Study On Traditional Chinese Medical Syndrome Of Diarrhea-predominant Irritable Bowel Syndrome Base On Clustering Analysis

Objectives:In previous literature research foundation, proposed by way of questionnaire survey to diarrhea type irritable bowel syndrome patients for prospective clinical investigation, this article research the characteristics of traditional Chinese medical syndrome and TCM syndrome type distribution law, and from the main points of the syndrome differentiation type, syndrome differentiation and treatment for the disease of unity and standardization to provide the theory basis.Methods:Combined early literature research and consultation, design by patients generally material and diarrhea type irritable bowel syndrome,the clinical symptoms, common main symptoms, tongue with pulses of traditional Chinese medicine from the four diagnostic information related to the main contents of the clinical information collection table, cross-sectional design of clinical epidemiological methods, to guangdong hospital in June2011-March2012outpatient service and the inpatient department with diarrhea type irritable bowel syndrome diagnosis of240patients with clinical investigation, the data from the establishment of database, descriptive analysis, clustering analysis and statistical methods of data analysis and processing, discusses diarrhea type irritable bowel syndrome of TCM syndrome features and TCM syndrome type distribution rule.Result: The survey of240cases of patients with IBS-D common symptoms, frequency in more than20.0%of the abdominal pain that is in turn have diarrhoea, after diarrhea pain reduction (79.2%), move bowels when pond diarrhea, or often clip has mucus (73.8%), with symptoms of depression or spirit nervousness with the appearance of the attack or increase (58.8%), god exhausting the lazy to talk, the body tired fatigue (55.4%), depression, good TaiXi (45.0%), irritable (45.0%), tired or catch cold catch cold symptoms after or aggravated (44.2%), abdominal distension (43.3%), food pain after abdominal distension, stuffy don’t wan shu (42.1%), food NaCha less (41.7%), abdominal pain and love like press (38.8%), belch (33.3%), sagittal bowel sounds gas (30.4%), urinate yellow (26.7%), dry mouth mouth bitter (25.8%), yellow complexion or ShaoHua (20.8%) of16symptoms. Tongue mainly tongue light or tongue fat body have teeth marks, moss white or moss white bored with the most see; With fine and pulse condition pulse string pulse fine see most.The clustering analysis to get four main card type for the first kind of card type respectively name of spleen deficiency stomach, the second card type name for taste deficiency of card, the third type of card type the name of spleen and kidney Yang card, the fourth class card type name for taste hot and humid. Is directly related to the spleen, stomach (gas) virtual considering the pathogenesis of spleen deficiency, spleen, stomach deficiency syndrome were in188cases, accounting for78.3%of cases. Every syndrome differentiation type points as follows:Spleen deficiency syndrome differentiation of biaoben huanji point: abdominal pain that is diarrhoea, after discharge pain reduction, abdominal distension painful bowel sounds, sagittal gas, symptoms of depression, with nervousness appear and attack or grow, depression, good TaiXi, irritable, eat less NaCha, tongue light moss white, pulse string fine or pulse fine.Spleen deficiency syndrome differentiation points:move bowels when pond diarrhea, or often clip has mucus, eat namely after continuous discharge, abdominal pain, fatigue or catch cold catch cold symptoms or increase, and after NaCha, eat less food after abdominal distension, wan shu, stuffy don’t god exhausting the lazy to talk, the body tired fatigue, tongue light moss white or moss white greasy, tongue fat body have teeth marks, pulse fine.Spleen and kidney Yang syndrome of syndrome differentiation points:since morning diarrhea, the valley of abdominal pain, not cold and pain reduction temperature, chills limb cold, lumbar debility, night urination, pale moss white, tongue pulse heavy.The dialectical point of spleen and stomach damp and hot card:abdominal pain relief namely, purge pain reduction after, purgation urgent, diarrhoea and not great, dung color yellow and smelly, dry mouth mouth bitter, urinate yellow, vexed thirsty lead drinks, anal heat, red tongue moss yellow greasy, pulse slippery.Conclusion:Diarrhea type irritable bowel syndrome of main TCM syndrome types have spleen deficiency, spleen, stomach deficiency syndrome, spleen and kidney Yang card of spleen and stomach four card damp and hot card type, including spleen deficiency, spleen, stomach deficiency syndrome the largest share tips for the spleen deficiency stomach, the main pathogenesis, clinical treatment of this disease should be emphatically from the treatment of liver.