Clinical Research On The TCM Syndrome Types Of Glucocorticoid-Dependent ITP

ObjectivesThe onset of Guangdong Hospital Of Traditional Chinese medicine outpatient department and network consulting hormone-dependent diagnosed cases of idiopathic thrombocytopenic purpura is analyzed. To explore syndromes glucocorticoid-dependent ITP regularity and hormone dependence and syndromes changes between relations.MethodsAnalyze the cases follow-up glucocorticoid-dependent ITP diagnosed from guangdong hospital of traditional Chinese medicine outpatient or network. then fill in the syndromes information collection table, create database to Statistical analysis. Discuss TCM syndrome hormone-dependent ITP type distribution rule. Analysis hormone dependence relationship between with TCM syndrome type. ResultAltogether collected cases 100 patients,26 cases of men and women 74 cases. The male to female ratio is:2～1.85. The oldest is 80 years, and the minimum age is 4 years old.The average age 37.41 years old and the median age is 32 years old. In the aspects of syndromes, copolymerize eight classes. They are Liver Yin deficiency syndrome, Liver Yin deficiency syndrome of fire, depressed liver and Qi obstruction syndrome, Spleen-deficiency syndrome, Spleen Yang deficiency syndrome, Kidney Yin deficiency syndrome, blood stasis syndrome, wind-damp incoming surface syndrome.85% of the cases is Spleen-deficiency syndrome,70% is Liver Yin deficiency syndrome,66% is blood stasis syndrome,15% is Kidney Yin deficiency syndrome,11% is depressed liver and qi obstruction syndrome and wind-damp incoming surface syndrome,8% is Liver Yin deficiency syndrome of fire. ConclusionDeficiency class syndrome include Liver Yin deficiency syndrome, Spleen-deficiency syndrome, Kidney Yin deficiency syndrome. The evolution is related to glucocorticoid applications and minus withdraw. Glucocorticoid is onyang, after prolonged application will appear Yin deficiency and Two empty qi and Yin. Along with the glucocorticoid withdrawal stop, gradually evolved into spleen Yang deficiency syndrome. It prompt that glucocorticoid withdrawal process reduced, should concern may appear kidney Yang deficiency syndromes and early intervention.Empirical class syndrome include Stasis, wet,qi stagnancy and blood heat. The proportion of blood stasis syndrome is the highest.It comply with the literature research on the treatment experience of ITP blood stasis throughout's statement. The pathogenic characteristics of damp evil is consistent with the course features of glucocorticoid-dependent ITP. How wet climate lingnan area, Should attach importance to the healing method of damp evil. Blood heat syndromes is the basis of the development in Yin deficiency syndrome. The treatment can not blindly pursuing on the application of medicines cool blood. We need to juggle the therapy to brought by the existence of deficiency syndrome. In four categories of clustering results, all appear gloomy mood, have a deep sign, breast, two stalking, bilge stuffy discomfort and other symptoms. The disease occurs in women of reproductive age, easy to produce the mood swings ultra. Then cause stomach qi stagnancy and syndromes.