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Discussion On Syndrome Differentiation And Classification Of Six Meridians In Pelvic Inflammation

Posted on:2019-02-07Degree:MasterType:Thesis
Country:ChinaCandidate:M X HeFull Text:PDF
GTID:2394330566494957Subject:TCM gynecology
Abstract/Summary:PDF Full Text Request
ObjectiveThis study uses syndrome differentiation system of the six meridians,by studying the distribution of the six meridian syndromes of pelvic inflammatory disease,and studying the pattern of differentiation and classification of the six meridians of pelvic inflammatory disease,In order to explore the application of the six meridians syndrome differentiation in pelvic inflammatory syndrome differentiation law.To explore a new way of syndrome differentiation for clinical treatment of inflammatory gynecological diseases,so as to promote the development of traditional Chinese medicine classics.In the face of complicated pelvic inflammatory disease,it can play an important role,which can make clinicians quickly and accurately judge the diseaseundefineds disease and position,grasp the pathogenesis accurately,and improve the clinical curative effect.MethodsIn this retrospective study,a total of 400 outpatients and inpatients were collected.Inpatients who met the diagnostic criteria in Sichuan traditional Chinese Medicine Hospital from January 2013 to January 2018,including 153 cases of acute pelvic inflammatory disease and 247 cases of chronic pelvic inflammatory disease.The information of age,pregnancy,course of disease,history of uterine cavity operation were recorded,and the distribution of syndromes was summarized.The results were analyzed by SPSS21.0 statistical software.Results1.Results of study on acute pelvic inflammatory diseaseThis study collected 153 patients who met the diagnostic criteria for acute pelvic inflammatory disease from 2013 to 2018,including 124 cases of Shaoyang syndrome,accounting for 81.05% of the total cases,9 cases of Taiyang Shaoyang syndromes,accounting for 5.88% of the total cases,8 cases of Taiyin syndrome,it accounted for5.23% of the total cases,5 cases of Taiyin Jueyin syndromes,accounting for 3.26% of the total cases,3 cases of Shaoyin syndrome,which accounted for 1.96% of the total cases,2 cases of Shaoyang Yangming syndromes,which accounted for 1.31% of the total cases,and 2 cases of Taiyin Shaoyin syndromes,accounting for 1.31% of the total cases.According to the frequency analysis of syndrome types and cluster analysis,it can be seen that acute pelvic inflammatory disease mainly consists of three yang syndrome,the frequency of occurrence is 88.24%,in which the Taiyang syndrome and Yangming syndrome appear in the form of Taiyang Shaoyang syndromes and Shaoyang Yangming syndromes.So the frequency of Shaoyang syndrome is88.24%.Three yin syndrome is rare,its frequency is low,only 11.76%.According to the actual clinical conditions and the K-means clustering,the symptoms of acute pelvic inflammatory disease are considered to be more reasonable when clustered into five classes,and the main symptoms are as follows:lower abdominal pain,bitter mouth,dry mouth,nausea and vomiting,loss of appetite,menstrual thickening,lumbar acid during menstruation,menstrual period with breast distension,chest rib fullness pain,dizzy,lumbosacral distending pain or pain.2.Results of research on Sequelae of pelvic inflammatory diseaseFrom 2013 to 2018,247 patients with sequelae of pelvic inflammatory disease were collected,including 99 cases of Jueyin syndrome(40.08%),38 cases of Taiyin syndrome(15.38% of total cases),37 cases of Taiyin Shaoyin syndromes.It accounted for 14.98% of total cases;35 cases of Shaoyin syndrome,14.17% of total cases;32 cases of Taiyin Jueyin syndromes accounted for 12.96% of total cases;5cases of three yin syndromes accounted for 2.02% of total cases;1 case of Shaoyin Jueyin syndromes accounted for 0.41% of total cases.According to the frequency analysis of syndrome types and cluster analysis,we can see that the sequelae of pelvic inflammatory diseases do not see three yang syndrome,only three yin syndrome.the most of the three yin syndrome is Jueyin syndrome,frequency of occurrence is 55.47%,the second is Taiyin syndrome,frequency of occurrence is 45.34%,the third is Shaoyin syndrome,frequency of occurrence is 31.58%.The sequelae of pelvic inflammatory disease often appear syndromes,such as Taiyin Shaoyin syndromes and Taiyin Jueyin syndromes.Thefrequency of Taiyin Shaoyin syndromes was 17.00% and that of Taiyin Jueyin syndromes was 14.98%.There are few syndromes of Shaoyin jueyin and three yin syndromes.According to the actual clinical conditions and the K-means clustering,the sequelae of pelvic inflammatory disease are considered to be more reasonable,and the main symptoms are as follows:lower abdominal pain,limbs are afraid of cold,loss of appetite,dry mouth,irritable and irritable,algomenorrhea,lumbosacral distending pain or pain,lose sleep,abnormal color of leucorrhea,fatigue,thirst,menstrual thickening,dark red of menstruation,menstrual period with breast distension,more leucorrhea,aggravation of abdominal pain during menstruation,annoyance,leukorrhea gas odor,belly distention and fullness,urinate frequently at night.Conclusion1.Conclusion of acute pelvic inflammatory diseaseFrom 2013 to 2018,153 patients with acute pelvic inflammation in Sichuan Province were divided into six syndromes: Shaoyang syndrome,Taiyang Shaoyang syndromes,Taiyin Jueyin syndromes,Shaoyin syndrome,Shaoyang Yangming syndromes.Taiyin Shaoyin syndromes.Acute pelvic inflammation is characterized by Shaoyang syndrome.Acute pelvic inflammatory disease is mainly Shaoyang syndrome,the frequency is 88.24%.The main symptoms of acute pelvic inflammatory disease are: lower abdominal pain,bitter mouth,dry mouth,nausea and vomiting,loss of appetite,menstrual thickening,lumbar acid during menstruation,menstrual period with breast distension,chest rib fullness pain,dizzy,lumbosacral distending pain or pain.2.Conclusion of Sequelae of pelvic inflammatory diseaseFrom 2013 to 2018,247 cases of sequelae of pelvic inflammatory diseases in Sichuan Provincial Hospital of traditional Chinese Medicine were divided from more to less: Jueyin syndrome,Taiyin Shaoyin syndromes,Shaoyin syndrome,Taiyin Jueyin syndromes,three yin syndromes.Syndrome of Shaoyin and Jueyin syndromes.The most common sequelae of pelvic inflammatory diseases were Jueyin syndrome(55.47%);Taiyin syndrome(45.34%);Shaoyin syndrome(31.58%);The sequelae of pelvic inflammatory disease often appear syndromes,such as Taiyin Shaoyin syndromes and Taiyin Jueyin syndromes.There are few syndromes of Shaoyin Jueyin and three yin syndromes.The main symptoms of Sequelae of pelvic inflammatory disease are:lower abdominal pain,limbs are afraid of cold,loss of appetite,dry mouth,irritable and irritable,algomenorrhea,lumbosacral distending pain or pain,lose sleep,abnormal color of leucorrhea,fatigue,thirst,menstrual thickening,dark red of menstruation,menstrual period with breast distension,more leucorrhea,aggravation of abdominal pain during menstruation,annoyance,leukorrhea gas odor,belly distention and fullness,urinate frequently at night.
Keywords/Search Tags:Acute pelvic inflammation, Sequelae of pelvic inflammatory disease, Syndrome differentiation of six meridians, Classification rule
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