The Clinical Distribution Law Research Of Rheumatoid Arthritis In TCM Syndrome Type

Objective1,To observe the clinical case investigation, literature retrieval and expert consultation, using statistical methods for Rheumatoid arthritis (RA) was researched syndromes.2,Find out the common syndrome in TCM of Rheumatoid arthritis, the clinical symptoms often syndrome and distribution as well as the relationship between the symptoms.Methods1. Rheumatoid arthritis of literature in the clinical symptoms nouns undertake unity norms, using clinical information collection table, to research the 1,024 cases from hospital (ShenZhen hospital of TCM)·patients with Rheumatoid arthritis outpatient epidemiology cross-sectional survey, analysis Rheumatoid arthritis generally symptoms and syndrome factor distribution regularity and features.2. Using the database construction, and data entry management, through comprehensive collection related functions of software TCM clinical data and four clinics syndrome material, to statistical analysis rheumatoid arthritis symptoms, syndrome type, tongue syndrome elements of pulse condition.Results1. Draw 1024 cases of Rheumatoid arthritis case syndrome in TCM distribution frequency statistics, through the analysis of the data collected information table, combining the expert opinion, the top five from high to low with symptoms of sequence for:joint swelling,joint tenderness,feel chill, flexion and adverse, lumbar debility. The first three tongue qualitative:dark, pale and red tongue. The first three common tongue fur is:moss white, moss white greasy, moss yellow. Top three for pulse is:pulse slippery, pulse tiny, pulse string, etc.2.According to experts and dialectical draw, spleen and kidney deficiency syndrome, phlegmy wet resistance winding certificate, the wind cold dampness bi-complex certificate, wet stasis bi-complex resistance certificate and etc. For more often witness syndrome in TCM.Conclusion1. After research, we know about the Rheumatoid arthritis that common syndrome distribution for remembering syndrome in TCM is spleen and kidney deficiency syndrome (34.6%), phlegmy wet resistance winding (14.6%), the wind cold dampness bi-complex card (10.5%), wet stasis syndrome (10.2%); Common symptoms for joint tenderness (82.1%), joint swelling (69.8%), expand adverse (63.9%), feel chill(56.6%)and lumbar debility (56.6%), lumbar debility (53.8%); Common tongue quality as:dark tongue (71.6%), tongue dark, pale (64.1%) and red tongue (34%); Common tongue fur is:moss white (66.6%), moss white greasy (58.4%), moss yellow (48.1%). Common pulse condition is:pulse slippery (62.1%), pulse tiny (31.30%), pulse string (25.1%); Often syndrome elements in TCM for:yang deficiency (82.1%), wet (62.9%), blood stasis (57.2%), cold (51.1%).2. Analysis of Rheumatoid arthritis symptoms, signs, often syndrome elements in TCM factor, found the corresponding relationship between spleen and kidney deficiency syndrome common than other type(p<0.05), for Rheumatoid arthritis, and the basic syndrome flexion adverse, lumbar debility,tongue pale, moss white greasy, pulse slippery, Yang, wet on the diagnosis, spleen and kidney deficiency syndrome to have the important meaning.3. Spleen and kidney deficiency syndrome are easily to developing other type.