A Study On The Clinical Efficacy And Clinical Syndrome Of Using Six-meridian Syndrome Differentiation In Treating Vertigo

ObjectiveThe treatment of vertigo is given priority to with viscera,Sanjiao differentiation in Chinese medicine presently,the use of six-meridian syndrome differentiation less.In this study,we collected the relevant information about the age,gender,symptoms,prescription and curative effect of patient with vertigo in the Department of Fangcun in Guangdong Province Traditional Chinese Medical Hospital in the past four years,to make a preliminary analysis of the classification of pneumonia six-meridian differentiation syndromes and the four characteristics by using the theory of six-meridian syndrome differentiation,summarize the characteristics of syndrome of vertigo and laws of medicine application to provide a reference for the future clinical diagnosis and treatment of vertigo.MethodsRetrospective method was applied.By collecting from January 1,2013 to January 31,2017 in Guangdong Province Traditional Chinese Medical Hospital,Fangcun hospital in internal-five unit,and met the inclusion criteria of 207 patients with vertigo,the statistics will be reached by collecting the general condition,medical records and imaging examination results,the patients at admission and discharge diagnosis according to clinical symptom observation table,by using statistical analysis of clinical data collected by the theory of six-meridian syndrome differentiation,to summed up the laws of vertigo by six-meridian syndrome differentiation,to further explore the regulation of syndrome differentiation.ResultsThe ratio of male to female is 1:2.18;Their age is rage from 28 to 90 and the average age is 64.78 and aged patients accounted for the proporti on of 51.2%;the most common past complication was cervical spondylosis,up to 63.8%;the most common clinical symptom in TCM is mental fatigue(98.6%),poor sleep(45.4%),irregular stool(41.5%),neck and shoulder pain(37.7%),chest tightness(36.2%);the most common tongue is pale tongue(89.4%),w hite tongue coating(87%),dark tongue(66.7%)and greasy tongue coating(65.2%);the most common pulse was left vein(64.7%),right vein(61.8%),right slippery pulse(53.1%),and left slippery pulse(49.3%).The syndrome differentiation of vertigo into single syndrome type we re in the case of the 199 cases,the double economic syndrome type of pat ients with a total of 8 cases,the 147 cases of shaoyin disease is most co mmon(71%);after the split,shaoyin disease(151 cases)is the most common,secondly is the taiyin disease(31 cases).By system clustering analysis results suggest shaoyin certificate for a class,taiyin certificate,taiyan g certificate,jueyin certificate for a class,shaoyang certificate,yangmin g certificate for a class.Shaoyin syndrome in primary prescription for the most common is wensh ibentun decoction,second pogejiuxin decoction,wenshibentunhepogejiuxin de coction,sini decoction etc.taiyin syndrome in the primary side up to lizh ongtang.taiyang syndrome party primaries for most guizhijiagegen decoctio n.other syndrome mostly for chaihu decoction etc.The most of 207 patients with vertigo was diagnosed cervical spondylosis of western medicine(89 cases,43%),secondly is the hypertension(45 cases,21.8%),thirdly is the vertebrobasilar insufficiency(41 cases,19.8%).Different six-meridian syndrome group age difference was statistically significant(P=0.001<0.05);combined basic disease difference was statistically significant(P=0.000<0.05);The rest of the project such as gender,height,weight,duration of disease,history of smoking,drinking,basic vital signs at admission,auxiliary examination projects by comparing differences had no statistical significance(P>0.05);shortness of breath gas,headache,epigastric fullness,stomach pain or abdominal pain,stiff neck and shoulder pain,dull tongue,left and right pulse string pulse differences had statistical significance(P<O.05);mental fatigue,poor sleep,abnormal stool,chest tightness,nausea and vomiting,urination disorders,heart palpitations,numbness of limbs,waist pain,mouth pain,anorexia,thirst without desire to drink,tongue and pulse and the difference was not statistically significant(P>0.05);the classifications of syndrome of vertigo symptom score before and after treatment had no statistically significant difference between groups(P>0.05);the total score of symptoms before and after treatment differences had statistical significance(P=0.00<0.05).According to the criteria of TCM syndrome curative effect,a total of 55 cases of patients were cured(26.6%),113 cases had marked effect(54.6%),39 cases effective(18.8%),none had no effect(0%).ConclusionVertigo patients visible shaoyin Syndrome,taiyin Syndrome,jueyin Syndrome,taiyang Syndrome,shaoyang Syndrome;major syndrome which shaoyin Syndrome and taiyin Syndrome.After six vertigo based on syndromes,treatment is more diversity on the election party,the most decoction are wenshibentun decoction,pogejiuxin decoction,wenshibentunhepogejiuxin decoction,fuziliz hong decoction,the treatment of vertigo had reliable effect by six meridi an syndrome differentiation,it worthy of promotion.