Study On The Relationship Between Functional Dust Emulsion Simulation And Deficiency Of Deficiency And TCM Syndromes

Objective:Using simulation defecography technology, to study pelvic and rectal morphological changes of functional constipation (FC) patients by abserving and recording data of their morphological changes.2. Simulation defecography imaging findings of the chronic constipation patients is associated with TCM syndrome to explore the relationship between the two. We try to find out if each TCM Syndrome related to different simulation defecography radiographic change. Making the diagnosis of TCM syndrome visualization, Further enrich the TCM diagnosis objective basis and help to Improve treatment of FC.Method1. randomly select80cases of Beijing TCM University Dongfang Hospital Anorectal hospitalized patients and outpatients with chronic constipation. Functional constipation reference2006Rome III criteria and published "China’s chronic constipation treatment guidelines", TCM type of diagnosis and disease criteria refer to the national standard GB/T16751.2-1997"TCM clinical diagnosis terminology·Syndromes section", People’s Republic of China TCM standard "TCM Syndrome standard of diagnostic and efficacy· Constipation", Divided TCM syndromes into (1)、stagnation of QI due to depression of the liver (2)、QI deficient of spleen and Lung (3)、Yin deficient of Liver and kidney (4)、yang deficient of spleen and kidndy.2. Using Shimadzu digital gastrointestinal machine,patient side-sitting under fluoroscopy and we selectively photograph when rest, lift, defecation and after including Sacrum and coccyx, pubic symphysis and anal. We measure anorectal angle (ACA), the anal margin, small shame away, anal canal length, anal wide spacing rectal sacral and so on。 Diagnostic radiography include Rectocele (RC), Anterior-rectal mucosa prolapse (AMP), Splanchnoptosis(SP) Perineum Desend(PD), Intestinal hernia, Sigmoid hernia, Spastic Pelvic Floor Syndrome (SPFS), Sacrum rectal muscle separation, edc. 3. Establish a database and then analysis the data using SPSS19.0statistical software. Count data using the chi-square test and Fisher’s exact test, while measurement data expressed as x±. Angiographic signs and TCM syndrome type use Correspondence Analysis.Results:1. There are more female FC patients than male, female:male=3:3.71. The average age of female FC patients less than male, statistically significant (P<0.05). The number of women in the age group50-60years old is largest. With age increasing, the number of male FC patients showed an increasing trend.2.There are statistically significant different P<0.05)between female and male FC patients in Rectocele and Perineum Desend(PD), female more than male. In contrast, Sacrum rectal muscle separation is just the opposite.3The incidence of SPFS, mucosal prolapse no statistically significant in gender difference.4RC, PD, Intestinal hernia, Sigmoid hernia,AMP,SPFS, sacral straight separation showed a downward trend in all age groups.5. QI deficient of spleen and Lung is the Majority TCM syndromes of FC patients (53%) Others are just similarly:stagnation of QI due to depression of the liver (16%), Yin deficient of Liver and kidney (15%), yang deficient of spleen and kidndy (16%)6. There are statistically significant different (P<0.05)between female and male FC patients in QI deficient of spleen and Lung, female more than male.7. Correspondence Analysis shows the relationship of angiographic signs and TCM syndrome type. QI deficient of spleen and Lung related to yang deficient of spleen and kidndy, but stagnation of QI due to depression of the liver and Yin deficient of Liver and kidney has significant different. Stagnation of QI due to depression of the liver usually causes Spastic Pelvic Floor Syndrome. QI deficient of spleen and Lung and Yang deficient of spleen and kidndy usually cause Perineum Desend(PD), Intestinal hernia, Sigmoid hernia, Sacrum rectal muscle separation.Yin deficient of Liver and kidney usually causes Rectocele (RC), Anterior-rectal mucosa prolapse (AMP). Conclusion:Chinese medicine believes that the body’s physiological function are naturally showed a downward trend with age growing older, defecation capacity also declined, thus increasing the incidence of constipation in the elderly. Because of deficiency of yin and yang, older people suffering from chronic constipation, delayed healing, will be wore out. Therefore, the main principles of treatment of constipation to the older should nourish and benefit, not capture.Defecography signs of Female FC patients is mainly Rectocele, Perineum Desend. Probably because the rectal wall relaxation and weak after pregnancy. Intestinal hernia, sigmoid hernia, sacrum rectal muscle separation may be the further development of pelvic and rectal diseases, so the trends in the distribution of all ages changed little. Incidence of male constipation mainly related to old and feeble.Patients with QI deficient of spleen and Lung syndrome are more likely to suffer from Perineum Desend, so we should nourish the spleen and lung to those kind of patients. Patients with stagnation of QI due to depression of the liver syndrome are more likely to suffer from Spastic Pelvic Floor Syndrome, so we should Scattered liver qi to those kind of patients. Patients with stagnation of QI due to depression of the liver syndrome are more likely to suffer from Spastic Pelvic Floor Syndrome, so we should Scattered liver qi to those kind of patients.