| BackgroundDysfunctional uterine bledding(DUB) is a common gynecological diseas. The incidence of rate is about 10%. The clinical features is menstrual cycle disorders, period of varying lengths, menstrual flow is uncertain even if it is heavy bleeding. It leads to different degrees of anemia, or secondary infection. This desease can seriously affect the health of female patients.DUB cause has not yet been clarified; however is known to be related to the level of sex hormones, hormone receptor expression, endometrial cells local cytokines secretion, growth factor and protease. Currently DUB treatment is through drugs or surgery, but there are some advantages and disadvantages of both. Improving the efficiency of treatmenthas become a concern of the gynecology industry.The cause of complex traditional Chinese medicine, pathogenesis of diverse, complex dyndrome. To more than the deficiency syndrome, little the excess syndrome. To more than the heat syndrome, little the cold syndrome. Treating the Biao(secondary) aspect of emergency, the primary is strengthening the spleen, tonifying the Qi and tonify the blood, cooling the blood and hemostasis, hemostasis but removing the stagnant. The Ben (primary) aspect for chronicity. It is imrotant to tonify the kidney, harmonizing liver and spleen.There are lots of TCM syndromes is non-standard. Diagnosis and treatment evaluation standards are not uniform. There is limited scientific evidence that can be developed for this treatment due to the subjective nature of the tests. Lack of scientific and clinical symptoms. More emphasis is needed on Clinical Observations for basic research due to and insufficient number of experimenters. ObjectiveThrough the of modern literature, researching the laws of TCM to analyse DUB syndrome research and problems, to provide ideas work for further study of blood standardized TCM. Let treatment determination based on syndrome differentiation to be operable, flexibility, accuracy and advanced. To guide to diagnosis and treatment of clinical significance.Methods419 cases patients with dysfunctional uterine bleeding was collected during the period of June 2007 to June 2010 at GuangDong Provincial Hospital of TCM with Chinese and Western medicine treatment was performed. To understand the distribution of syndromes, statistics of the syndrome and the frequency and composition of the situation. Statistical methods was used to calculate the total percentage of TCM cases in different DUB ages. An exploration is to be performed that intends to find out the laws TCM in order to provide evidence for TCM diagnosis and to develop preventive methods.ResultsCollection of dysfunctional uterine bleeding diagnosed patients with 419 cases.In 419 cases patients with dysfunctional uterine bleeding for age, of which 31 cases were puberty (7.4%),164 cases were childbearing age (39.1%), 224 cases were premenopausal (53.5%).In 419 cases patients with dysfunctional uterine bleding for TCM syndrome, In 27 cases of the deficienct pattern (6.4%),18 cases of the excessive pattern (4.3%),374 cases of the deficiency syndrome with excess syndrome (89.3%). The syndrome classification in TCM, there has 27 cases of the deficiency syndrome which it is including 14 cases of deficiency of Qi and blood (51.85%),6 cases of deficiency of both spleen and kidney (22.2%),3 cases of deficiency of Qi (11.1%),2 cases of deficiency of kidney (7.41%,), 1 case of deficiency of both Qi and Yin (3.7%), and also 1 case of the impairment of the liver and the kidney. There has 18 cases of the excessive pattern which it is including 13 casese of stagnation of Qi and blood stasis (72.2%),1 case of accumulation of cold and stasis of blood (5.55%),1 case of detention of stagnant heat (5.55%),1 case of dampness and static blood obstruct vessel (5.55%),1 case of static blood blocking in uterus (5.55%), and also 1 case of phlegm dampness and static blood obstruct vessel (5.55%). There has 374 cases of the intermingling deficient and excessive which it is including 127 cases of the stagnant blood with deficiency of both the spleen and the kidney (33.95%),120 cases of the stagnant blood with insufficiency of kidney (28.6%),54 cases of the stagnant of blood (12.9%), 52 cases of the stagnant of both Qi and blood (12.4%),8 cases of detention of deficiency of the spleen and dampness and blood (1.9%),4 cases of deficiency of both Qi and Yin (1.06%),2 cases of deficiency of the spleen with static blood (0.5%),2 cases of dampness and static blood of the stagnant blood with insufficiency of kidney (0.5%),1 case of the depressed liver with the insufficient spleen the kidney (0.27%),1 case of detention of deficiency of Yin and stagnant heat (0.27%),1 case of the depressed liver with the insufficient spleen static blood (0.27%), and also 1 case of statgnant blood with deficiency of both the spleen and the kidney with dampness (0.27%).In 419 cases patients with dysfunctional uterine bleeding, of which 31 cases were puberty, in which it has 6 cases of the deficient pattern (19.4%), 1 case of the excessive pattern (3.2%),24 cases of the deficiency syndrome with excess syndrome (77.4%). In which 9 cases were stagnant blood with deficiency of both the spleen and the kidney (20.9%). There has 164 cases of women of child-bearing ages, in which it has 12 cases of the deficient pattern (7.3%),12 cases of the excessive pattern (7.3%) and 140 cases of the deficiency syndrome with excess syndrome (85.4%). In which 49 cases were stagnant blood with deficiency of both the spleen and the kidney (29.9%), 33 cases were stagnant blood with insufficiency of kidney (22.1%). There has 224 cases of the perimenopausal period, in which it has 9 cases of the deficient pattern (3.9%),5 cases of the excessive pattern (2.2%) and 210 cases of the deficiency syndrome with the excess syndrome (93.9%). In which 69 cases were stagnant blood with deficiency of both spleen and the kidney (30.8%),83 cases were stagnant blood with insufficiency of kidney (37.1%), stagnant of blood and stagnant of both Qi and blood are similar.ConclusionIn 419 cases patients with dysfunctional uterine bleeding, the most common is the perimenopausal period (53.3%). In 419 cases patients with dysfunctional uterine bleding for TCM syndrome, the most common is the deficiency syndrome with excess syndrome (89.3%). In different ages of dysfunctional uterine bleeding, we can see blood with deficiency of both the spleen and the kidney in puberty, child-bearing ages and perimenopausal period. deficiency of both spleen and kidney, stagnant of blood and stagnant of both Qi and blood are similar in child-bearing ages and perimenopausal period.The study was retrospective analysis, the lack of rigorous design, small sample size and geographic, human factors. There may be a larger bias from the results, the conclusion needs further stduy and validation.
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