| Research background:Chinese Vertigo has become the "wind, phlegm, virtual. Stasis" pathogenesis of this clinical system has been in use ever since. Old vertigo disease complicated syndrome differentiation type more, the lack of uniform standards, clinical treatment has been mostly empirical syndrome differentiation, no recognized diagnostic and treatment practices to follow. Hope that through this research project, looking for clinical objectivity, applicability and feasibility strong evidence basis for diagnostic criteria of Hou. The issue came from Shandong Province Administration of Traditional Chinese Medicine clinical research projects, subject No.:2005-191.Objective:In this study, through clinical research, expert advice, a combination of clinical investigation, the preparation of TCM syndrome distribution elderly dizziness questionnaire study, large sample, multi-standard form of collection cases, collecting basic data entry is completed, the establishment of a database. On this basis, cluster analysis and factor analysis and other methods, of 532 cases of TCM symptoms and distribution of old age vertigo.Results532 cases divided into 11 elderly patients with vertigo syndrome:to phlegm obstruction syndrome 114 cases (21.4%), followed by 111 cases of liver yang, respectively (20.86%), phlegm in the resistance-type 79 patients (14.85%), yin 78 cases (14.66%), qi and blood deficiency type 52 cases (9.87%). kidney essence deficiency type in 44 cases (8.27%), phlegm on the Mongolian type 38 cases (7.14%), stasis Blood type blocking orifices 11 cases (2.07%), disturbance of wind-yang type 2 cases (0.38%), Qi and Blood Stasis in 2 cases (0.38%), Qi phlegm type 1 cases (0.19%). Through basic statistics, we can conclude that old age vertigo syndromes rather scattered, almost all of phlegm and blood stasis syndrome were observed there. 532 cases of elderly patients by cluster analysis of vertigo can be divided into six categories, by experts to discuss the name given to the appropriate card type, according to the number of cases from the largest to smallest were:phlegm and blood stasis blocking network (114 cases), liver yang type (111 cases), phlegm in the resistance-type (79 cases), Yinxuyangkang (78 cases), blood deficiency type (52 cases), kidney essence deficiency type (44 cases).After basic data statistics, factor analysis, cluster analysis, we have six categories to reflect the 532 cases of elderly patients with vertigo syndrome group based Syndromes combination categories.The first group TCM symptoms consistent with phlegm and blood stasis syndrome resistive network, mainly related symptoms include:dizziness or vertigo, stretching, headache, dizziness, chest tightness, tinnitus, nausea, vomiting, thirst do not want to drink, dull red tongue, petechiae, Moss white, pulse string astringent. The second group in line with traditional Chinese medicine symptoms of liver yang syndromes, mainly related symptoms include:dizziness or vertigo, stretching, headache, tinnitus, chest tightness, nausea, vomiting, irritability, mamillata dark, moss yellow, slippery pulse string. TCM symptoms consistent with third taxa obstructing phlegm, the main symptoms include: dizziness or vertigo, dizziness, fatigue, chest tightness, nausea and vomiting, anorexia, tongue body fat, Indented or crack, pale tongue, thick moss, pulse moisten slip. The fourth assemblage TCM symptoms consistent with Yinxuyangkang syndrome, the main symptoms include:dizziness or vertigo, blurred vision, Yaoxisuanruan, tinnitus, forgetfulness, fatigue, tightness, five hot upset, insomnia and more dreams, mamillata, less moss, pulse Shen string. Groups of symptoms consistent with the Fifth Chinese qi and blood deficiency syndrome, the main symptoms:dizziness or vertigo, dizziness, head Shen, blurred vision, weakness, loss of appetite, insomnia, pale tongue, little coating or thick, the pulse was false. The Chinese medicine symptom 6 categories with kidney precision losses virtual permit waiting, the main symptoms, dizziness and dizziness, things will not back the knee, acid soft tinnitus forgetful, weak chest tightness, insomnia, Dream tongue body weight, tongue, the red, she, pulse sunken string.Conclusion:The large sample survey of the clinical, Our preliminary view is older stun the type of Chinese medicine on the basis of evidence on blocking network card, liver, and Yang, the resistance of wet, Yin Yang and false evidence of a virtual gas blood loss, kidney precision losses Virtual Card, subject to the virtual one card. Contact resistance on the process of the Research found that the new card, and the remaining five previous medical books, scholars argued. The virtual mainly liver and spleen, kidney 3 Tibet, the standard of the process,on,the wind and fire 4 end process on the disease first incidence. dizziness or dizziness, headache, and inflation, nausea, forgetful, weak, chest tightness, insomnia, numbness are the main clinical symptoms, such certificates in the distribution pattern of the older dizziness basic disease.Application of factor analysis and cluster analysis, access to old age vertigo TCM symptoms of the main clinical symptoms and the correlation between the degree of vertigo that traditional Chinese medicine for the elderly classification and diagnosis of clinical syndromes standardized clinical reference value for research. |