Heart Neurosis Distribution Laws Of TCM Syndrome

Objective: This study adopts literature research and cross-sectional survey methodsdiscussed neurosis heart syndrome distribution law, with more conducive to explain the heartof neurosis syndromes distribution characteristics, for clinical diagnosis and treatment toprovide the reference.Methods: General cross-sectional study design scheme, first by tsinghua universityCNKI database access medical knowledge in the literature material, literature study, theanalysis of statistical method using the variables of frequency and constitute a percentage,summarizes the heart of neurosis TCM syndrome differentiation rules; Then make the heartneurosis syndromes questionnaire (see the appendix), the collection of164cases of patientswith heart neurosis (January2011to December2011changchun university of traditionalChinese medicine hospital outpatient service) to investigate, establish spss13.0statisticaldatabase, take exploratory factor analysis and cluster analysis and optimal multiscale analysismethod and in combination with clinical syndrome to explore the distribution characteristics.Results: Literature research shows that:the heart neurosis seven basic syndrome: qi,blood deficiency, Yin deficiency, blood stasis, and qi stagnation, qi stagnant, Yang, of whichthe most frequent deficiency syndrome, followed by blood deficiency and Yin deficiency;Considering the hou elements combination neurosis heart there are four main types: singlefactor card, double factors card, three factors card and four factors card. Among them withfour factors of the deficiency of Yin deficiency syndrome+++qi stagnant blood stasis anddeficiency of qi stagnant blood deficiency+++blood stasis most see more, followed bysingle factor of the card and card; Deficiency syndrome factor in combination of the mostwidely distributed. In the single factor license in most and see, double factors license in qi Yin+most, in three factors qi+blood deficiency+blood stasis see most, in the four factorsmainly deficiency of Yin qi stagnant+++blood stasis and deficiency of qi stagnant blooddeficiency+++blood stasis primarily. According to the deficiency of heart can be seen inthe neurosis syndrome combination of factors’s most widely distributed.Cross-sectional study results: 1through the exploratory factor analysis and combined with clinical professionalknowledge public factor after the merger, get qi, and qi stagnation, Yin deficiency threesyndrome elements and their contains28symptoms, which is divided into two parts andsecondary disease, heart neurosis main symptom for palpitations, chest tightness, shortness ofbreath, dizziness; The heart of neurosis comorbid symptoms for weakness, lazy to talk,spontaneous sweating, body trapped heavy, brothers heart hot, his face flush, dry mouth,pharynx dry, consciously fever, night sweats, on food reduce, the complexion grooves, labialcolor reddish, timid yi jing, loose stools, insomnia, upset, and chest pain, chest pain threat,good TaiXi dreams, depression, irritable, mental fatigue.2after164cases of patients with heart neurosis of clustering analysis, palpitations,dizziness, chest tightness, shortness of breath, fatigue, lazy to talk, spontaneous sweating,body weight, reduce the food trapped, complexion is China, lubricious weak, fear a lip yi jing,dream and other13symptoms, get together for a class, a total of30patients, for deficiencysyndrome; Palpitations, dizziness, chest tightness, shortness of breath, upset, chest pain, chestfull bilge, good TaiXi threat and symptoms, get together for a class, including66patients, andfor syndrome; Palpitations, dizziness, chest tightness, shortness of breath, fatigue, lazy to talk,spontaneous sweating, upset, insomnia, complexion is flush, dry mouth, pharynx dry and soon12symptoms, get together for a class,a total of33patients, for Yin deficiency.3through164cases of patients with heart of the tongue, neurosis pulse conditionacquisition, the results show that with the tongue and qualitative red, pink tongue quality,pulse string have relations; Qi and tongue body fat, tongue qualitative light white, moss thin,pulse weak have relations; Yin deficiency and tongue body gangling, tongue quality red, littlemoss or no moss, pulse fine have relations; Qi stagnant and tongue qualitative dark, pulseslippery, pulse sink a relationship; Blood stasis and tongue qualitative dark, pulse astringenthave relations.4after164cases to heart patients with type evidence neurosis of statistical analysis, theresults show that the heart disease syndrome factor of neurosis and empirical to give priorityto, to qi deficiency syndrome, Yin primarily. Syndrome factor combination features: singlefactor card and extracted; Two factors extracted Yin deficiency syndrome+; Three factors extracted and deficiency syndrome++blood stasis; Four factors extracted Yin deficiencysyndrome+++qi stagnant blood stasis.5164cases of heart disease a syndrome factor mainly neurosis and its syndrome factorcombination characteristic: the main disease with a heart to give priority to, and liver andspleen correlation. A disease syndrome factor combination features: a single diseasesyndrome appear frequency tallest elements heart, two disease a heart+liver syndrome factormost, three disease a elements heart++spleen syndrome liver most.Conclusion: Comprehensive literature research and clinical case study, and qistagnation, qi is the heart of the main neurosis syndrome factor, and qi stagnation, deficiencyof qi stagnant, blood stasis, is the heart of neurosis pathological mechanism, the heart is theheart of a major disease neurosis, liver, spleen and closely related.