Distribution Of TCM Syndromes In Type Ⅱ Cardiac And Kidney Syndrome And Related Factors

Objective:To discuss and Further understanding the distribution characteristics and regulars of TCM syndrome types of CRS of Type Ⅱ.To try to explore the correlation of modern medicine objective indicators and TCM theory,that may be able to provide further theoretical support and objective basis for distribution TCM syndrome types of CRS.Methods:1.This research was included 80 patients of CRS,which selected from 300 patients hospitalized with HF from cardiology department of Dongfang Hospital from September 2014 through January 2015. A total of 80 HF hospitalizations included 47 males and 33 females, with an average age of 70.9±9.26 years.2.According to the TCM dialectical classification standards issued by the state ministry of health,80 patients were enrolled in the study which can be divided into seven syndrome group:cardiac and pulmonary deficiency syndrome; blood stasis due to qi deficiency syndrome,deficiency of both vital energy and yin syndrome;heart-kidney yang deficiency syndrome;edema due to yang insufficiency syndrome;yin-yang deficiency syndrome;obstruction of the lung by phlegm and fluid syndrome.At the same time, the clinical data of 80 patients and TCM syndromes are collected.3.To verify and sort the data in the clinical questionnaire,then to entry the data in the computer and use the software to analyze these data.4.To entry the data in the SPSS 21.0 statistical software,and use it for statistical analysis, multiple comparison between each TCM syndromes type group.Results:1.This research was selected 80 patients of CRS which included 47 males(accounted for 58.75%) and 33 females(accounted for 41.25%), with an average age of 70.9±9.26 years and 90% of patients older than 60 years old.According to the eGFR,62.5% of patients’ kidney stage are in G3 period (30-59ml/min/1.73m2).The most basic disease is coronary heart disease (CHD),which have a total of 55 cases(accounted for 68.75%)and the most risk factors is high blood pressure,which have a total of 58cases(accounted for 72.5%).2.The TCM syndrome type frequency distribution results show that the heart-kidney yang deficiency syndrome has the largest number which accounted for 20%,and the second is the edema due to yang insufficiency syndromewhich accounted for 17.5%.Through the statistical analysis,the age of cardiac and pulmonary deficiency group is the oldest and the qi-yang deficiency group is the youngest.The constituent ratio between the syndrome of TCM and cardiac function have the statistically significan.along with the syndrome of TCM from the cardiac and pulmonary deficiency syndrome to the yin-yang deficiency syndrome,the distribution of cardiac function grade Ⅱ gradual decrease,the distribution of cardiac function grade III and IV gradual increase,finally the distribution of cardiac function grade IV is the most.3.The EF of the seven syndrome type groups are not completely the same that have statistically significant,through multiple comparison,only the cardiac and pulmonary deficiency syndrome has statistically significant compared with heart-kidney yang deficiency syndrome and the edema due to yang insufficiency syndrome.The LVMI of Seven syndrome type groups are not completely the same that have statistically significant,but only yin-yang deficiency group has not statistically significant compared with heart-kidney yang deficiency group and obstruction of the lung by phlegm and fluid group by multiple comparison.The LVEDd of Seven syndrome type groups are not completely the same that have statistically significant which from low to high is cardiac and pulmonary deficiency syndrome; blood stasis due to qi deficiency syndrome,deficiency of both vital energy and yin syndrome obstruction of the lung by phlegm and fluid syndrome;edema due to yang insufficiency syndrome;heart-kidney yang deficiency syndrome;yin-yang deficiency syndrome.4.The EF s LVEDd and LVMI of the patient who blong to Yang deficiency type class syndrome of TCM of CRS of type Ⅱ have statistically significant compared with the rest of the patient. The patients who blong to Yang deficiency type class syndrome of TCM have the higher LVEDd and LVMI and lower EF.Conclusion:1.TCM syndrome of CRS type Ⅱ have dispersion distribution and prompt the syndrome differentiation of TCM has Individual characteristics. The main types of the syndrome of TCM include cardiac and pulmonary deficiency syndrome; blood stasis due to qi deficiency syndrome,deficiency of both vital energy and yin syndrome;edema due to yang insufficiency syndrome;heart-kidney yang deficiency syndrome and edema due to yang insufficiency syndrome and heart-kidney yang deficiency syndrome are the most.2.The distribution of TCM syndrome of CRS type Ⅱ is related to Cardiac function of NYHY.Along with the syndrome of TCM from the cardiac and pulmonary deficiency syndrome to the yin-yang deficiency syndrome,the distribution of cardiac function grade Ⅱ gradual decrease,the distribution of cardiac function grade Ⅲ and IV gradual increase,finally the distribution of cardiac function grade Ⅳ is the most.3.Along with the TCM syndrome of CRS type Ⅱ from the Qi deficiency syndrome to the Yang or yin-yang deficiency syndrome,the LVEDd and LVMI have a trend of increase,and the EF has a trend of decrease.The increase of With the trend of increase and the decrease of the EF may prompt the Yang deficiency syndrome.4.The patients with Yang deficiency type class syndrome of CRS type Ⅱ have the higher LVEDd and LVMI and lower EF compared with the rest of the patient. The Yang deficiency type class syndrome may relate to the EF、LVEDd and LVMI.