Classification Of TCM Syndromes Of Community-Acquired Pneumonia(non-severe)in Ningxia

Objective: To analyze the TCM syndrome distribution of community-acquired pneumonia(non-severe)in ningxia;To study the relationship between gender,age,solar terms and TCM syndromes of community-acquired pneumonia(non-severe)in ningxia;Objective: to explore the theory of weiqi and yingxue in the diagnosis and treatment of community-acquired pneumonia.Methods: Using retrospective study method,according to include and exclude the standard collection entry on January 1,2016 to December 31,2018,ningxia lung disease of hospital of traditional Chinese medicine,Chinese medicine hospital of yinchuan lung disease,lung disease,evalution wuzhong city Chinese medicine hospital,shizuishan city hospital of traditional Chinese medicine lung disease,lung disease,Chinese medicine hospital of traditional Chinese medicine hospital of traditional Chinese medicine(TCM)lung disease,pingluo county hospital medical CAP diagnosis standard and standard of hospitalized cases syndromes in TCM.The patient's general information,medical history,four diagnosis information,relevant physical examination and laboratory examination were recorded.A database was established and SPSS22.0 software was used for statistical analysis to observe the patterns of syndromes of community-acquired pneumonia(non-severe pneumonia)and the relationship between syndromes and related factors in ningxia.Results: 1.Ningxia community-acquired pneumonia(severe)syndrome distribution:phlegm hot accumulate lung syndrome(23.4%)> phlegm turbidity resistance lung syndrome(17.4%)> cold heat syndrome(13.8%)> dry evil lung injury(12.2%)> lung deficiency syndrome(12.0%)> wind hot temper make pulmonary syndrome(11.8%)> cold onpulmonary syndrome(3.3%)> qi and Yin deficiency syndrome(3.0%),something made lung syndrome(3.0%).2.The relationship between the syndrome of community-acquired pneumonia(non-severe)and gender,age,solar term:(1)there was no statistically significant difference in syndrome distribution between different genders(P>0.05).(2)the difference in syndrome distribution at different age stages was statistically significant(P<0.01),among which,the majority of the young patients were wind-induced lung fever and dryness.Among the patients in the prime of life,phlegm and heat accumulate lung syndrome was the most common.Patients in the prime of life: mostly with external cold and internal heat;Years of patients: mainly wind heat into the lungs,cold outside and heat inside;Middle-aged patients:dry injury lung,external cold and internal heat,phlegm heat accumulate lung,phlegm turbidities block lung,lung qi deficiency syndrome in the majority;Elderly patients: dry injury lung,lung qi deficiency syndrome in the majority.(3)the difference in the distribution of solar term syndrome of different diseases was statistically significant(P<0.05),winter solstice,awakening of insects: phlegm heat accumulate lung,phlegm turbidness block lung syndrome was the majority;Minor cold,major cold and start of spring: phlegm and heat accumulate in the lung,external cold and internal heat syndrome is the majority;Rain,vernal equinox,grain rain,summer solstice,white dew,autumnal equinox,frost's descent: phlegm heat accumulate lung syndrome in the majority;Tomb-sweeping day: dry evil injury lung syndrome in the majority;Small man,grain in ear: phlegm turbid lung obstruction syndrome is the majority;Start of winter: lung and spleen deficiency syndrome in the majority.3.Combined with the syndrome differentiation of febrile disease and weiqi-yingxue,the TCM syndromes in ningxia CAP were divided into three syndromes: wind-heat syndrome and dryness syndrome.Qi syndrome: syndrome of external cold and internal heat,phlegm heat accumulate lung syndrome,phlegm turbidity block lung syndrome;Camp syndrome:pericardial syndrome of heat depression;Blood points: evil depression is out of syndrome.Conclusions: 1.Common TCM syndromes in ningxia CAP(non-severe disease)includephlegm-heat accumulate lung syndrome,phlegm-turbidity prevent lung syndrome,external cold and internal heat syndrome,dryness injury lung syndrome,deficiency of lung spleen and spleen gas,and wind-heat attack lung syndrome,among which phlegm-heat accumulate lung syndrome is the most common.Compared with the standard set by the state,ningxia region increased the syndrome of dryness and lung injury.2.Different age stages and the onset of solar terms have certain influence on the TCM syndrome of ningxia CAP,so the clinical treatment can be combined with the individual constitution,climate and environment.3.In clinical practice,according to the changes of CAP diseases,the syndrome differentiation and treatment of febrile disease,wei qi and blood therapy can be applied to prevent the change or development from non-severe disease to severe disease,providing a new way of thinking for clinical practice.