Hemorrhagic Irregular Menstration Syndrome Rule Of Literature Research

Objective:1 Through literature of systemic researching and sorting on hemorrhagic irregular menstruation (Menstruation, Menorrhagia and Menostaxis), summarize the syndrome rule menstruation, menorrhagia and menostaxis.2 According to literature study, expert consult a table specialist for advice. Analysis of the data through the understanding of menstruation, menorrhagia, menstrual extension of disease diagnosis, classification and symptoms of characteristics of the pre-menstruation, menorrhagia, menstrual-type card to extend the main indicators and treatment differetiation. Irregular periods for the development of hemorrhagic disease of the standards lay the foundation for TCM Syndrome to carry out large sample of clinical epidemiological studies provide the basis for the technical operation.Method:1 Literature researchâ‘ Literature books: Use"Chinese Medicine Dictionary"as the retrieval tool, inspect manually, adopt the method of retrorse check. The access of retrieval: adopt the name of literature and the author of literature, for example the name of a book, the name of a publication, the title of a piece of writing, and the author, editor interpreter and so on. The word of retrieval: irregular menstruation, the gynaecological advanced menstruation, the water first, early menstruation, super advice menstruation, proceded menstrual cycle, menorrhagia, polyhypermenorrhea, menostaxis etc. Books of retrieval come from the library of Hebei Medical University, Peace Hospital, Hebei Province Library, HeBei Provincial People's Hospital Library etc. Retrieval time is from Tang Dynasty to now.â‘¡Reported literatures: Using of computer retrieval method, make China Journal Full-text Database, full-text database of China's Doctoral Degree thesis. The accesses of retrieval: Adopt the theme, this means main contents, form example the retrieval of the theme, the retrieval of key words etc, the words of retrieval: irregular menstruation, the gynaecological advanced menstruation, menorrhagia, polyhypermenorrhea, menostaxis, etc. Retrieval period is from 1994 to 2008 literature.2 Experts'consultative questionnaireReferring to the results of literature retrieval and preparing experts'consultation questionnaire draft in using Delphi method. Select ten professional persons and listen their advice base on questionnaire format, Front Notes, item pool content to screen, the method of questionnaire recovery etc. Then start to carry out formal questionnaires, choose ten research centers, there are five gynecologists in every research center, including traditional Chinese medicine combined with Western medicine gynecology and obstetrics and gynecology in an official survey of experts,questionnaires not only have close type problems, but also have open type problems. Close type means that researchers provide answers for selection. Open type means that respondents fill in the content by themselves. Then recover questionnaire, set up the database of formal questionnaire. Statistical analysis methods are Mainly frequency,relative frequency,percentile etc.Result:1 Literature research1.1 Literature results show that the current menstruation, menorrhagia, menostaxis syndrome extension without a unified standard norms, awareness is not yet uniform. Differentiation of a variety of existing methods of menstruation, menorrhagia, menostaxis extend the clinical and scientific research have a certain significance, but its more based on past literature and experts to describe the basis of personal experience, lack of modern scientific research methods, technical and statistical support.1.2 In the study of literature hemorrhagic irregular menstration attune type distribution characteristicsResults hint: The main syndrome of early period menstruation is YangShengXueReXing, PiQiXuXing, YinXuXueReXing, GanYuXueReXing. The main syndrome of menorrhagia is QiXuXing, XueReXing, XueYuXing. The main syndrome of menostaxis is YinXuXueReXing, QiXuXing, XueYuXing, ShiReYunJieXing. 1.3 In the study of literature hemorrhagic irregular menstration syndromes distribution characteristics1.3.1 MenstruationYangShengXueReXing: Menstruation is much, in advance, quality thick and the color deeply red; mind restless, short yellow urine, dry stool pale red, or thirst, thirsty for cold water, tongue is red, yellow moss, pulse sliding and fastly.PiQiXuXing: The menstrual cycle in advance, with light red color is not fresh, quality thin, the quantity is much, mind fatigue, shortness of breath, lower abdomen empty and fall, heart palpitation, loose stools, or less; light red tongue, thin white moss, pulse slow weakness.YinXuXueReXing: Menstruation in advance, quantity is little, thick quality, the color red; hand-foot-heart heat, two malar flushing, throat and mouth dry; tongue red and tender, less moss, pulse small and fastly.GanYuXueReXing: Menstruation in advance, the amout more or less, the color deeply red, a blood clot, discharge well; fidgety irritability, abdominal bilge painful or aphis chest tightness, or breast pain not comfortable, dry mouth or bitter; tongue red, yellow and thin moss, pulse string seaweed and fastly..1.3.2 MenorrhagiaQiXuXing: Menstrual quantity, light red color, quality thin, or extension; pale white face, shortness of breath, lower abdomen empty and fall, soft limb weakness, mental fatigue, palpitation and cold; pale tongue, thin white moss, pulse thin and weakness.XueReXing: Through thick sticky, qualitative, color and luster with red blood, or extension; thirsty, upset, short yellow urine, dry stool, disturbed sleep, red tongue, lip red and dry, yellow moss, pulse sliding seaweed.XueYuXing: Color purple black, have blood clot, the capacity is much, according to the lower abdomen pain or rejected, blue-black tongue, or tongue have blood spots or petechiae, pulse shen not smooth.1.3.3 Menstrual extensionYinXuXueReXing: Menstrual extension, the quantity is little, bright red color, qualitative thick, more than a long period of time; hand red and hot, zygomaticus red, hot, dry mouth, red tongue, less moss, pulse thin and fastly.QiXuXing: Lubricious weak, through prolonged, thin, or spirite fatigue, limb soft weakness, shortness of breath, pale white, palpitation less sleep, light red tongue, thin white moss, weak pulse.XueYuXing: Extension of menstruation, there wre pieces of clots and dark color, the quantity has been uneven; lower abdomen pain by touching; purple red tongue or have blood side, pulse stirng not smooth.ShiReYunJieXing: The menstruation constantly, dripping a long period of time, such as Patrinia dark color, mixed with mucus, smell stinky shouts, generalized weakness, usually carry more color yellow smelly, reddish tongue, yellow greasy moss, pulse sliding and fastly.2 The survey results of experts'consultative questionnaireAccording to the results of the research literature developed a"menstruation, menorrhagia and menostaxis syndromes the standardization of experts'consultative questionnaire"and statistical analysis results show that:2.1 The results of experts'consultative questionnaire hemorrhagic irregular menstration (menstruation, menorrhagia, menostaxis) evidence type distribution characteristics is high to low sort by frequency are as follows:Menstruation: PiQiXuXing, ShenQiXuXing YinXuXueReXing, GanYuXueReXing, YangShengXueReXing, XueYuXing.Menorrhagia: QiXuXing, XueReXing (ShiReXing and XuReXing ), XueYuXing.Menostaxis: QiXuXing, YinXuXueReXing, ShiReYunJieXing, XueYuXing.2.2 The results of experts'consultative questionnaire hemorrhagic irregular menstration (menstruation, menorrhagia, menostaxis) the distribution of characteristics of the syndrome.2.2.1 MenstruationPiQiXuXing: Ahead of the menstrual cycle, more or less by volume, with light red color, quality thin, spirite fatigue, pale yellow face, shortness of breath, listless or lazy, lower abdomen empty and fall, loose stools, voice was low, low abdominal distension fat mass, light red and fat tongue,while the tongue has toothed mark, thin white moss, weak pulse.ShenQiXuXing: Ahead of the menstrual cycle, more or less quantity, thin dark color, weakness in waist and knee, dizziness tinnitus, complexion is dull or have an spot, spirit is depressed, night frequent urination, urine clearance and more, blue-black tongue, thin white moss, heavy seaweed pulse.YinXuXueReXing: The menstrual cycle early, the quantity is little, bright red color, qualitative thick, hands and feets hot, drying throat and lip, two malar flushing, hot night sweats, upset wakefulness, debaucjed, red tongue, less moss, thin and fastly pulse.GanYuXueReXing: Early menstrual cycle, the volume of a greater or lesser extent, there is blood clots, thick quality, with poor lines, with dark red or purple color; irritability easily, breast tenderness, lower abdominal pain, love to sigh, throat pain; tongue red, yellow thin moss, pulse a few strings.YangShengXueReXing: Menstruation, and more, the color dark red, qualitative thick sticky, thirsty, likes to drink cold, face red, short yellow urine, dry stool, tongue is red, moss is yellow, pulse sliding seaweed.XueYuXing: Menstrual cycle in advance, the poor line, by refusing to lower abdomen pain, blood clots to reduce pain after discharge, the quantity is little, color is blue-black, often no obvious symptoms, and some can be seen subcutaneous ecchymosis, tongue is dark red,the tongue side have blood spots, petechiae, pulse string.2.2.2 MenorrhagiaQiXuXing: More than menstrual quantity or extension, reddish, thin, pale yellow face, shortness of breath, limb soft lazy and spirit fatigue, lower abdomen empty and fall, moving the sweat, eat less abdominal distension, defecate is not moved, pale tongue, thin white moss and weak pulse.ShiReXing: With to many, the color dark red, and viscous quality, thirsty, upset, red lip is dry, short yellow urine, defecate drier; red tongue, yellow moss, pulse sliding.XuReXing: Volume by line, color red, slightly viscous quality, or can be seen in advance by the line; zygomaticus red, drying throat, sweating, weakness in waist and knee, upset insomnia, small deutzia short, the two eyes dry; tongue red, moss little, pulse breakdown.XueYuXing: The color is much black purple, have blood clots, the lower abdomen pain rejected to be touched, according to relieve pain after discharge blood clots, no obvious symptoms, complexion is dull, not moisturizing the skin, chest full bilge stalking or tingling, brown spot cheek, blue-black tongue, the tongue there are blood spots,petechiae, pulse thin or heavy seaweed..2.2.3 MenostaxisQiXuXing: Extended through time, net non-expired, the volume of many,color light, quality thin; spirit fatigue anopheles lying, shortness of breath made lazy, soft-limb weakness, lower abdomen empty and fall, dizziness, pale white face, less will be satisfied pond, palpitations less sleep; light red tongue, thin white moss, weak pulse slowly.YinXuXueReXing: Menstrual extended more than a long period of time, the quantity is little, bright red color, quality thickener, dry mouth and throat, hands and feets hot, hot flushes,zygomaticus red ,dry stool guitar, red tongue, less moss and pulse breakdown.ShiReYunJieXing: By volume, with dark colors such as Patrinia, mixed with mucus, accompanied by perineal itching or burning, foul odor dirty, dripping a long time period; usually taken off the volume, smell dirty yellow color, waist and lower abdomen pain, heavy limbs, generalized weakness; reddish tongue, yellow greasy moss, pulse a few slip.XueYuXing: Menstrual extended more than a long period of time, by volume has been uneven, as there are blood clots, dark color, the poor line; no obvious symptoms, or by refusing to touch the lower abdomen painful spot, dull complexion, facial brown spot, rough skin; dark purple tongue, the tongue side there is spots, the pulse not smooth.Conclusion:Research on the subject of the use of literature study and expert consultation methods, hemorrhagic irregular menstruation (Menstruation, Menorrhagia and Menostaxis) system to carry out a preliminary study, the conclusion is as follows: 1 The use of the method of literature, discusses the hemorrhagic irregular menstration (Menstruation, Menorrhagia, Menostaxis) classification and characteristics of symptoms, the whole grasp of the laws of its research and development.2 By the literature research, combined with expert advice in statistical analysis of the results table to study the menstruation, menorrhagia, menostaxis permit the extension of various diseases and syndromes of the card-type characteristics and rules of the clinical diagnosis and treatment of gynecological diseases provides reference.3 Categories of books through the literature and experts'consultative questionnaire statistics comparing the results found that the expert advisory group on the new menstruation increase XueYuXing and ShenQiXuXing, and evidence-based changes in the ranking; XueReXing further subdivision of menorrhagia for ShiReXing and XuReXing two sorts, especially the XuReXing in the literature of the type books was not record; Menostaxis the sort of evidence-based changed.4 Through the literature research and experts'consultative questionnaire in the survey results, for future hemorrhagic irregular menstration (Menstruation, Menorrhagia, Menostaxis) standards to lay the foundation for the study of traditional Chinese medicine syndromes had a methodology on exploration.