Study On The Correlation Between Skin Pruritus And TCM Deficiency In 103 Patients With

Background:Maintenance hemodialysis (MHD) patients with skin pruritus is a disease caused by a variety of causes, The pathogenesis is very complicated. For long-term hemodialysis patients with great pain. Not only in the physiological cause of the suffering of patients suffering from skin itching.,and also had a psychological aversion, resentment. Long term in the past lead to patients with anxiety, depression symptoms. With the advent of the bio psycho social medical model, medical researchers should study and discuss the etiology, diagnosis and treatment of this kind of disease. In recent years, the Department of nephropathy, the Department of Dermatology doctor has carried on the related research to it, but there is no unified theory. Chinese medicine has experienced 2000 years of continuous improvement and development, In understanding the prevention and treatment of disease, there is a unique theoretical system and clinical experience different from modern medicine, In the case of modern medicine, the treatment of such diseases is not satisfactory, it is suggested that we can understand and find the law of disease and treatment of disease in traditional Chinese medicine.Re understanding of the disease etiology and pathogenesis of the disease.Objective:Through the investigation of the syndrome, MHD belongs to the syndrome of skin itching, distribution law, Focus on skin pruritus pruritus in all kinds of traditional Chinese medicine syndromes of deficiency syndrome score, So as to reveal the specific syndrome types of MHD belongs to the skin itching of traditional Chinese medicine syndrome, To provide a reference for the future development of traditional Chinese medicine and Chinese medicine.Methods:132 maintenance hemodialysis patients with deficiency of traditional Chinese medicine were selected by clinical questionnaire, investigation of basic information. Reference to chronic renal failure, TCM syndrome differentiation standard and so on to carry on the syndrome differentiation of TCM syndrome differentiation, to observe the relationship between TCM syndrome differentiation and the degree-ef skin itching.Result:(1) MHD patients with skin pruritus patients with liver and kidney yin deficiency type, accounting for 74.8%. (77/103). (2) MHD patients had different degrees of skin pruritus. According to the improved Duo’s itch rating method, Mettang et al. The syndromes of pruritus score the highest score of the group and pruritus was the most serious liver and kidney yin deficiency type group. (3) Age and gender calcium, phosphorus, kt/v in the MHD with skin itching in patients of syndrome of TCM syndrome type distribution no difference (P> 0.05).And the dialysis age, dialysis frequency, calcium and phosphorus product and the skin itching score was positively correlated (P<0.05), the skin pruritus score was negatively correlated with kt/v (P>0.05).Conclusion:(1) MHD patients had different degrees of pruritus, which serious deficiency syndrome of TCM syndrome differentiation type the largest number of liver kidney yin deficiency syndrome. (2) There was a correlation between the degree of itching of skin and the number of dialysis, the number of dialysis and the product of calcium and phosphorus. With the increase of the age of dialysis, the number of dialysis, the product of calcium and phosphorus, the pruritus score increased correspondingly.Composition of paper:This paper includes two parts:literature review and clinical research. Literature review is divided into two chapters. The first one is to "maintain the status of blood dialysis patients with skin pruritus". The main reason from the hemodialysis patients with pruritus, skin treatment and lack of status quo, to discuss these aspects. The second chapter is "the study of TCM syndrome in hemodialysis patients". This paper mainly summarized the characteristics and classification criteria of chronic renal failure, and has enumerated the current understanding of the doctors for the regular hemodialysis in patients with chronic renal failure after TCM climate change. Clinical research section,132 cases of patients with long-term maintenance hemodialysis, Clinical data were collected through a questionnaire survey. TCM syndrome differentiation and typing, Summarize the relationship between deficiency syndrome of TCM Syndromes of patients with skin pruritus.