, the quantity of blood albumin of the patients who is suffered the Yang deficiency of spleen and kidney is fewer than the patients who has other syndromes. And the quantity of blood globulin of the patients who has the catching cold syndrome is fewer than that who has other syndrome. |
