The Research Of Epidemiology, Syndrome And The Relevant Factors With Diagnostic Criteria About The Syndrome Of Damp-heat In Spleen And Stomach Of Chronic Gastritis

Objective:1.By the mode of disease and syndrome, research onthe TCM diagnostic criteria relevant factors with the syndrome ofdamp-heat in spleen and stomach of chronic gastritis;2. Survey thefactors of clinic epidemiology to the impact of the syndrome ofdamp-heat in spleen and stomach of chronic gastritis,which includegender,age,weight,living district,profession,enducation, diethabit and drinking hobby;3.Study the characteristc clinicsyndromes of damp-heat in spleen and stomach syndrome with chronicgastritis;4.Discuss the relationship between TCM clinicaldiagnostic criteria and gastroscope sign,Hp,MLT of the syndrome ofdamp-heat in spleen and stomach of chronic gastritis.Methods：Review the theory:collect,arrange and analyze ancientliterature, investigate and generalize the theoretical origin anddialectical regular of damp-heat in spleen and stomach syndromewith chronic gastritis. On the basis of stating and analyzing themodern literature clinical research datas of the syndrome ofdamp-heat in spleen and stomach of chronic gastritis, further studythe epidemiology,syndrome and the relevant factors with diagnosticcriteria about the syndrome of damp-heat in spleen and stomach of chronic gastritis,in order to provide literature foudation with mystudy.Clinical research:collect105medical cases whose age arebetween20-70years old of chronic gastritis in Hubei TCM hospitalgastroenterology outpatient from2012-5to2012-11.According tothe concerning inclusion criteria,select suitable cases into thegroup of syndrome of damp-heat in spleen and stomach of chronicgastritis.Put the others into the group of syndrome of not damp-heatin spleen and stomach of chronic gastritis.Besides according to“New traditional Chinese medicine clinical research guidingprinciples”,divide the group of syndrome of not damp-heat in spleenand stomach of chronic gastritis into three groups:the group ofsyndrome of disharmony between liver and stomach,the group ofsyndrome of faintness with spleen and stomach,the group ofothers.Putting this three groups compare with the group of syndromeof damp-heat in spleen and stomach of chronic gastritis.Giveepidemiology and clinical syndrome questionnaire to the patientswith chronic gastritis,and do gastroscopy,14C-UBT,MLT text withthe patients with chronic gastritis.Summarizing the datas,analyzeand count the relationship between the syndrome of damp-heat inspleen and stomach of chronic gastritis and the factors includdinggender,age,weight,living district,profession,enducation, diethabit,drinking hobby,gastroscope sign,Hp and MLT.Using variety ofstatistical methods to check the research results,in order to judgewhether it has the differences among the four groups.Results:1. Epidemiology:after epidemiology investigating andanalyzing, average age of the group with the syndrome of damp-heatin spleen and stomach is older than the group with the syndrome of disharmony between liver and stomach, meanwhile obvious youngerthan the group with syndrome of faintness with spleen andstomach;the average weight of the group with the syndrome ofdamp-heat in spleen and stomach is evident higher than the otherthree groups;the proportion of pepole who like sweet food in thegroup with the syndrome of damp-heat in spleen and stomach is morethan the group with the syndrome of disharmony between liver andstomach; the proportion of pepole who like spicy food in the groupwith the syndrome of damp-heat in spleen and stomach is more thanthe group with syndrome of faintness with spleen and stomach; theproportion of pepole who like seafood and meat in the group withthe syndrome of damp-heat in spleen and stomach is more than thegroup of others; the proportion of pepole who like drinking in thegroup with the syndrome of damp-heat in spleen and stomach isobvious more than the group with the syndrome of not damp-heat inspleen and stomach.2.Clinical syndrome:through investigating andanalyzing the clinical syndromes of the chronic gastritispatients,we find that there are five symptoms having closerelationship with the syndrome of damp-heat in spleen and stomachwhich include fullness in stomach,red tongue,yellow and greasycoating of tongue,slippery pluse,rapid pluse.At the same time,there are three symptoms having some relationship with the syndromeof damp-heat in spleen and stomach which include thirst, tirednessand moist pluse.3. Laboratory consequence: the proportion ofpepole whose part of gastric mucosas are erosion in gastroscope signin the group of the syndrome of not damp-heat in spleen and stomachis more than the group with the syndrome of faintness with spleenand stomach as well as the group of others,but can not consider it more than the group with the syndrome of disharmony between liverand stomach. Hp infection rate in the group of the syndrome ofdamp-heat in spleen and stomach is evidently higher than the otherthree groups.The average value of MLT in the group of the syndromeof damp-heat in spleen and stomach is much lower than the groupwith the syndrome of disharmony between liver and stomach as wellas the group of others,but has no difference from the group withthe syndrome of faintness with spleen and stomach.Conclusion:through giving questionnaires to the chronicgastritis patients and analyzing clinical datas,we can considerthat the occurrence of the syndrome of damp-heat in spleen andstomach is related with age,weight, diet habit and drinking hobby.At the clinical syndrome aspect,there are five symptoms havingclose relationship with the syndrome of damp-heat in spleen andstomach which include fullness in stomach,red tongue,yellow andgreasy coating of tongue,slippery pluse,rapid pluse,at the sametime, other three symptoms have some relationship with the syndromeof damp-heat in spleen and stomach which are thirst, tiredness andmoist pluse. It is related to the syndrome of not damp-heat in spleenand stomach that part of gastric mucosas erosiving in gastroscopesign. Hp infection rate in the group of the syndrome of damp-heatin spleen and stomach is evidently higher than the other threegroups.The average value of MLT in the group of the syndrome ofdamp-heat in spleen and stomach is much lower than the group withthe syndrome of disharmony between liver and stomach as well as thegroup of others.It illustrates that the occurrence of the syndromeof damp-heat in spleen and stomach of chronic gastritis has therelevant with Hp infection and MLT.