The Clinical Study On The Rules Of Syndrome Distribution On Pulmonary Fibrosis

ObjectiveAnalyzed the relationship between the general information and syndrome factors ofpulmonary fibrosis patients to find out the rules of syndromes distribution in order toguide the future clinical Differentiation of syndromes and diagnosis.MethodsCollect the general information, medical history, acute exacerbation stage andstationary stage syndromes and the data of arterial blood gas analysis, pulmonaryfunction test, CT results using an questionnaire. Make statistical analysis of the relevantfactors, observe and compare the distribution of clinical symptoms and syndromefactors of the patients from the two groups, in order to make correlationstudies forcommon syndromes of the stationary stage group.ResultsMost of the pulmonary fibrosis patients over the age of50years, the average age is68.09±9.63years, the male-to-female ratio is1:0.67. With the progression, survivalwas significantly decreased in males. Cough, sputum, chest tightness, suffocation,wheezing as the main symptoms of pulmonary fibrosis. Systemic syndrome is morecommon fatigue, susceptible to colds, lumbar debility, anorexia, intolerance of cold,emaciation, cyanosis of the lips and nails. Smoking, family history, and harmful gasescontacts have a certain relationship with pulmonary fibrosis.Acute exacerbation stage occurred to excess syndrome and mixed Syndromes, andstationary stage occurred to deficiency syndrome and mixed Syndromes.Distribution ofsyndrome factors as: in acute exacerbation stage they are heat-phlegm, qi deficiency,yang deficiency, phlegm damp, blood stasis, yin deficiency, windcold etc.. In stationarystage they are qi deficiency, yin deficiency, yang deficiency, phlegm damp, blood stasis,heat-phlegm etc..In stationary stage, longer duration occurred to deficiency syndromes and mixedsyndromes, shorter duration occurred to excess syndromes and mixed Syndromes. Themajor syndromes are Qi Yin deficiency of lung and kidney, Qi deficiency of lung andspleen, Qi Yin deficiency of lung, Yang deficiency of spleen and kidney, Qi deficiencyof lung. Accompanying symptoms are phlegm-damp obstructing lung, blood stasis,phlegm-heat obstructing lung, intermingled with water and blood stasis. with theprolongation of the course, the frequency of the five type is: Yang deficiency of spleenand kidney＞Qi Yin deficiency of lung and kidney＞Qi Yin deficiency of lung＞Qi deficiency of lung and spleen， Qi deficiency of lung。 Combined with the data ofarterial blood gas analysis, pulmonary function test, CT tests, according to patientscondition,the relationship among the five major syndromes is: Qi deficiency of lung, Qideficiency of lung and spleenâ†'Qi Yin deficiency of lungâ†'Qi Yin deficiency of lungand kidneyâ†'Yang deficiency of spleen and kidney. Phlegm factors are involved in allfive syndromes.With progression, blood stasis, ntermingled with water and blood stasisincreasing frequency.ConclusionPulmonary fibrosis occurs mainly in people over50years old, more males thanfemales. With the progression， the survival rates of males drop obviously. Cough,sputum, chest tightness, suffocation, wheezing as the main symptoms of pulmonaryfibrosis.Smoking, genetic factors, and harmful gases have a certain impact on theexposure of pulmonary fibrosis.Acute exacerbation stage occurred to excess syndrome and mixed syndromes, andsyndrome factors as: heat-phlegm, qi deficiency, yang deficiency, phlegm damp etc..Stationary stage occurred to deficiency syndrome and mixed syndromes, and syndromefactors as: qi deficiency, yin deficiency, yang deficiency etc..With the prolongation of the course,the number of deficiency syndromesdecreased,and excess syndromes and mixed syndromes increased.According to patients condition,the relationship among the five major syndromes is:Qi deficiency of lung, Qi deficiency of lung and spleenâ†'Qi Yin deficiency of lungâ†'QiYin deficiency of lung and kidneyâ†'Yang deficiency of spleen and kidney. Phlegmfactors are involved in all five syndromes.With progression, blood stasis, ntermingledwith water and blood stasis increasing frequency. The data of arterial blood gas analysis,pulmonary function test, CT tests which contribute to differentiation.