The Study Of Disease-location Characteristics And Basic Syndromes In Heart System

Human body is considered to be an organic whole centering on the five-zang organs in Traditional Chinese Medicine. The constituents contains heart, lung, liver, spleen and kidney system. And heart system mainly includes heart, small intestine, pericardium, brain, tongue, vessels and face. During the course of syndrome differentiation, disease-location and disease-character are the two basic elements. If a syndrome is composed of single disease-location and disease-character, it is called basic syndrome. Disease-location characteristics and basic syndromes of heart system are standardized by document survey, clinical case report and expert consulting in this essay.Through searching the relative literature in ancient and modern times, heart system's concept, morphology and structure, physiological function, pathological character, etiology and pathogenesis are clarified, so is it with the relation between other organs and its inner. All the symptoms are standardization processed,8basic syndromes are summarized, including asthenia of heart qi syndrome, heart blood asthenia syndrome, heart yin asthenia syndrome, heart yang asthenia syndrome, heart vessels obstruction syndrome, exuberance of heart fire syndrome, mind confusion by phlegm, brain vessels obstruction syndrome. By collecting medical records in2000-2010from Jiangsu Province Hospital of TCM, tutor's clinical practice, medical magazine and books,1741relative cases are selected. Then SPSS statistical software and clustering analysis are used to analyze clinical information of syndromes. Meanwhile,21TCM diagnosis experts throughout the country are consulted to show the importance evaluation on heart system's disease-location, disease-location characteristics, basic syndromes and symptoms in each syndrome. After this procedure, the experts'opinion are analyzed both from clustering and content validity. As a result, the high relative symptoms are expected to be found out, the most important symptoms in determining heart system's disease-location and disease-character are summarized,8basic syndromes in heart system are standardized from concept and symptoms (including the characteristics of disease-location and disease-character), and symptoms is clarified from main symptom (A), minor symptom (B), tongue and pulse expression (C), modern ancillary test (D), the historical origin and development are carded simultaneously, the modern researches are also summed up.Establishment of disease-location characteristics and basic syndromes of heart system is accord with clinical treatment law. And the organic combination of basic syndromes can almost cover all the complicated ones. But what should be considered is the combination of principle and flexibility of syndrome differentiation, especially for expressions indicating disease-location and disease-character is due to be mastered, which emphasizes on differentiating syndrome from symptoms. The conclusion of the research is closed to clinical syndrome differentiation thinking, which doesn't only embody integrity and development of syndrome differentiation, but also the stability and specificity of syndrome. Furthermore, exploratory research basis is made for the establishment of syndrome differentiation system of heart system by this research, also an important guiding function on improving TCM clinical syndrome differentiation.