Etiology Analysis And TCM Syndrome Classification Of 460 Patients With Pharyngeal Asthmosis

ObjectiveThis topic according to the pharyngeal foreign body sensation as the first chief complaints ofpatients with newly diagnosed, mainly take the clinic site survey form. The purpose is, in Professor Liu Daxin and under the guidance of Wang Jiaxi, by collecting data for analysis of causes in patients with pharyngeal abnormal sense, to further understand the etiology and cause pharyngeal abnormal sense constitution differentiation ratio and pharyngeal paraesthesia typing rules, sums up the common clinical syndromes. I hope this research will have a certain inspiration for clinical practice, try to reduce the misdiagnosis rate of pharyngeal paraesthesia and provide valuable basis for syndrome differentiation of TCM(traditional Chinese medicine) clinical research.MethodInvestigation and analysis of the outpatient department of ENT(ear,nose,and throat) Beijing University of Chinese Medicine east hospital since 2014 January to 2014 December by the Ministry of foreign body sensation 460 cases of patients with newly diagnosed the first complaint. Included in the investigation of patients with pharyngeal abnormal sense acquisition with the four diagnostic methods, including general data, clinical symptoms (local symptoms, accompanied symptoms, signs, tongue, pulse), past medical history, family history, ENT specialist examination, CT scanning in nasal cavity and paranasal sinus, endoscopy, gastric endoscopy, gastric esophageal 24hPH value determination, the gonadal hormone determination, standing test, male climacteric syndrome questionnaire, RSI scale, autonomic nervous function examination psychological questionnaire, hospital anxiety and depression scale data. In order to determine the causes of patients with pharyngeal paraesthesia and common clinical syndrome differentiation, finally carries on the statistical analysis.Conclusion1. female patients with pharyngeal paraesthesia of proportion is obviously higher than that of male, the male to female ratio was 1:1.7, the female patients aged 31-60 in high incidence stage.2. pharyngeal paraesthesia caused by systemic factors than patients with pharyngeal abnormal sense caused by local factors.3. The pharyngeal paraesthesia caused by upper digestive system disease, throat disease, mental illness, nose-nasopharynx diseases, endocrine disorders, thyroid disease, circulatory system disease, cervical spondylosis, long cervical papilla syndrome and so on,but the upper digestive system diseases cause nearly 1/3 pharyngeal paraesthesia.4. The pharyngeal paraesthesia cannot be equated with"globus hystericus" of TCM.5. Syndromes of pharyngeal paraesthesia were disorded in the spleen and stomach disorders syndrome, liver qi stagnation syndrome, Yang deficiency and cold syndrome and syndrome of Yin deficiency with dampness-heat. The spleen and stomach disorders become the main syndromes of pharyngeal paraesthesia, this is different from the traditional concept of pharyngeal paraesthesia in return for liver qi stagnation syndrome.6. Pharyngeal paraesthesia caused by different reasons have the difference of distribution of Syndrome Differentiation of TCM.