The Research Of Clinical Syndromes Distribution Of Eczema And Its Lesions Characteristic

Objective: To provide basis for the dialectical treatment and research ofeczema and to guide the clinic and teaching, the topic using traditionalChinese medicine as guidance explores the epidemiological characteristicsof eczema, the main characteristics of the pathogenesis, the main elementsof differentiation syndrome, distribution of symptoms and characteristics oflesions.Method: By using epidemiological investigating method the clinicalsyndromes questionnaire of eczema is designed. The relevant information isaccessed according to clinical research. Then the related information whichhas been acquired is processed in frequency analysis, cluster analysis,chi-square test and so on by using statistical software SPSS19.0.Results: Firstly,309cases are collected in clinic.127cases which accountsfor41.1%are male and the others which accounts for58.9%are female. Thesex ratio is1:1.43. It is indicated that the incidence rate of eczema forfemale is larger than the male’s. The ages range from4years old to85yearsold and the mean age are37.42±17.01years old. The percentage of patientswhose age is ranging from20years old to60years old is78.4%. The resultdescribes that the highest incidence for the patients are young adults. Thecourse of disease is from3days to30years. The mean disease duration is47.85±65.58months and the highest attendance rate is in less than oneyear and a half. Secondly, the results of the descriptive statistical analysisis that the most eczema traditional Chinese medicine syndrome type is dampskin syndrome, the other sequences are listed as follows: cold outside,damp-heat syndrome, wind-heat dampness syndrome, yang deficiencycausing external cold, spleen defficiency damp, blood deficiency and winddryness syndrome, deficiency of both qi and yin. Blood deficiency and winddryness syndrome together with deficiency of both qi and yin which accounts for less than5%has the smallest percentage in the syndromedistribution. Thirdly, the results show that gender, age, disease duration anditching integral have no statistical significance to the distribution of thesyndrome of eczema. There is statistical insignificance in the differencebetween staging and the syndrome distribution of TCM. It is tiped that inthe acute phase the main symptom is empirical, in the subacute phase themain symptom is empirical and deficiency which mix with each other and inthe chronic phase the main symptom is deficiency syndrome. The differenceof distribution of integral diseased parts in different syndromes isstatistically significant. The results showed that in damp skin syndrome,wind-heat dampness syndrome and yang deficiency causing external coldsyndrome the lesions are distributed widely. In spleen defficiency damp,cold outside and damp-heat syndrome the lesions have relatively small area.Fourthly, the colors, disease site and the onset or exacerbation season ofeczema lesions have important significance in the diagnosis and treatmentof eczema. At last, TCM symptoms of eczema and the cluster analysis oftongue and pulse are liped in the following. The first category is wind-heattogether with damp-heat and spleen defficiency syndrome. The secondcategory is wind-cold together with damp-heat and spleen defficiencysyndrome. The third category is wind-cold together with yang defficiencysyndrome. The fourth category is damp skin syndrome. In clinic spleendefficiency syndrome can occur alone or together with other syndromes. Sofive syndromes are divided at last. They are damp skin syndrome, coldoutside and damp-heat syndrome, wind-heat dampness syndrome, yangdeficiency causing external cold and spleen defficiency damp syndrome.Conclusions: Firstly, five common syndromes of eczema are found in clinic.They are specifically described as follows: damp skin syndrome, coldoutside, damp-heat syndrome, wind-heat dampness syndrome, yangdeficiency causing external cold, spleen defficiency damp. Secondly, thecolors of eczema lesions, pathogenic site, subordinate to the meridian, theonset or exacerbation season are important factors in the diagnosis andtreatment of eczema. At last, the major pathogenesis that eczema is difficultto cure and lingering are dampness with hot, deficiency, externalenvironment and psychological factors. So treatment of dampness heat, tonic, cold, liver and other treatment should be used in the treatment ofeczema in premise of differential treatment. This is one of the basic theorywhich combines the traditional Chinese medicine with new medical modelcombining psychological and social model with biomedical model.