Study On The Standard Of Diagnosis Of Syndromes In Obesity Complicated With Hyperlipidaemia

Objective:Through reviewing and analyzing the clinical data, to explore the syndrome differentiation standard and the connotation of syndrome of simple obesity complicated with hyperlipidaemia.Methods:Using the literature research method and clinical epidemiology (design measurement evaluation) design method, the clinical data were given blinded statistical processing and analysis. With factor analysis, maximum variance orthogonal rotation and cluster analysis of multivariate statistical analysis method, the author summarized the common syndrome type and its connotation. Then through the prospective clinical validate of 100 cases and several TCM and Western medicine experts’ assessment and demonstration, summarized the syndrome differentiation standard and the connotation of syndrome of simple obesity complicated with hyperlipidaemia.Results:Retrospective data analysis showed that the TCM syndrome type of simple obesity complicated with hyperlipidaemia were summarized as:stomach-intestine excessive heat type; phlegm dampness type; liver qi stagnation and spleen deficiency type; spleen insufficiency with damp retention type; yang deficiency of spleen and kidney type; yin deficiency and blood stasis type. Stomach-intestine excessive heat type:body fat, polyorexia, bad breath, thirsty with preference for cold drinks, polydipsia, dry stool, yellow urine, hyperhidrosis, red tongue, yellow coating and rapid pulse. Phlegm dampness type:body fat, thirsty with no desire for drinks, abdominal distension, loose stool, cough with white and sticky phlegm, hypomenorrhea with light color, increased morbid leucorrhoea with white color, pale tongue, sticky coating, wiry and slowly pulse. Liver qi stagnation and spleen deficiency type:body fat, abdominal distension, loose stool, defecation with unfinished feeling, irritability, wandering pain of chest and breast, edema, fatigue, dysmenorrhea, hypomenorrhea with dark color and clots, light red tongue, sticky coating and wiry pulse. Spleen insufficiency with damp retention type:body fat, abdominal distension, loose stool, chest distress, heaviness of head, dizziness, cough with white and sticky phlegm, edema, fatigue, hypomenorrhea, pale, fatty and teeth-mark tongue, sticky coating, and floating pulse. Yin deficiency and blood stasis type:body fat, thirsty, irritability, cough with sticky phlegm, dysphoria in chestpalms-soles, hot flashes, night sweating, hands and feet sweating, headache, hypomenorrhea with dark color, morbid sticky leucorrhoea, dark tongue, and wiry pulse.Conclusions:1.The idea of the differentiation standard study is based on the retrospective research and then to do prospective clinical validation, to verify and revise the diagnostic criteria, formulate the new syndrome differentiation standard.2.In this study, factor analysis and cluster analysis and other modern statistical methods are applied to the study of syndrome type, give full play to the role of the multivariate statistical method, which made the connotation of syndrome and syndrome more scientific. The results also provide a more scientific and objective theory basis for us to standardize the diagnosis and treatment of simple obesity complicated with hyperlipidaemia.3.The specific qualitative and quantitative indexes of obesity and lipid is the golden standard of simple obesity complicated with hyperlipidemia diagnosis, while the four diagnostic information which we use to study syndromes, can reflect the essence of syndrome, but is unable to highlight the specificity index of this disease syndrome differentiation standard. The author he correlation analysis, from various angles to explore the TCM Syndrome Types and clinical medicine detection index.