Study On The Syndrome Distribution Of TCM And Differentiation Of Symptoms And Signs Normalization Of Acute Upper Respiratory Infection In Lingnan Region

Theory Background:Acute upper respiratory infection is a nasty out-patient service familiar disease and frequently encountered disease, accounting for about 60% of seek medical advice case around, but this disease around have 70—80% is cause by the virus. At present, the western medicine still lacks the treatment medicine of special effect to the virus disease.But Chinese medicine can rise better clinical curative effect to the case, especially pass by 2003"SARS" affairs, the Chinese medicine causes the concern in the world by its special curative effect, and get the affirmation by the WHO expert.But currently in this disease treatment the dialectical cent type is confusion and there is no united standard of the TCM, and this will hindrance to clinical curative effect of evaluate the Chinese medicine medicine and make it hard expansion. At present the research of differentiation of symptoms and signs in acute upper respiratory infection was not carry on so far. Objective:Carry on a questionnaire to the impatient acute upper respiratory infection sufferer, describe the syndrome distribution of TCM in initial of the acute upper respiratory infection, and do the statistical analysis to explore the the syndrome distribution of TCM and the diagnostic criteria of corresponding syndrome in the first, and then make basis for the later systemic study which will proceed in many centers and observe more patient. Method:After the cultural heritage investigation, expert consult with and prepares the method of the information correction of the inquisition feedback,the Chinese medicine clinical questionnaire is designed and induced about acute upper respiratory infection, draw lessons from the method of questionnaire interview in the social medical science, In September, 2004-2005 September year, to the 814 example of acute upper respiratory infection which match diagnosis standard and bring into standard and come to emergency call out-patient service and stay a view to seek medical advice in my hospital,we will carry on norm questionnaire investigation, and the questionnaire is filled in by the investigator. At last the datebase will be established, using the spss 13. 0 statistical package to establish data base, and using the description analysis and cluster analysis to analyzes and induces the syndrome distribution characteristics of TCM about the acute upper respiratory infection, establishing its basic certificate to wait and each certificate of diagnosis standard. Result:This research collects 814 cases which match diagnosis standard and bring into standard, passing principle and Mathematical Statistics knowledge of the usage Epidemiology, and combine clinical theories knowledge, thinking that the acute upper respiratory infection devided into 6 types by differentiation of symptoms and signs of TCM is fit with clinic: wind-cold syndrome was 198 cases (account 24.3%) , wind-heat carry damp syndrome was 185 cases (account 22. 7% ) , affection of exotenous wind-cold syndrome was 175 cases (account 21. 5 %) , wind-heat syndrome was 120 cases (account 14.7%) , xternal cold and internal heat syndrome was 74 cases (account 9. 1%) , summer hygrosis syndrome was 62 cases(account 7.6%) .The certificate of each syndrome diagnosis standard is: (D wind-cold syndrome: fever with chilliness, clear nasal discharge, nasal obstruction, cough, headache, aching pain of the body, debilitation, carmoisine body of the tongue, thin-white lingual fur, the vein float;(D summer hygrosis syndrome: fever, cough, hawk yellow spit, pharyngalgia, headache, dry mouth and thirsty, aching pain of the body, head and body weight, bad appetite and debilitation, carmoisine body of the tongue, thin-yellow lingual fur, the vein float or quickly;(3)affection of exotenous wind-cold syndrome: fever with chilliness, headache, aching pain of the body, head and body weight, cough, bad appetite and debilitation, carmoisine body of the tongue, thin-white-greasy lingual fur, the vein float;(Dwind~heat carry damp syndrome: fever with chilliness, pharyngalgia, thirsty and desiring drink,headache, cough, debilitation, head and body weight, red body of the tongue, thin-yellow-greasy lingual fur, the vein float or quickly;?wind-heat syndrome: fever, pharyngalgia, thirsty and desiring drink, cough, bad appetite and debilitation, headache, chilliness, carmoisine body of the tongue, or red margin of tongue and apex of linguae, thin-white lingual fur, the vein float, or quickly;?external cold and internal heat syndrome: fever with chilliness, clear nasal discharge, nasal obstruction, pharyngalgia, thirsty, cough, headache, red body of the tongue, thin-yellow lingual fur, the vein float or quickly. Conclusion:The main 6 types of TCM syndrome in every stage of acute upper respiratory infection: wind-cold syndrome, summer hygrosis syndrome, affection of exotenous wind-cold syndrome, wind-heat carry damp syndrome, wind-heat syndrome, external cold and internal heat syndrome. Among them wind-cold syndrome is the most familiar, but affection of exotenous wind-cold syndrome, wind-heat carry damp syndrome, wind-heat syndrome is also familiar in clinic, summer hygrosis syndrome and external cold and internal heat syndrome is fewer, and this indicate the the syndrome characteristic of TCM of acute upper respiratory infection in Lingnan Region, and this will be advantageous to clinical dialectics of the norm turn and diagnose to cure of standardize,make the foundation to distribute the syndrome distribution of TCM characteristics of acute upper respiratory infection in Lingnan Region and whole country.