| Objective:Through combining of epidemiological and analyzing TCM constitution scale survey, the study summarized and analyzed the patients with a variety of medical records, included in the study living in the Taipei area diagnosed exogenous febrile, analyzed the correlation to make a further understanding of the laws of the TCM constitution classification in exogenous disease, the using features of Chinese medicine, as well as the relations between blood lipids, immune parameters and damp-heat constitution.Methods:In traditional chinese medicine clinics of the five areas in Taipei(Songshan District, Da-an District, Xindian District, Neihu District, Beitou District),firstly100local exogenous patients were collected for questionnaire from January2012to December2012. The survey method was to design of a unified Chinese medicine constitution classification questionnaire, mainly in the form of questions and answers, to understand the usual physical condition of patients, filling in the questionnaire. The study analyzed the distribution of the various syndromes in the Taipei area, and make a research for the symptom clusters of the damp-heat syndrome patients to understand the group characteristics and the herbal prescription rule of the paitents diagnosed damp-heat syndrome of exogenous disease.Finally compared the damp-heat constitution volunteer’blood tests with no-damp-heat constitution volunteers, such as blood lipids, the immune parameters (IgA, IgM, IgG, C3, C4),in order to summarize the relation between blood lipids, immune parameters (IgA, IgM, IgG, C3, C4) and the damp-heat constitution. Results: (1) Combining with the Chinese medicine constitution classification of the100patients with exogenous disease, the damp-heat patients accounted for a large proportion of33.3%, followed by17%of the Qi deficiency, other segment accounted approximately for49.7%.(2) Based on the performance of different exogenous disease,49of the100patients classified as exogenous disease were diagnosed damp-heat syndrome (summer-heat and damp syndrome, damp-heat syndrome), accounting for49%;22were diagnosed hot blast temperature syndrome, accounting for22%;29were diagnosed summer-heat syndrome, accounting for29%.(3) Collected statistics for the length of time from their symptoms appearing to the treatment and duration for the100patients classified as exogenous disease. The average time of damp-heat syndrome patients (summer-heat and damp syndrome, damp-Heat syndrome) for treatment was14.5-16.9days, the average length of duration was35.9-47.8days. The average time of hot blast temperature syndrome for treatment was8.3-10.1days, the average length of duration was21.3-27.1days. The average time of summer-heat syndrome for treatment was4.1days, the average length of duration was10.5days.(4) In this study,14of the49damp-heat syndrome patients were diagnosed as upper respiratory tract infection (28.6%).10patients were diagnosed as gastrointestinal flu(20.4%),20patients were diagnosed as acute gastroenteritis(40.8%).3patients were diagnosed as urinary tract infection(6.1%).2patients were diagnosed as bacillary dysentery cases(4.1%).14of the22hot blast temperature syndrome patients were diagnosed as upper respiratory tract infection(63.6%),8patients were diagnosed as pneumonia.4of the29summer-heat syndrome patients were diagnosed as urinary tract infection(13.8%).15patients were diagnosed as urinary tract infection(51.7%).10patients were diagnosed as influenza (34.5%)(5) In this study,147kinds of traditional Chinese medicine were used for the patients.The total frequency was2039, covering17classifications from the Chinese medcine, in addition to the astringent medicine, emetic medicine, the Sida and the myogenic medicine, anthelmintic medicine, the ranking in the top10in turn were antipyretic medicine, dampness medicine, medicine for relieving exterior syndrome, expectorant cough medicine, medicine for regulating Qi flow, qi tonifying medicine, eliminating dampness through diuresis medicine, digestion medicine, yin tonic medicine, blood-cooling medicine.(6) In this study,100patienets classified as exogenous disease were diagnosed summer-heat and damp syndrome, damp-heat syndrome, summer-heat syndrome,147kinds of traditional Chinese medicine were used for them. The ranking in the top15in turn were skullcap (12.1%), berberine (9.9%), Agastache (9.5%), Cork (7.8%), herb (7.6%), Poria (7.1%), folium mori (6.4%), Elsholtzia (5.0%), Magnolia (4.6%), honeysuckle (4.2%) the forsythia (3.9%), almonds (3.6%), the Scrophulariaceae (3.4%), Nepeta (3.3%), Coix (3.2%).(7) Comparing the blood test of the100volunteers classified as hot and humid quality with100no-damp-heat constitution volunteers. The result of the lipids four (TC, TG, HDL-C, LDL-C) showed HDL-C were not statistically different between the two groups (P>0.05), TC and TG between the two groups were statistically different (P<0.05), LDL-C between two groups were also statistically different(P<0.01).(8) Comparing the blood test of the100volunteers classified as damp-heat constitution with100no-damp-heat volunteers. The result of immune parameters (IgA, IgM, IgG, C3, C4) showed C4between the two groups were not statistically different (P>0.05), IgA, IgG and C3between the two groups were statistically different (P<0.05), IgM between two groups were also statistically different (P (0.01).Conclusion:(1) Because of the unique geographical environment, the eating habits of life of the residents and the hot and humid climate in Taipei, it is easy to breed heat evils in this area, and damp heat evil is easy to lingering hard. Coupled with The damaged Spleen Yang of the inhabitants in this area, it led to the loss of transport of spleen and stomachstomach, and metaplasia of phlegm prone phlegm. Taiwan is rich in aquatic products, too much greasy food become the condition for hot and humid, therefore damp-heat syndrome occupies most of the inhabitants in this area.(2) In Taipei area, among the the exogenous disease, the one belonging to Damp-heat syndrome was the most acute disease, the symptoms of the disease come with a more terrifying force, but duration was the shortest, followed by the hot blast temperature syndrome, the onset of summer-heat syndrome was the slowest. (3) In this study,147kinds of traditional Chinese medicine were used for the patients. The total frequency was2039, the ranking in the top10in turn were antipyretic medicine, dampness medicine, medicine for relieving exterior syndrome, expectorant cough medicine, medicine for regulating QI flow, qi tonifying medicine, eliminating dampness through diuresis medicine, digestion medicine, yin tonic medicine, blood-cooling medicine.(4) In this study,100patienets classified as exogenous disease were diagnosed summer-heat and damp syndrome, Damp-Heat syndrome, summer-heat syndrome,147kinds of traditional Chinese medicine were used for them. The ranking in the top15in turn were skullcap (12.1%), berberine (9.9%), Agastache (9.5%), Cork (7.8%), herb (7.6%), Poria (7.1%), folium mori (6.4%), Elsholtzia (5.0%), Magnolia (4.6%), honeysuckle (4.2%) the forsythia (3.9%), almonds (3.6%), the Scrophulariaceae (3.4%), Nepeta (3.3%), Coix (3.2%).(5) In this study, different kinds of prescriptions were usd for the patients classified as hot and humid quality when they were diagnosed summer-heat and damp syndrome.The ranking of the most commonly used prescriptions in the top15in turn were as follows:Damp-Heat syndrome, summer-heat syndrome, Longdan Xiegan decoction, ganlu xiaodu micropills, huoxiang zhengqi powder, gegen qinlian decoction, Xin Jia Xiang Ru Yin, huanglian jiedu decoction, Sanhuang Xiexin Decoction, qingshu yiqi decoction, zhuye shigao decoction, Gan Lu Yin, Qin Jiu Bie Jia San.(6) The result of the immune parameters (IgA、IgM、IgG、C3、C4) of the volunteers classified as hot and humid quality in Taipei showed that C4was not obviously different comparing with no-damp-heat volunteers, while the level of IgA, IgG and C3were much higher than they were checked in the healthy, and the gap was significant.(7) The result of the lipids four (TC、TG、HDL-C、LDL-C) of the volunteers classified as hot and humid quality in Taipei area showed that HDL-C was not obviously different comparing with no-damp-heat constitution volunteers, while the level of TC, TG and LDL-C were much higher than they were checked in the healthy, and the gap was significant. |
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