The Basic Research Of Application On T.C.M. Syndrome--the Modernization Research Of T.C.M. Syndrome Differentiation On Chronic Bronchitis

Objective:To investigate four methods of T.C.M. diagnostic methods,physical signs,the measure signs of mordern medicine and its relation one another, to illustrate the etiologic factors and pathomechanism of this disease,and accordingly,set up a system of the modernization research of T.C.M. syndrome differentiation on chronic bronchitis which achieve the standardization, impersonality and criterion. Methods:To investigate 700 cases of chronic bronchitis ,record four methods of T.C.M. diagnostic methods,physical signs,the measure signs of mordern medicine detail by detail,then set a data model with Amos software and carry through the cluster analysis ,the corresponding analysis ane the factor analysis(including EFA and CFA). Consequently,set up a structural equation model(SEM) of T.C.M. syndrome differentiation on chronic bronchitis,namely,the standardiation of T.C.M. syndrome differentiation. Results:1.Single factor analysis:The seven hypothesis syndrome paterns show skew distribution ,which among them the patern of phlegm-heat obstructing lung is 42.1%(295/700), the patern of latent phlegm obstructing lung is 7.7%(54/700), the patern of turbid phlegm obstructing lung is 15%(105/700),the patern of phlegm stagnation obstructing lung is 9.6%(67/700), the patern of asthenia of pulmonary qi is 7.1%(50/700),the patern of deficiency of both lung and spleen is 6.3%(44/700) and the patern of asthenia of both lung and kidney is 12.2%(85/700),and there is marked statistics difference(P<0.01). In the patern of phlegm-heat obstructing lung ,Leucocyte count ,GRE% and lung damp rale evidencely exceed other paterns comparatively(P<0.01) and there is statistics difference about chest X and lung wheeze(P>0.05).The masculine rate of sputum cultivation in the patern of phlegm stagnation obstructing lung is high, at the same time, FEF50% and FEF25% descend much evidencely(P<0.05).2.Excessive factor analysis : According to the result of cluster analysis ,corresponding analysis,EFA and CFA,we found that there is three syndrom paterns: the patern of phlegm-heat obstructing lung, the patern of deficiency of both lung and spleen and renal asthenia and blood stasis with standard regression confficient 0.4 asprimary and secondary critical point (GFI=0.961).Conclusion:The research set up the standardiation of T.C.M. syndrome differentiation by the way of epidemiology investigation and structural equation model analysis .The results are different from the ones previously,but they are objectivity.The research methods explored the possibilities of the modernization research of T.C.M. syndrome differentiation on chronic bronchitis and is good for going deep into research.