130 Cases Of Hospitalized Patients With Ulcerative Colitis Treatment Of TCM Retrospectively

Objective： Discussion in our hospital in recent10years of ulcerativecolitis (UC) associated with the distribution of TCM syndromes and age, gender,urban and rural, disease duration, disease stage, extent of disease, clinicaltype, severity of disease, endoscopic mucosal appearance, histologicalclassification of severity between, total node distribution characteristics ofsyndrome types of the disease, Chinese medicine according to syndromedifferentiation and induction of different syndromes of TCM, and the UC syndromedistribution rules are summarized, which can provide an objective basis for TCMsyndrome differentiation of UC typing, and provide guidance for clinicaldiagnosis and treatment of UC.Material and method：In our hospital from2002December to2012Septemberto accept by retrospective analysis method of130cases of hospitalized UCpatients, patient age, gender, and record, course of disease, disease stage,extent of disease, clinical type, severity of disease, endoscopic mucosalappearance, the severity of histological classification and TCM drugs data,clinical analysis characteristics of the patients, and then summarize the TCMsyndrome of the disease cure distribution, all data using SPSS19.0software forstatistical analysis, count data using X2test, measurement data using t test.Results：1.UC of different TCM syndrome differentiation frequency for Large intestinewet heat syndrome>syndrome of intermingled heat and cold>Spleen-qi deficiencysyndrome>syndrome of stagnation of liver qi and spleen deficiency>syndromeof yang deficiency of spleen and kidney>Heat toxin syndrome.The study includedrecords of130cases, male53cases, female77cases, male to female ratio was1:1.45, average age46.35±15.56years old.2.Among them, TCM UC no correlation between gender and area distribution. Young people mainly in the large intestine wet heat, middle-aged people mainly in thelarge intestine wet heat and cold-heat complex.3.The course less than5years mainly in the large intestine wet heat syndrome,followed by spleen-qi deficiency syndrome and cold-heat complicated syndrome;5-10years mainly cold-heat complicated syndrome; more than10years mainly inthe spleen and kidney yang deficiency.4.UC activity in large intestine wet heat syndrome more common, followed bycold-heat complicated syndrome and spleen deficiency; remission with Yangdeficiency of spleen and kidney.5.Invasion of rectal lesions were mainly to large intestine wet heat syndrome;lesion in sigmoid colon mainly spleen-qi deficiency syndrome and cold-heatcomplicated syndrome; disease mainly in the large intestine wet heat syndromein the left half colon; colon lesions in a wide range of mainly spleen-qideficiency syndrome; pathological changes in the entire colon mainly cold-heatcomplicated syndrome, syndrome of liver depression and spleen deficiency andyang deficiency of spleen and kidney.6.Initial onset to large intestine wet heat syndrome; chronic relapsing mainlydamp-heat, e. cold-heat complicated syndrome; chronic persistent with Spleen-QiDeficiency Syndrome, Yang deficiency of spleen and kidney.7.Mild patients with large intestine wet heat syndrome, followed by spleen-qideficiency syndrome; in patients with moderate to cold-heat complicated syndrome,followed by intestine damp-heat syndrome; severe patients with Yang deficiencyof spleen and intestine damp-heat syndrome.8.Large intestine wet heat syndrome mainly hyperemia and edema, erosion and ulcer,followed by purulent secretions; spleen weakness card with spontaneoushemorrhage, purulent secretions, followed by congestive edema, diffusedistribution; Yang deficiency of spleen and kidney with spontaneous hemorrhage; cold-heat complicated syndrome mainly hyperemia and edema, erosion and ulcer,followed by purulent secretions; syndrome of stagnation of liver Qi spleendeficiency syndrome mainly hyperemia and edema, followed by erosion and ulcer.9.The severity of histological grade Ⅰto large intestine damp-heat syndromeand spleen-qi deficiency syndrome mainly; the severity of histological gradeII in the large intestine wet heat syndrome, followed by cold-heat complicatedsyndrome and spleen deficiency; the severity of histological grade III tocold-heat complicated syndrome.10.The main drug for treatment of UC for Coptis, largehead atractylodes rhizome,tangerine peel, Rhizoma Bletillae, licorice, astragalus, Codonopsis, RadixSophorae, Radix Paeoniae Alba, Radix Sophorae Flavescentis, radix salviaemiltiorrhizae, powder, three seven, baikal skullcap root, Poria, Sanguisorbacarbon, angelica, spina Gleditsiae, wind.Conclusion：Large intestine wet heat syndrome for the incidence of youngpeople, mild, mostly less than5years of chronic relapsing, involving the rectum;spleen weakness card in straight B intestinal, chronic disease, did not see thecolonoscopy polyps; cold-heat complicated syndrome is middleaged person morerecurrent disease, the disease was moderate; Yang deficiency of spleen and kidneyis the disease light the elderly, long duration, involving the whole colon, thecondition is serious; liver stagnation and spleen deficiency diseases weremostly young people, recurrent pancolitis,, course is short, colonoscopy cansee bag disappeared and intestinal shortening; large intestine damp-heatsyndrome and liver stagnation and spleen deficiency were not observed in luminalstenosis. The main drugs to treat the disease for Coptis chinensis, Coptis,largehead atractylodes rhizome, tangerine peel, Rhizoma Bletillae, licorice,astragalus, Codonopsis, Radix Sophorae, Radix Paeoniae Alba, Radix SophoraeFlavescentis, radix salviae miltiorrhizae, powder, three seven, garden burnetcharcoal, Scutellaria baicalensis, Poria, angelica, Magnolia officinalis,Pulsatilla chinensis. Better than UC revealed the rule of syndrome and treatment,can be used for clinical reference.