| Research ObjectAccording to the clinical treatment of ankylosing spondylitis instructors commonly used prescription syndrome differentiation, to establish the pathogenesis of ankylosing spondylitis the characteristics of individual instructors dialectical summarized the experience of ankylosing spondylitis and in different parts of the main syndromes, symptoms and syndromes relations, which have implications for differentiation.Research MethodsThrough clinical epidemiological research methods, design of clinical questionnaire, paternity consultation with teachers, access to relevant data. The use of descriptive analysis, frequency analysis, ANOVA, rank sum test, X2 test/X2 segmentation and other statistical methods for data analysis.Research Results1.General information:The cases of 120 patients were collected issues, male 76, female 44 cases, male to female ratio of 1.73:1; treatment of 18 patients in the youngest and the oldest 81 years old, average age 32 years; the minimum age in 9-year-old, the biggest in 76 years, mean age 22 years, male mean age was 19 years old, female mean age was 26.5 years; in the shortest duration of 0.5 years, the longest 40 years, mean disease duration (M) 8 years.2.Individual Syndrome:According to the instructor to open prescription Syndromes: kidney folder stasis 49 cases, accounting for 40.83%; kidney damp in 25 cases, accounting for 20.83%; heat folder stasis in 25 cases, accounting for 20.83%; stasis Blockage of blood card in 16 cases, accounting for 13.33%; kidney alpine card in 5 cases,4.17%. Pain licenser mainly to 110 cases, accounting for 91.67%. Site located in the neck, back, waist, lower back, hip, neck pain in 11 cases, back pain,53 cases of low back pain in 44 patients,24 patients with low back pain, hip pain, in 38 cases. Neck pain persons (40%) and back pain (100.00%) more common in kidney alpine card, back pain (87.50%) also common in Blockage of blood stasis syndrome; low back pain were (44.90%) and low back pain who (38.78%) more common in kidney folder stasis; hip pain persons (60%) more common in hot and humid folder stasis. AS patients,18 cases of iliac spine pain, heel pain,23 cases of ophthalmia in 32 cases. Main symptoms are pain in the iliac spine (25.00%) more common in Blockage of blood stasis syndrome; heel pain persons (40%) more common in hot and humid folder stasis; ophthalmia (56%) more common in kidney damp. Damp heat stasis and kidney deficiency folder folder stasis of the ESR positive rates are different, that the heat of the ESR folder stasis positive rate (P (0.0007)<0.05). Damp heat stasis and kidney deficiency folder folder stasis, stasis Blockage cards are different positive rates of CRP can be considered hot and humid in the CRP folder stasis positive rate (P (0.0002)<0.05, P (0.0013)<0.05.) 23 cases of AS patients heel pain, foot pain were 11 cases of Achilles tendon pain were 12 cases. Positive rate between CRP, the CRP Achilles tendon pain were higher positive rate (P (0.0123) <0.05).3.The general symptoms of tongue and pulse distribution:cold (65.00%), fatigue (65.00%), Yaoxisuanruan (62.50%), dry mouth (52.50%), upset, irritability (47.50%), limb trapped weight (45.00%), sweating (44.17%), yellow urine (41.67%) were the most common symptoms of AS patients; AS patients with tongue pink (little red) (55.83%), red (22.5%), moss thin (35.83%) thick yellow fur (tired) (18.33%) dominated; common in AS patients the frequency pulse followed by slip (33.33%), Shen (small) (20.00%), string (16.67%), string slide (slide number) (16.67%).4.According to dialectical prescription drugs:AS basic drugs in patients with kidney-based medicine and blood circulation drugs; kidney folder stasis and promoting blood circulation to kidney drug-based medicine; kidney to kidney drugs damp, heat Lishi based medicine, combined with a small amount of blood drug; folder stasis in order to humid heat Lishi drugs,Blood-based drugs, combined with a small amount of kidney medicine; Blockage card to blood stasis drugs, supplemented by Qufeng network medicine; kidney alpine card to kidney drugs, supplemented by yang and cold medicines, accompanied by a small amount of blood drug; neck pain are the main drugs to dampness; back pain are the main drugs to blood circulation; low back pain by the kidney drugs, supplemented by blood agents; those with low back pain medicine for the kidney Main; hip pain were the main drugs to heat dampness; iliac spine pain were the main drugs in blood circulation; ophthalmia to nourish liver and kidney were drug-based medicine and heat; heel pain medicine and heat were to benefit kidney wet-based medicine.Research Conclusion1.Kidney folder stasis syndrome is the most common, followed by kidney damp, humid folder stasis, stasis Blockage card, kidney alpine card at least.2.In the disease-bit syndrome, the neck pain were more common in kidney alpine card-based drug treatment to dampness, Kudzu is one of the main drugs; back pain were more common in the deficiency and blood stasis Blockage alpine card certificate, kidney and cold medication to drug-based medicine and blood circulation; low back pain and low back pain were more common in the deficiency folder stasis, but low back pain were also seen in other syndromes, medication and blood to kidney drug-based medicine, low back pain were the main drug treatment for kidney; hip pain were more common in hot and humid folder stasis, clearing heat and dampness to drug-based medicine. 3.In the symptoms of Syndrome, the iliac spine pain were more common in stasis Blockage of cards to blood drug treatment, supplemented by gas line drugs; ophthalmia were more common in damp kidney, liver and kidney tonic medicine and medicine in order to heat based medicine; heel pain were more common in hot and humid folder stasis, foot pain can be divided into those two categories of persons and Achilles tendon pain, foot pain medication to kidney drugs are mainly those of Achilles tendon pain medication to Qingre wet-based medicine.4.For the ESR, CRP-positive patients, suggesting that differentiation may be as damp. |
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