| Objective:This study attempts to adopt the questionnaire survey to analyze and explore the regularities of distribution and symptoms of sinusitis patients aiming at establishing the correlative relation among the TCM type, age, course of disease, type and stage and other related elements by means of data collecting and induction. Thus an in-depth study on the etiology and pathogenesis of Nasosinusitis can be obtained approaching from the angle of TCM to better confirm the clinical diagnosis and guiding treatment and offer further objective basis for the overall analysis of the medicine.Approach:The 301 cases are selected from the patients with sinusitis starting from June in 2008 to April 2011 admitted by Otolaryngology Department in the 1st affiliated hospital of Guangzhou University of TCM. All these patients measure up to the criteria of the outpatient and inpatient with sinusitis. The date collection and differentiation are done by the author himself with the help from one chief physician. Through the adoption of SPSS17.0 statistical software, the local distribution pattern of sinusitis patients can be obtained based on the correlative elements of the symptom feature, TCM type, age of onset, course of disease, type and stage and so on.Findings:The distribution research reveals that the syndrome type has the following percentage:syndrome of deficiency-weakness of spleen-qi (53.49%), syndrome of dampness-heat of spleen and stomach (29.90%), syndrome of wind-heat of spleen and lung (8.30% ), syndrome of qi deficiency of heart and lung (6.98%), syndrome of stagnated heat of gallbladder and internal organs (1.33%). Symptom study shows that male takes up 204 cases while female 97 among the 301 cases. The ratio is 2.1 to 1, which falls short of the obvious distinction through these five group types comparison (P>0.05), but it indicates that male outnumbers female. TCM syndrome differs in different courses of disease. The proportion of patients (course≥3 months) with syndrome of dampness-heat of spleen and stomach, of qi deficiency of heart and lung and deficiency-weakness of spleen-qi surpasses the other two groups. Touching on the connection between symptom and type, different type carries striking significance. Syndrome of wind-heat of spleen and lung in type one has a great proportion than the other four while syndrome of dampness-heat of spleen and stomach, of qi deficiency of heart and lung and deficiency-weakness of spleen-qi ranks high in the other two groups in type two. In the aspect of syndrome type and stage (three types and no stage difference), the differences are unnoticeable. It doesn't reveal much differences concerning the symptom feature as all share the common-seen symptoms of stuffy nose, shedding tears, diminished sense of taste, headache and a dizzy sense (P>0.05). Sneezing is relatively common among patients with syndrome of wind-heat of spleen and lung and syndrome of qi deficiency of heart and lung, taking up a larger percentage than the other three groups (P<0.05). Different nasal secretions and the various amount of sneezing also present some variation as the study shows patients with syndrome of wind-heat of spleen and lung, of stagnated heat of gallbladder and internal organs, of dampness-heat of spleen and stomach tend to produce more purulent and yellow nasal secretions, higher than the other two groups (P<0.01). Patients with syndrome of deficiency-weakness of spleen-qi produce more purulent and white secretions (P<0.01). Patients with syndrome of stagnated heat of gallbladder and internal organs, of dampness-heat of spleen and stomach produce great amount of catarrh, higher than the other three groups (P<0.05). Accompanying symptoms also spell different results. Syndrome one accompanying the dampness reveals a higher percentage than the other two types. (Since there is only one case for the accompanying symptoms of wind-heat of spleen and lung, of stagnated heat of gallbladder, of dampness-heat of spleen and stomach and zero for symptom of deficient cold of spleen and stomach, analysis concerning these will be not elaborated.)Conclusion:First, Guangzhou witnesses common syndromes of deficiency-weakness of spleen-qi and dampness-heat of spleen and stomach. Among all kinds of accompanying syndromes, the dampness is the major one. Second is about the sex differentiation. Male has a higher incidence than their counterpart but this alone cannot constitute for statistical significance. Next, Age is not an influential factor in the differentiation. Yet TCM syndrome differs in different courses of disease. The proportion of patients (course≥3 months) with syndrome of dampness-heat of spleen and stomach, of qi deficiency of heart and lung and deficiency-weakness of spleen-qi surpasses the other two groups. What's more, the distribution of sinusitis patients are as follows: case of syndrome of wind-heat of spleen and stomach in type one makes the top while cases of syndrome of deficient cold and dampness-heat of spleen and stomach, of deficiency spleen and qi rank higher than the other two. Different stages show no difference in syndrome. The common symptoms of stuffy nose, sneezing, and a diminished sense of taste, headache and a dizzy sense spell no difference in all kinds of syndromes. Patients with syndrome of wind-heat of spleen and lung, of deficient cold of lung and qi tend to sneeze more. Different naval secretions have different distribution. Patients with syndrome of deficient cold of spleen and lung will produce more fluid naval secretion while those with syndromes of wind-heat of spleen and stomach, of stagnated heat of gallbladder and internal organs, of dampness-heat of spleen and stomach produce more purulent yellow naval secretion. Patients with syndromes of deficiency-weakness of spleen-qi will have more purulent white naval secretion. Various amount of catarrh indicates differences in different types of syndrome with the higher proportion in the syndromes of stagnated heat of gallbladder and internal organs, of dampness-heat of spleen and stomach. |
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