The Distinction Between TCM And WM Of Obese In PCOS In Splenic Deficiency And Phlegm-damp

Background: Limited by historical conditions,traditional Chinese medicine to determine the symptoms is subjective and vague,obesity is one of the common symptoms in TCM and Western medicine recognized PCOS.TCM differentiation of obesity is responsible for phlegm dampness,Spleen deficiency and kidney deficiency are common pathogenesis of phlegm dampness.Clinically,TCM for obesity determined by visual inspection,with uncertainty.Therefore,how will the traditional Chinese visual evaluation criteria into considerable quantitative indicators is an urgent problem to be solved.But the related research and the selection of Western diagnostic indicators,taking body mass index(Body Mass Index,BMI)as the standard and transplanting him into the dialectical basis of TCM simply.There is disguised replacement of concept of TCM and WM obesity.Objective: To distinguish the meaning between TCM and WM of obese and service new method of clinical diagnosis by study the quantitative index of obese in PCOS in splenic deficiency and phlegm-dampMethods:Using clinical epidemiological survey method of the patients' basic information,four diagnostic data,related inspection and factors,set up a database,analyze the data by SPSS,then come to conclusions.Results: 1.the Obese of TCM in PCOS in splenic deficiency and phlegm-damp and western medicine under the waist measurement andwaist-to-height ratio are the same type.2.In Screen test analysis,WC has the highest sensitivity and positive predictive rate.,it is 94.74%?100%.Indicates that the WC in the screening for obese patients,The probability of phlegm dampness syndromes PCOS spleen deficient was 94.74%,the BMI,WHtR,WHpR have no obvious advantage.3.In the diagnosis of tangent point,Waist > 78.5 cm,waist-to-height ratio > 0.485,BMI > 22.39 is suitable for the boundary value of sensitivity and specific degrees.The traditional Chinese medicine and western medicine of obesity can be considered to be consistent.4.Mainly study period women of childbearing age,occupation is given priority to with enterprise employees,cultural degree of polarized,menstruation delay situation is given priority to with 2 years,other symptoms to drag after menstruation is most common.Conclusions: 1.The Obese of TCM in PCOS in splenic deficiency and phlegm-damp and western medicine under the waist measurement and waist-to-height ratio has the same concept.Phlegm dampness syndromes of PCOS obesity prefer to spleen deficient with waist circumference,waist than central obesity is a prominent feature.2.Screening test analysis,the waist screening for obese patients,the highest probability of phlegm dampness syndromes PCOS pixu(spleen deficient),so the waist may be more suitable for the screening of phlegm dampness syndromes in patients with PCOS spleen deficient.In addition,girth ratio,BMI,waist-to-hip ratio showed no obvious advantages.3.Across ROC,the AUC of BMI?WHtR?WC>0.99,There were no significant differences statistically,So the three indicators for pixu(spleen deficient)phlegm dampness syndromes of PCOS obesity under the appropriate point of contact is better risk prediction.This result also shows that phlegm dampness syndromes pixu(spleen deficient)PCOS obesity is characteristic with fat in the body part,and the characteristics of central obesity is a joint exploration.In the diagnosis of tangent point to > 78.5 cm around the waist,waistratio > 0.485,BMI > 22.39 is suitable for the boundary value of sensitivity and specific degrees.Can be objective and quantitative diagnosis for the future of clinical indicators to provide the reference.