The Research Of TCM Syndrome Type Of Chronic Nephritis Hematuria Patients With Urinary And Red Cell Morphology

Objective:To study the relationship and regularity between the TCM syndrome types of patients of hematuriathe and urinary red cell morphology, and to analyze its characteristics.the relationship between the anomalies of different TCM syndrome types of urinary red blood cells and the severity of the disease,the difference of urinary red cell morphology among different TCM syndrome types, the regularity and characteristics between urinary red cell morphology and the different TCM syndrome types of patients. To observe its regularityand characteristics among the different TCM syndrome types and make it combined with the clinical diagnosis and treatment,To assist in the clinical diagnosis and treatmentMethods:Divided 200 cases into different TCM syndrome types; Collect fresh morning urine 10 ml, observe the urine red blood cell morphology.The urine red blood cell morphology and count were observed,Observe the relationship between different TCM syndrome types patients of hematuria and urinary red cell morphology.To discuss Hematuria patients with different TCM syndrome types and urinary red cell morphology,the difference of urinary red cell morphology among different TCM syndrome types; its regularity and characteristics among the different TCM syndrome types urinary red cell morphology and the regularity and characteristics between TCM syndrome type.Results:(1)Composition of patients with hematuria of five kinds of syndrome group lined up for the lower heat syndrome(36%),Qi and Yin deficiency syndrome(24%),liver and kidney Yin deficiency syndrome(17%),spleen and kidney deficiency syndrome(15%),unconsolidation of the kidney Qi syndrome(8%).(2)the percentage of abnormal red blood cell levels,abnormal red blood cells are all over70% among different TCM syndrome types,and the lower heat syndrome>spleen and kidney deficiency syndrome>liver and kidney Yin deficiency syndrome>unconsolidation of the kidney Qi syndrome>Qi and Yin deficiency syndrome.(3)patients of hematuriathe with spine red blood cells,the percentage content of order from high to low is unconsolidation of the kidney Qi syndrome>liver and kidney Yin deficiency syndrome>qi and Yin deficiency syndrome>lower heat syndrome>spleen and kidney qi deficiency syndrome,the frequencies of the spine red blood cells, in turn, were75.00%, 73.53%, 62.50%,54.79%,62.50%.obviously,within the unconsolidation of the kidney Qi syndrome patients of hematuriathe, spines red blood cells is significantly higher than other syndrome types of patients.(4)①.within the lower heat syndrome group, the abnormal red blood cells, according to the percentage content of high and low order is as follows: red(0.267)>other(0.095)>ring red(0.094)>target(0.084)>small red(0.083)>lipstick red(0.066)>spines(0.010). The ideological content of erythrocyte difference(p<0.01),②.Within unconsolidation of the kidney Qi group,Spines red(0.019) is the least in the group, the content of erythrocyte morphological comparison,red with the target, the small red compared with other,the difference was not significant(p>0.05),the rest of the content of red blood cells form two more significant difference(p<0.01).③.Within spleen and kidney deficiency group,Ring red(0.318) >big red(0.106)> the target(0.095)>other(0.088)>small red(0.073)> lipstick red(0.016)> spine(0.013), spine red with lipstick, the target red and other comparative difference was not significant(p>0.05), the rest of the content of red blood cells form two more significant difference(p<0.01).④.Within liver and kidney Yin deficiency group,the target red(0.293)> other(0.100)> ring red(0.087) >small red(0.073)>big red(0.072) > lipstick red(0.053) > spines red(0.016), the group of target red content is the highest, big and small red is no difference(p>0.05), and the rest of the content of red blood cells form two more significant difference(p<0.01).⑤.Within Qi and Yin deficiency group,the small redis the most(0.360), followed by is normal red(0.286),spine red(0.018) at least, spines red and lipstick, big red target red comparative difference was not significant(p>0.05), the rest of the red blood cells form two more significant difference(p < 0.01).Conclusion:1.hematuria patients with different TCM syndrome types has certain difference with the urinary red cell morphology and TCM syndrome type and have a certain relationship between red blood cell morphology.2.the frequency and percentage contentspines shape of red blood cells in patients of unconsolidation of the kidney Qi were higher than other syndromes. 3.the lower heat syndrome group is more likely to appear big red cells;the spleen and kidney qi deficiency group is the ring of red blood cells;the liver and kidney Yin deficiency group is more likely to occur the target shape of red blood cells;the qi and Yin deficiency group may appear small red blood cells. The urinary red cell morphology of patients of hematuriathe under phase contrast microscope has the certain reference value ontraditional Chinese medicine.