The Relevance Between Syndromes And Types Of Constitution About Children With Mesenteric Lymphadenitis In TCM

Objective :By observing the general situation,syndrome type and constitution distribution of children with mesenteric lymphadenitis,the correlation between syndrome type and constitution was discussed.In order to treat the disease with the combination of syndrome differentiation and differentiation,this paper provides a reference for the prevention and treatment of the disease from the perspective of constitution,and provides reference for the development of TCM diagnostic criteria for this disease.Methods :In the case of the 149 children who fit the criteria for the diagnosis of mesenteric lymph nodes,we have to make a list of the criteria for the observation and the constitution of the constitution,to record the children's general conditions,the relevant evidence,and the statistical processing,to analyze the distribution of the diagnosis of mesenteric lymph nodes,the physical distribution of the disease,and the correlation between the physical and the evidence of this disease.Results:1.149 cases of mesenteric lymphadenitis in children:(1)gender: 55% of males(82 cases)and 45% female(67 cases);(2)distribution of each age group: 45 percent(67 cases)of 3 to 6 years old(67 cases),and 32.9 percent(49 cases)between 7 and 12 years old(49 cases),and 22.1%(33 cases)of 13 to 14 years(adolescents);(3)course of disease: 43 percent(64 cases),2 weeks,2 weeks,21.5 percent(32 cases),4 weeks and 35.5%(53 cases);(4)incidence season: 36.24%(54 cases)in autumn,34.23% in winter(51 cases),16.78% in summer(25 cases),and 12.75% in spring(19 cases).2.Pathogenic factors of pediatric mesenteric lymphadenitis: 48.3%(72 cases)of dietary factors,39.0%(58 cases),6.7%(10 cases)of affective factors,and 6.0%(9cases).3.Pediatric mesenteric lymph node phlogistic card type distribution: spleen and stomach type cold 33.5%(50 cases),gastrointestinal hot junction 28.9%(43 cases),lung and stomach aggregates thermal type 22.8%(34 cases),Tan Ning and 6.7%(10cases),8.1% milk food retention hysteresis type(12 cases).4.Relationship between the disease duration and age of pediatric mesenteric lymphadenitis: the pathogenesis of the disease is related to the chi-square test;The duration of the course was less than 2 weeks,and it was common in the gastrointestinal heat junction and the lung and stomach.The duration of the disease was 2 to 4 weeks with spleen and stomach deficiency,and lung and stomach accumulation.The duration of disease was more than 4 weeks.There was no correlation between age and the card test.5.The distribution of TCM constitution in children with mesenteric lymphadenitis: 10.7%(16 cases)and 89.3%(133 cases)respectively;Single biased constitution in implementing a hydrothermal 37.7%(49 cases),deficiency of 23.8%(31 cases),phlegmy wet mass(22 cases),17.0% and 12.3%(16 cases),Yin deficiency6.1%(8 cases),qi depression mass 3.1%(4 cases);In addition,the deficiency of qi deficiency + Yin deficiency in the body was 42.1%(8 cases),qi deficiency + gas depression 31.6%(6 cases),gas depression + phlegm-dampness 15.8%(3 cases),qi depression + Yin deficiency of 10.5%(2 cases).6.The relationship between the constitution of traditional Chinese medicine and the age of pediatric mesenteric lymphadenitis: age is related to TCM constitution by chi-square test;In the early period of school age,the qi deficiency was more common(38.5%).The school age was characterized by solid heat quality(66.7%).7.The relationship between syndrome and types of constitution of pediatric mesenteric lymphadenitis: in the deficiency of spleen and stomach,qi deficiency,phlegm,and other physical health were statistically significant.There is statistical significance in the test of real heat quality and other physical health of the lung and stomach.The other syndromes were examined by chi-square and had no statistical significance.8.The relationship between TCM constitution and syndrome type of pediatric mesenteric lymphadenitis: in qi deficiency,the deficiency of spleen and stomach and other syndromes are statistically significant.Solid heat transfer,lung and stomach accumulate heat type,gastrointestinal hot junction with other type by the chi-squaretest was statistically significant,phlegmy wet mass,the spleen and stomach type cold and other syndromes by chi-square was statistically significant,other physical each card type by chi-square test,no statistical significance.Conclusion:In this study:1.There was no obvious gender difference in pediatric mesenteric lymphadenitis.The onset age was mainly in the early stage of school age,followed by school-age period,and the incidence of puberty was relatively low.The onset season is common in autumn and winter;The duration of the disease is less than 2 weeks,or more than 4weeks.2.The pathogenic factors were mainly dietary factors,followed by external factors.3.The syndromes of pediatric mesenteric lymphadenopathy are more common in the case of spleen and stomach deficiency cold type,gastrointestinal heat junction type,and lung and stomach accumulation.4.The age of pediatric mesenteric lymphadenitis is not related to the syndrome type,and is related to the constitution.In the early stage of school age,the qi deficiency is common,and the school-age is common with the gastrointestinal thermal junction.5.The relationship between syndromes of pediatric mesenteric lymphadenitis and the pathogenesis : the duration of the disease is less than 2 weeks,which is common in the gastrointestinal heat junction type and the lung and stomach accumulation;The duration of the disease was 2 to 4 weeks with spleen and stomach deficiency,and lung and stomach accumulation.The duration of disease was more than 4 weeks.6.The TCM constitution of children's mesenteric lymphadenitis is more common in physical and thermal quality,phlegm-dampness and qi deficiency.7.The relationship between syndrome and types of constitution of pediatric mesenteric lymphadenitis: the deficiency of spleen and stomach is common in qi deficiency and phlegm.The heat type of the stomach and stomach and the heat of the stomach are common.8.The relationship between types of constitution and syndromes of pediatric mesenteric lymphadenitis: the real heat is common in the lung and stomach and the gastrointestinal heat type;Qi deficiency and phlegm are common in deficiency ofspleen and stomach.