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Research Of Application With Method Of Differentiation Of Symptoms One Divides Into Three Apply To Hemorrhagic Stroke

Posted on:2015-05-23Degree:MasterType:Thesis
Country:ChinaCandidate:X M LiuFull Text:PDF
GTID:2284330431480283Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Objective: Using the dialectical method of " one divides into three "to guidehemorrhagic stroke “three”(acute phase, convalescence, sequelae) Syndrome ofdifferentiation. Explore " one divides into three " distribution of syndromes inhemorrhagic stroke. And contrast it with "compiled by stroke syndrome diagnosticcriteria"(hereinafter referred to as the94standard) made by The State AdministrationOf Traditional Chinese Medicine of the People’s Republic of China1994are six basicsyndromes dialectical contrast resolution.Method:127cases of patients with hemorrhagic stroke were included in study, whilethe use of two differentiation dialectic system " one divides into Three " and thecountry "94standard" to Syndrome differentiation:(1) the use of "one divides intoThree " dialectical method differentiation of them yin card, yang card, yin and yangmixed card.(2) the use of the "94standard" syndrome of wind syndrome, fierysyndrome,phlegm syndrome, qi deficiency syndrome, stagnation of blood card, yindeficiency generating wind syndrome.(3) After the first day of be in hospital, thethree day,the eight day, and The fourteenth day of each syndrome, a total of fourtimes syndrome differentiations.Results:Through dialectic and research of127cases of hemorrhagic stroke patients, Theresults are as follows:1.The diagnostic criteria of hemorrhagic stroke in yin syndrome, yang syndrome,yin and yang mixed certificate syndrome, according to the importance of TCMsyndrome, We can conclude that: the TCM syndrome of group yin syndrome elementsare arranged of "pale tongue quality, white furred tongue, retardation or deep and thinpulse,pale or dim complexion, lie motionless silentquiet, no bitter taste and dry throat," the TCM syndrome of group yang syndrome elements are arranged of " red tonguequality, fur with yellowish coating, rapid or wiry pulse, thermal face and surface feelfever, dysphoria, bitter taste and dry throat” the TCM syndrome of group yin andyang mixed syndrome elements are arranged of "dimor or pale tongue quality,Hesitant or thready rapid pulse, tongue quality with thin-white or white-greasy,shortness of breath and hypodynamia, hectic fever and night sweat ". 2.Patients with acute hemorrhagic stroke by "one divides into three" dialectic, the fi-rst day of mostly positive disease, a week later, the yin and yang mixed certificates increased by "94standard" dialectic, the first day andthird day, the wind’s disease, morefiery disease. After the eighth day of phlegm syndrome, blood stasis syndrome appears to increase the number.Patients with acute hemorrhagic stroke by "one divides intothree" dialectic, the first day of mostly positive disease, a week later, the yin and yangmixed certificates increased by "94" standard dialectic, the first day of the third day,the wind’s disease, more fiery disease. After the eighth day of phlegm syndrome,blood stasis syndrome appears to increase the number.3. the Distribution of syndromes in Hemorrhagic stroke patients in the acute phaseon the fiest,third,eighth and fourteenth day.the yin syndrome have eleven cases on thethird and eighth day, fourteenth day have eight day, the yin and yang mixed syndromehas one case,seven cases, twenty-five cases and twenty-nine cases on thefiest,third,eighth and fourteenth day;yang syndrome has forty-eight cases, forty-twocases, twenty-four cases and twenty-three cases on the fiest,third,eighth andfourteenth day; in hemorrhagic stroke restoration stage and sequelae phase, Diseasefairly steady, yin and yang mixed syndrome is main syndromes; restoration stage hastwelve cases, thirteen cases,sixteen cases and sixteen cases on the fiest,third,eighthand fourteenth day; sequelae phase has fifteen cases, seventeen cases, eighteen casesand eighteen cases on the fiest,third,eighth and fourteenth day.Conclusion:1. Syndrome elements of yin syndrome in hemorrhagic stroke that pale tonguequality, white furred tongue, retardation or deep and thin pulse,pale or dimcomplexion, lie motionless silentquiet, no bitter taste and dry throat as main elements.Syndrome elements of yin syndrome in hemorrhagic stroke that red tongue quality,fur with yellowish coating, rapid or wiry pulse, thermal face and surface feel fever,dysphoria, bitter taste and dry throat as main elements. Syndrome elements of yin andyang mixed syndrome in hemorrhagic stroke that dimor or pale tongue quality,Hesitant or thready rapid pulse, tongue quality with thin-white or white-greasy,shortness of breath and hypodynamia, hectic fever and night sweat as main elements.Those elements have specificity contribution to the diagnosis of yin syndrome,yangsyndrome and the yin and yang mixed syndrome.2.According research of ownership relation to bewteen hemorrhagic stroke"94stan--dards" six syndromes with " One divides into Three " yin syndrome,yang syndromeyin and yang mixed syndrome,yin syndrome identified standands, research attribution,yin and yang mixed syndrome: wind syndrome and heat syndrome base on "94stan-–dards”syndrome differentiation, were belong to the yang syndrome base on “Onedivides into Three” syndrome differentiation; qi deficiency syndrome mainly belongto the yang syndrome; floating of Yang due to Yindeficiency syndrome and inaccordance with the "94standards" syndrome of blood stasis syndrome and phlegmsyndrome is mainly attributable to yin and yang mixed syndrome.3.The Acute stage hemorrhagic stroke yang syndrome as the main performance infirst week for "one divides into three" syndrome differentiation, As time goes on,occurrence number of yang syndrome decreased, however,occurrence number of yin and yang mixed syndrome rose gradually.After second weeks. The syndrome changeof hemorrhagic Stroke stage of convalescent and stage of sequelae were stability, yinand yang mixed syndrome is main syndrome.In summary, syndrome from the method of "one divides into three" couldsummarized six basic syndrome from the country "94standard" in hemorrhagic stroke,the method of "one divides into three" was more simplify and suitable for clinicalsyndrome differentiation in hemorrhagic stroke acute stage,restoration stage andsequelae phase.
Keywords/Search Tags:hemorrhagic Stroke, differentiation of symptoms one divides into three, Research of Syndrome Differentiation
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