105 Cases Of Upper Gastrointestinal Hemorrhage Of Syndrome Treat Varicosity Of Retrospective Study

Research purposes:To study the characteristics of the treatment of non variceal upper gastrointestinal bleeding in traditional Chinese Medicine,105hospitalized cases diagnosed under the therapy of traditional Chinese medicine were selected as the subject in the research. Preliminary study of non variceal upper gastrointestinal bleeding disease syndromes, distribution of prescription drug analysis, and diagnostic law of traditional Chinese medicine for clinical therapy were explored using the retrospective analysis.Methods:105cases diagnosed patients of Dongzhimen Hospital from Sep.1985to Apr.2011were selected in strict accordance with TCM herbal drug treatment for non variceal upper gastrointestinal bleeding, researching the disease and clinical therapy refer to Acute Non Variceal Upper Gastrointestinal Bleeding Diagnostic and Clinical Therapy Guidelines (2009, Hang Zhou). Retrospective questionnaires include patients age, gender, diet, incentives, course of disease, program notes, clinical prescript ion of herbal drug were filled out and the data of observations was applied to establish a database, using statistical software SPSS17.0to analyze the data to find the relationships between non variceal upper gastrointestinal bleeding and age, gender, incentives, symptoms of distribution, and the regulation of syndromes and clinical prescription in using herbal drugs.Results:1. The majority of the patients within105cases of non variceal upper gastrointestinal bleeding were masculinity, ratio of male to female was3.5:1.eld patients cases observably more than other age groups.2. The main inducement of non variceal upper gastrointestinal bleeding is improper diet, and most of them were caused by drinking.3. Hospitalized patients increased observably since2006in Dongzhimen Hospital,6death and the death rate of105cases was5.7%.4. non variceal upper gastrointestinal bleeding paroxysm frequently in winter and spring, rare in summer. The number of no obvious cause patients is associated with climate change. 5. The main clinical symptoms of non variceal upper gastrointestinal bleeding in patients were:tarry stool(bloody stool), stomachache, dizziness, pale-face, dull, borborygmus, palpitate, minor symptoms:perspire, nausea, belching, abdominal distension, oliguresis, Heartburn, vomiting, breathe hard, light white tongue with thin white coating,The thin vein.6. clinical symptoms in patients mainly were insufficiency symptoms, frequently in insufficiency of vital energy and blood and insufficiency of the spleen, minor symptoms were deficiency of spleen yang and syndrome of heat in the stomach, stagnation of liver-QI and obstruction of collaterals by blood stasis often combine with other symptoms.7. The male patients suffer from symptoms of heat in the stomach, damp and hot in the stomach, stagnation of liver-QI and stomach-Yin deficiency were observably more than the female patients.8. In86non variceal upper gastrointestinal bleeding cases under the therapy of TCM,57cases used decoction,30cases used doctor self-selected drug prescription,17cases used capsule of Yunnan Baiyao blood-stanching.17cases used powder of hemostasis, Diagnosis and treatment was mainly used in clinical practice.9. The frequency uses of Herbal drugs in the top ten were:Chinese angelicasanchi, prepared radix glycyrrhizae, radix paeoniae alba,poria cocos, bighead atractylodes rhizome, pericarpium citrireticulatae, astragalus mongholicus, prepared mongholicus and codonopsis pilosula.Conclusions:Non variceal upper gastrointestinal bleeding incidence frequently in winter and spring, rare in summer. Male patients observably more than the female patients. Improper diet observably increased incidence of non variceal upper gastrointestinal bleeding.Around Beijing region, non variceal upper gastrointestinal bleeding symptoms can be distinguished as:syndrome of heat in the stomach, damp and hot in the stomach, stagnation of liver-QI, stomach-Yin deficiency, insufficiency of vital energy and blood and insufficiency of the spleen. minor symptoms were deficiency of spleen yang and syndrome of heat in the stomach, stagnation of liver-QI and obstruction of collaterals by blood stasis, and the last three syndromes above mentioned often combined with other syndromes. Male patients excessive heat syndrome more than female. Chinese traditional treatment often use replenish qi and blood ways to treat syndrome of bleeding, abdominal pain, dizzy, anorexia and so on。...