The Research On The Syndrome Element Of Essential Thrombocythemia

Purposes:Statistical analysis of the patient’s clinical syndromes related to ET, syndrome elements score performed to explore the distribution characteristics of each syndrome elements with a view to TCM dialectical ET provide new ideas and methods of governance.Methods:84 patients with definite diagnosis of ET patients met the inclusion criteria and related syndromes collection, and then apply the syndrome element integral method, statistical analysis of ET-related main syndrome elements, and compare the differences of gender, age and risk stratification perspective.Results:According to ET main syndrome factors and integration of statistical analysis, summarized as follows:1. The main syndrome elements distribution:Disease location:liver is mainly known for; Spleen and kidney are minor; And it well involve the meridians and mind, etc.Disease resistance: deficiency, blood stasis, Qi deficiency and Qi stagnation are the main; Yang hyperactivity, Yang deficiency and blood deficiency are minor; And it be involved by cold, wet or hot. In addition, patients with premenopausal women, for them the uterus is important.2. The differences of syndrome elements in a gender perspare ective:the syndrome element in the male and female groups has no significant difference. Female patients with blood stasis were obviously more than male, and more likely to be effected by cold and wet.3. From the view of age:The mainly disease location is liver, and has no significant difference with each others; The dysfunction of spleen, kidney, Mind and Meridian in middle-aged and elderly patients were more significantly than younger. In the context disease resistance:cold, wet, blood stasis, Qi deficiency and Yang deficiency are more common in the elderly; Yin deficiency, Yang hyperactivity and Qi stagnation are more common in young people.4. The differences of syndrome elements high risk and low risk group:spleen, kidney, mind, meridian, Qi stagnation, Qi deficiency, blood deficiency, Yang deficiency and blood deficiency are more common in the high-risk group, but Yang hyperactivity and Yin deficiency are more common in the low-risk group.Conclusion:The disease location of ET is mainly in the liver, spleen and kidney followed, involving the meridians, mind, etc. the pathogenesis of ET is complex, Qi deficiency and Yin deficiency are the essence, Qi stagnation and blood stasis are Pathological factors,Yang deficiency and blood deficiency Occasionally appear. Compared with men,blood stasis is obvious in female. Deficiency symptoms are obvious in high-risk and elderly patients. So in clinical,the same time we use the method of "huo-xue-hua-yu", we should pay attention to using the method of "fu-zheng-gu-ben".