The Study Of The Syndrome Distribularity About The Relativity Of Five Viscera And Children's Purpura

Objective: The study is to collect the clinical data of children' s purpura and analyse its syndrome, by using the Evidence-based medicine and basing on "Wu Zang Xiang Guan doctrine" that putted forward by Professor Deng Tietao, to expound the relativity of Wu Zang in TCM and childrens' purpura, to provide evidences for Wu Zang Xiang Guan doctrine in guiding TCM clinical practice in treating purpura.Methods:By using the method of the Evidence-based medicine, The study collect 300 cases about childrens' purpura from the No. 1 Affiliated Hospital of Guangzhou University of TCM, the No. 2 Affiliated Hospital of Guangzhou University of TCM and TCM hospital of Guangzhou in recent 10 years. Classified the sydromes of 300 cases about childrens' purpura. The 300 cases' distribution of sydromes,induced factors and distribution of prescription are investigated.Results: According to variance cluster, the symptom of purpura patient could be divided into eleven nest of Syndromes: The Syndrome of Accumulation of Heat in the Lung, The Syndrome of Accumulation of Phlegm-Heat in the Lung, The Syndrome of Hyperactivity of Liver—Fire, The Syndrome of Hyperactivity Of Heart-Fire, The Syndrome of Deficiency of spleen—Qi, The Syndrome of Deficiency of Lung—Qi, The Syndrome of Dificiency of Lung-Yin, The Syndrome of Dificiency of kidney-Yin, The Syndrome of Accumulation of Heat--Blood Stasis in the Stomach and Intestine,The Syndrome of Accumulation of Damp—Heat in the Spleen, The Syndrome of Damp—Heat in the Liver and Gallbladder. According to variance cluster, First, every symptom interosculate each other. Sceond, Syndromes in The Syndrome of Accumulation of Heat in the Lung ,The Syndrome of Deficiency of Lung—Qi, The Syndrome of Deficiency of spleen—Qi is related with another variance, the others are disperse. Third, Of the 300 purpura patient, Prescription are mainly composed of herb about Clearing up heat and cooling blood, Clearing up the wind to promote the dispersing function of the lung, for example, the herb of Sheng Di (51.2%), the herb of Chi Shao(40. 5%), the herb of Zi Cao(38. i%), the herb of Lian Qiao(33.8%), the herb of Shui Niujiao(30.5%), the herb of Yin Hua(30.3%), the herb of Fang Feng(33.1%). Forth, The illness factors many are rheum. There are 174case have close relation with rheum, about 58%.Conclusion:First, The sydromes of purpura are mainly co,posedof the symptoms about pleen Zang and lung Zang, and involved with other Zangs. distribution of sydromes interfix each other in five Zangs. This study have some difference with previous studies, which regard purpura has have close relation with heart, spleen, liver and kidney. The study need further research. Sceond, The illness factors have close relation with rheum, they also relate foods, bacterin, fitment of house, injury and unexplained factors, registering us emphasize theating the lung and prevention and cure diseases caused by exogenous pathogenic factor, reducing the times that purpura recrudesce in future treatment. This study have some clinical value, we should continue study the treatment of purpura from the Lung in the future, with the method of Clearing up the wind and heat to promote the dispersing function of the lung, drive pathogenic factors out, or activate lung-qi, strengthen the lung-qi and wei-qi, zheng-qi is in, and xie-qi is out.