Study And Analysis On The Causes And Law Of Treatment Of Damp Heat Syndrome In Singapore

OBJECTIVE:To analyze the causes of exogenous damp-heat syndrome in Singapore,study and discuss the law of treatment,and provide the theory and methodology for the treatment of exogenous damp-heat syndrome in Singapore.METHOD:On the cause analysis of damp-heat syndrome,the methodology consists of analysing the effect of climatic and geographical environment through the collection of data from official websites of Singapore Meteorological Bureau,Bureau of Statistics,Bureau of Statistics,Ministry of Health and Environment Bureau from 2005 to 2015;analysing the effect of lifestyle dietary and individual body constitution through the surveying of 455 local residents;combined with high incidence of infectious diseases statistics in Singapore,to discuss the relationship with damp-heat syndrome from a theoretical perspective.On the law and principle,discuss the relationship with damp heat syndrome through collection and analysing of data(medical records,writings,notes and medical books of famous physicians such as Ye Jiunun,Li Bogai,Wu Ruifu,Chen Zhanwei,Fu Bohua,Huang Zhongqin,Zheng Xinjin,Zhao Yingjie etc.)from the library of Singapore College of TCM and interviewing famous TCM Physicians in Singapore,RESULT:1.Singapore is near to equator and is surrounded by the sea with hot and humid weather throughout the year.From 2005 to 2015,the average temperature is between 25.0 ?-31.5 ?,the highest temperature is 35.5 ? while the lowest temperature is 20.9 ?.The average daily hours of sun exposure is 5.68 hours.The average annual total rainfall is 2193.54mm.The annual average rainfall is 128.03mm.The average annual rainfall is 176 days.The average annual 24-hour relative humidity is 82.38%.2.According to the survey statistics of 455 participants,most of them do not possess single type of body constitution but of multiple type instead,with most common ones are qi-deficiency(15.39%),phlegm-dampness(15.25%),damp-heat(14.62%),yin-deficiency(12.16%)and yang-deficiency(9.98%).Those who have live longer in this region statistfied the above observation.For those who have lived less than 5 years,the common body constitution is yang-deficiency,qi-deficiency,phlegm-dampness.For Chinese,the most common body constitution is phlegm-dampness,qi-deficiency,damp-heat,and yin-deficiency.For the Malay,the most common body constitution is qi-deficiency,yin-deficiency,qi-stagnation,For Indian,the most common body constitution is qi-deficiency,damp-heat and yin-deficiency,For those who have smoking and drinking history,the most common body constitution is phlegm-dampness,damp-heat and qi-deficiency.For those who do not smoke and drink,the most common body constitution is qi-deficiency and phlegm-dampness.3.In Singapore,between 2005 and 2015,high-risk infectious diseases that have a close relationship with damp-heat syndrome include chickenpox,hand-foot-mouth disease,dengue fever/dengue haemorrhagic fever,influenza and infectious pneumonia.4.Singapore past and present TCM physicians have the same belief that for damp-heat syndrome in this region,based on the etiology,pathogenesis,geographic nature,climate,dietary etc.,damp-heat syndrome typically occurred together with deficiency syndrome such as qi-deficiency,yang-deficiency and yin-deficiency.Treatment wise should combined with classical TCM novel and western knowledge,with removing of damp-heat as the primary means and combining with cold or warm medicinal where necessary.In particular,there is a need to pay extra care to spleen and stomach and personal healthcare to prevent recurrence.5.Collecting the 34 medical records of past physicians in Singapore,involving 57 prescriptions with 126 medicinals of 623 occurrences.The most frequent medicinals used are Forsythia,Honeysuckle,Apricot,Peppermint and Talc.By classficiation,the most common ones are heat-clearing medicinal(36 medicinals),superficies-releasing medicinal(18 medicinals),damp-resolving medicinal(16 medicinals),phlegm-resolving and cough dyspnea-relieving medicinal(16 medicinals),tonics(12 medicinals)and qi-regulating medicinal(6 medicinals).Among those that are related to warm-heat syndrome,there are 14 cases,involving 20 prescriptions with 90 medicinals of 252 occurrences.The most frequent medicinals used are Forsythia,Honeysuckle,Peppennint and Raw Rehmannia Root.By classficiation,the most common ones are heat-clearing medicinal,superficies-releasing medicinal,phlegm-resolving and cough dyspnea-relieving medicinal,tonics and damp-resolving medicinal.Among those that are related to damp-heat syndrome,there are 20 cases,involving 37 prescriptions with 103 medicinals of 371 occurrences.The most frequent medicinals used are Forsythia,Talc,Cardamom,Grassleaf Sweetflag and Baical Skullcap.By classficiation,the most common ones are heat-clearing medicinal,damp-resolving medicinal,superficies-releasing medicinal,phlegm-resolving and cough dyspnea-relieving medicinal,tonics and qi-regulating medicinal.CONCLUSION:1.In Singapore,due to geographical,climatic and environmental conditions,dietary habits,individual body constitution and other characteristics,patients in this region typically when experience exogenous pathogens do concurrently involve damp-heat syndrome as well.Local high incidence of infectious diseases such as chickenpox,hand-foot-mouth disease,dengue/dengue haemorrhagic fever,influenza,infectious pneumonia,are prone to damp-heat and thus require simultaneous of heat-clearing and damp-removing treatment.2.Based on the characteristics of the region,the past and present famous physicians in Singapore such as Li Bogai,Ye Jiyun,Wu Ruifu,Chen Zhanwei,Fu Bohua,Huang Zhongqin,Zheng Xinjin and Zhao Yingjie all have unique opinions on the local damp-heat syndrome from the etiology and pathogenesis,syndrome differentiation,prevention and treatment perspective.3.The past famous physicians in Singapore suggested that the treatment of damp-heat syndrome in this region is obviously different from the treatment of warm-heat syndrome,which includes the use of heat-clearing,damp-removing and tonics medicinal.Treatment wise focus on Wei-Qi concurrent remedy.During the use of heat-clearing and damp-removing principle,there is a need to pay attention to triple energizer distribution,regulating qi and strengthening yin.