Study On The Correlation Between TCM Syndrome Distribution And Colonoscopy Of Ulcerative Colitis

Objectives: Through the study of TCM syndrome patients with ulcerative colitis and relationship of the intestinal mucosa under colonoscopy performance,rich content of the inspection of traditional Chinese medicine to ulcerative colitis provides the objective theoretical basis for the treatment of ulcerative colitis.Methods: According to the purpose of the study and the relevant diagnostic criteria,make observation in patients with ulcerative colitis clinical data table,in October 2017 to October 2015,the first affiliated hospital of guangxi medical university hospital and clinic diagnosis of ulcerative colitis patients,patients' general information,TCM four diagnosis information collection,colonoscopy,met inclusion and exclusion criteria of the 60 patients medical records.SPSS21.0 software was used for statistical analysis to analyze the clinical characteristics of ulcerative colitis patients,and the relationship between TCM syndrome and colonoscopy.Results:1.In this study,the incidence ratio of male to female was 1.31: 1,male was more than female,the predilection age was 31-40 years old,the course of disease was 1-3 years,emotional factors,diet and tiredness could induce or aggravate the disease,the incidence in urban was higher than that in rural area.The morbidity of mental workers was higher than that of manual workers(P < 0.05).2.In this study,the severity was mild and moderate,the clinical type was chronic recurrence,the clinical stage was active,the lesion was mainly rectum and left hemicolon.3.In this study,the severity of the case was mainly light and moderate,and the clinical type was mainly chronic recurrence type.The clinical stage was mainly active stage,and the lesions were mainly rectal and left semicolon.4.In this study,The frequency of TCM syndrome is largeintestinaldampness-heatpat>liver depression and spleen deficiency> Spleen deficiency syndrome > cold-heat complexpattern > spleenkidney yangdeficiency= yin-blood depletionpattern;The tongue appearance is light white and red tongue,greasy fur is common,pulse is mainly pulse-slip,which reflects the pathological essence of spleen deficiency and dampness.5.In this study,The significant differences in TCM syndromes,age and sex(P < 0.05),young patients with large intestine damp-heat syndrome,middle-aged patients with spleen deficiency and dampness accumulation syndrome,elderly patients with deficiency of spleen and kidney yang deficiency,male patients with large intestine damp-heat syndrome.Liver depression and spleen deficiency syndrome are more common in female patients.6.In this study,The difference between TCM syndrome and clinical stage was significant(P < 0.05),the active stage was mainly large intestine damp-heat syndrome,the remission stage was spleen deficiency and dampness accumulation syndrome,and the extensive colonic lesion was spleen deficiency dampness accumulation syndrome.The major lesions of the rectum and left colon were large intestine damp-heat syndrome.7.In this study,The significant differences between TCM syndromes and coloration of mucosa under endoscopy(P < 0.05).In large intestine dampness and heat syndrome,there were bright red,spleen deficiency and dampness accumulation,pale white and light red in spleen and kidney yang deficiency,light white or light red in mucosa of yin and blood deficiency syndrome,and mixed cold and heat syndrome.Liver stagnation and spleen deficiency syndrome is mainly light red.8.In this study,The difference between TCM syndromes and mucosal hyperemia,edema,erosion,ulcer and granulocytic thickening was significant(P < 0.05).Mucosal hyperemia was more common in large intestine damp-heat syndrome and liver stagnation and spleen deficiency syndrome,mucosal edema was more common in spleen deficiency dampness accumulation syndrome and large intestine dampness heat syndrome mucosal ulcer.The mucous membrane of spleen deficiency and dampness accumulation syndrome was more common than that of liver stagnation and spleen deficiency syndrome,and granulosa thickening was more common in liver stagnation and spleen deficiency syndrome.9.In this study,The were differences between TCM syndromes and the color of purulent moss under endoscopy(P < 0.05),yellow moss in large intestine damp-heat syndrome,white fur in spleen deficiency and dampness accumulation syndrome,liver depression and spleen deficiency syndrome,white fur and yellow lichen in mixed cold and heat syndrome.conclusions:1.TCM syndromes of ulcerative colitis are large intestine damp-heat syndrome,liver stagnation and spleen deficiency syndrome and spleen deficiency dampness accumulation syndrome.2.The intestinal mucosal manifestations of ulcerative colitis were hyperemia and edema,erosive ulcer,blurred vascular texture,rough mucosa and abnormal increase of intestinal secretion.3.TCM syndromes of ulcerative colitis are related to mucosal hyperemia and edema,erosive ulcer,granulocytic thickening,mucosal color and purulent fur color under enteroscopy,which can provide objective reference for dialectical treatment.