The Study Of Quantitative Diagnosis Of Qi Deficiency Quantitative Diagnosis On Hashimoto’s Thyroiditis

ObjectiveUsing clinical epidemiological methods to collect traditional Chinese medicine information of Qi Deficiency Syndrome of Hashimoto’s thyroiditis, and explore its distribution, explore its diagnosis standards and classification standards, also its correlation with objective indicators, providing a theoretical basis for clinical diagnosis and treatment as well.MethodsThis study use cross-sectional research method. Through literature researching, we select traditional Chinese medicine information of Qi Deficiency Syndrome of Hashimoto’s thyroiditis, and establish an information collection table afterwards. According to the inclusion and exclusion criteria, we select case of outpatient or inpatient of Hashimoto thyroiditis from Guangdong Provincial Hospital of TCM from January2013to January2014. Fill the patients’ information into the collection table. Data analyse are perfoemed by PASW Statistics19.0statistical software, including frequency analysis, table analysis, secondary frequency normalization, percentile method, Chi-square test and Mann-Whitney test.ResultsThis research included233cases, of which94.85%were female. Average age is39.94±13.43years old, the average of course of disease is27.73months,65.2%of the cases is in the course of24months or less. In this study, common symptoms of cases are goiter, mental fatigue, insomnia, thirsty, palpitation, menstruation, chills. Tongues are commonly red, dark red or pink. Coat of the tongue are commomly slimy yellow fur, yellow tongue fur, white and greasy fur. Pulse are mainly collapsing pulse, slippery pulse, stringy pulse or thready pulse. Hashimoto’s thyroiditis qi deficiency has seventeen related factors: mental fatigue, weakness, forgetfulness, chills, insomnia, thirsty, algomenorrhea (female), pale tongue, light red tongue, dark pale tongue, dark red tongue, thin white fur, white tongue fur, white and greasy fur, collapsing pulse, thready pulse and weak pulse. By Calculating by the given points, we analyze the Qi deficiency syndrome diagnosis threshold as13points.13to20points are divided into mild Qi deficiency,21to42points are divided into moderate Qi deficiency, and43points or above for serious Qi deficiency. Furthermore, we preliminary discussed the correlation of Qi deficiency syndrome of Hashimoto’s thyroiditis and objective indexes.ConclusionThe main factors for Qi deficiency syndrome of Hashimoto’s thyroiditis are goiter, mental fatigue, insomnia, red tongue, dark red tongue, dark pale tongue or light red tongue, slimy yellow fur, yellow tongue fur, white or greasy fur, collapsing pulse, slippery pulse, stringy pulse or thready pulse. The level of Qi Deficiency has correlation with the course of time, texture of thyroid, the size of thyroid under color doppler ultrasound, blood stream distribution of thyroid under color doppler ultrasound, TSH and TRAb. In this study, we explore the diagnosis standards and classification standards of Qi Deficiency Syndrome of Hashimoto’s thyroiditis, also Preliminary discussed the correlation of Qi deficiency syndrome of Hashimoto’s thyroiditis and objective indexes. These provide a theoretical basis for clinical diagnosis and treatment, as well as make a good attempt for the the quantitative research of traditional Chinese medicine.