Ischemic Stroke "between" The Dialectical Method Of Clinical Research

Objective: Ischemic stroke disease "Three"(identified with yin card, certificate ofyang, yin and yang mixed card) dialectical method and widely recognized as the1994"apoplexy syndrome diagnostic criteria (referred to as the94standard) identified sixthe type of syndrome of dialectical contrast to explore the establishment of ischemicstroke disease "one divides into three" syndrome diagnostic criteria and to exploreischemic stroke disease "is divided into three syndromes evolution.Methods: Met the inclusion criteria of ischemic acute stage of stroke recovery,sequelae of100patients, using both the "Three" and "94" both dialectical method ofdialectic, and neither of these dialectical as a result of observation of the method andthe relationship between analyzed.Results:1.Among the300patients with ischemic stroke patients, the look, smell, and asked,cut four clinics information collected through cluster analysis of yin SSE58cases(19.33%), male card in116cases (38.66%),The yin and yang mixed card126cases(42%). Yang card in these300patients, yin and yang mixed card majority, the twoaccounted for80.67%.2.Ischemic stroke disease yin card, certificate of yang, yin and yang mixed evidencesyndrome diagnostic criteria, in accordance with the syndrome elements major orderwas as follows: Yin-class white fur, pale, looking dull or pale, lying still not trouble,slow or heavy fine, the oropharynx quit bitter "main pulse; Yang class certificate" redtongue, yellow tongue coating, pulse a few strings, irritability, mouth and throat pain, hot naked face; yin and yang The mixed class certificate "shortness of breath, fatigue,dark or pale red tongue, pulse astringent or breakdown, tongue, thin white or greasy,palpitations, spontaneous sweating, hot flashes, night sweats," the main.3.300patients with ischemic stroke patients admitted to hospital the first day of thepatients’94"dialectical type and" one divides into the "dialectical attribution: thewind syndrome attributable to the proportion of positive class certificate accountedfor85.4%, vested in the hot card in Yang card in the proportion of94.5%. Simplesputum, blood stasis, qi deficiency is mainly attributable to the Yin-class, whichphlegm syndrome often associated with other card Hou combination combination cardmostly biased in favor of the yang, the proportion of48.7%, blood stasis and qideficiency alone the presence of less, the two often combined, the blood stasisattributable to the yin and yang mixed certificate or67.9percent, the Qi deficiencyattributable to the yin and yang mixed certificate or91.9percent, the proportion ofvacuity pattern attributable to the yin and yang mixed certificate100%.4.Ischemic acute stage of stroke patients, the gender differences between men andwomen divided into the syndrome distribution:56cases of male patients in the yangSSE44cases, yin card10cases,2cases of yin and yang mixed certificate;44casesfemale patients, male card in30cases, female card in10cases, the yin and yangmixed card cases. Ischemic acute stage of stroke male patients positive class card ishigher than female patients, X~2=63.091, P <0.01, statistically significant.5.Ischemic stroke in patients with acute1,3,7,14"one divides into three" syndromesdistribution: ischemic acute stage of stroke condition changes quickly,1,3day yangmostly class card,for the74cases,58cases; the seven days yang card39cases, yinand yang mixed card of35cases;14days yang yin and yang mixed card of73cases.Convalescence and sequelae of the patient’s condition is relatively stable, mainly yinand yang mixed certificate.1,3,7,14days recovery period yin and yang mixed cardwere56cases,65cases,76cases,69cases;1,3,7,14days yin and yang of thesequelae of jumbled certificate were64cases,77cases87cases,81cases. Ischemicacute stage of stroke recovery, sequelae of1,3,7,14"one divides into three" dialecticalmethod syndrome type "94" identified six basic syndromes attribution contrast,"one divides into three" dialectical method syndrome type "94" dialectical type agreement.6.300patients with ischemic stroke patients (acute phase and recovery phase, thesequelae of100cases), in patients with acute syndrome Wind syndrome, phlegmsyndrome, mostly hot card "94" were80cases,70cases,46cases; mostly yang card"one divides into three" standard syndrome,74cases. The convalescent patients "94"dialectical certificates of sputum, blood stasis, qi deficiency syndrome majority were52cases,60cases,52cases,"one divides into three" standard dialectical yin and yangmixed certificate majority of56cases. Sequelae in patients with "94" dialecticalmostly to blood stasis, qi deficiency syndrome, phlegm syndrome were42cases ofthe76cases,68cases of phlegm syndrome,"one divides into three" standardsyndrome mostly yin and yang mixed certificate for64cases."Three" dialecticalmethod can basically reflect the ischemic acute stage of stroke recovery, sequelaesyndrome distribution laws.Conclusion:1.300cases of ischemic stroke in patients with the four diagnostic informationcollected through cluster analysis and certificate, the yin yang card, yin and yangmixed evidence of proof of the syndrome elements based on weight analysis of:ischemic stroke yin card group to face lip dark dark or pale, lying still do not bother,oropharyngeal quit bitter, pale, white fur, pulse slow, thin syndrome elements such aslarge weight; yang syndrome group hot naked face,irritability, mouth and throat pain,red tongue, yellow tongue coating, rapid pulse and other evidence prime large weight;yin and yang mixed syndrome group were fatigue, shortness of breath, palpitations,spontaneous sweating, hot flushes and night sweats, tongue network bruising, darktongue or pink tongue, thin white or greasy, pulse string or breakdown syndromeelement large weight. The syndrome elements in Yin-class, Yang class certificate, yinand yang mixed card in the weight of larger as Yin-class, certificate of yang, yin andyang mixed evidence syndrome diagnostic criteria.2."94" by the ischemic stroke patients identified six basic syndromes "one dividesinto" dialectical method identified yin certificate, Certificate in yang, yin and yang between a mixed attribution:"94"resolution wind syndrome in the six card Hou, hotcard vesting "is divided into three" syndrome in the male class card;"94" identifiedsix card waiting in sputum, blood stasis, qi deficiency is mainly attributable to theYin-class;"94" identified six certificate candidate in the hyperactivity card and sixbasic syndromes in combination with each other for the mixed cold and heat, theactual situation is mixed evidence and other evidence is mainly attributable to the yinand yang mixed certificate.3. Ischemic acute stage of stroke onset, the men and women in Yang card in themajority, but the proportion of male patients with yang card higher than femalepatients.4. Ischemic stroke disease in accordance with the "one divides into three" dialecticalmethod dialectical syndrome distribution laws: on days1,3,7,14of the300patientswith ischemic stroke syndrome observed: acute phase card Hou rapid changes, mainlyYang card in the previous week, gradually reduced as time goes on back, Yang classcertificate, yin and yang mixed certificate gradually increased to14days later, the yinand yang mixed certificate; recovery, sequelae syndromes change is relatively stable,mainly yin and yang mixed certificate. In ischemic acute stage of stroke recovery, onthe observation of sequelae of the entire disease process: the acute phase of Yang classcertificate-based during the recovery period and sequelae of yin and yang mixedcertificate.5. Ischemic acute stage of stroke recovery, sequelae of "one divides into the syndromesyndrome type"94"identified six basic syndromes attribution and the syndromedistribution law of contrast," one divides into"dialectical method of dialectical typewith"94"dialectical basic agreement, to reflect the ischemic acute stage of strokerecovery, the sequelae of syndromes distribution law, the use of" one divides intothree "dialectical method can replace"94" dialectical diagnosis of ischemic stroke, theuse of "one divides into" dialectical method as compared to the "94" is morestreamlined, more suitable for ischemic stroke disease syndrome.