Gouty Arthritis Syndrome Differentiation Preliminary Discussion

Objective:To investigate the incidence characteristics, type of syndrome and syndrome element of gouty arthritis.Provide the dialectical and theoretical basis for Chinese medicine prevention it.Method:Reference gouty arthritis etiology, clinical characteristics,draw up questionnaire of gouty arthritis, used to analyze composition ratio of the incidence characteristics;using frequency analysis method, analyze it symptoms,signs distribution characteristics;use of traditional Chinese medicine-assisted software to permit the syndrome element to explore the distribution of certificates;using cluster analysis method for clustering in patients with gouty arthritis, combined with traditional Chinese medicine theory and method permits to establish the elements of TCM manifestation of syndrome.Results:the incidence of gouty arthritis characteristics and dialectical norms.Morbidity characteristics:diet in the pathogenesis of accounts for a large factor; the gender dimension in patients with male to female ratio 9.29:1,the incidence of age to 61-70 years of age the most.Manifestation of syndrome characteristic:the evidence of a higher frequency metatarsophalangeal joint, ankle joint pain, joint swelling, activity detrimental mamillata, local burning sensation, yellow tongue fur, pulse string, burning, joint red, sore fixed, insomnia, hard pain in night. Syndrome element:Disease Slip elements:bones, kidney, skin, liver; Disease Proof elements:wet, blood stasis, heat, yin deficiency, phlegm, blood deficiency, qi deficiency, yang deficiency.Type of syndrome:bones damp-heat blood stasis syndrome, liver and kidney deficiency and blood stasis syndrome bones damp heat, blood stasis bones,muscles cold dampness blood stasis, kidney bones damp heat and blood stasis,Tanning skin, bones and muscles damp-heat blood stasis syndrome.Conclusion:from location syndrome element view, mainly concentrated in the bones and muscles,which is the clinical gouty arthritis occur in the metatarsophalangeal joints consistent; comorhidity syndrome element is mainly wet, heat, blood stasis,yin deficiency, and clinical conditions more evidence is consistent with the latter part of inclusions actual situation.Type of syndrome distribution characteristics:Common evidence there is hot and humid, blood stasis, phlegm, cold to hot and humid most of them. There is Yin deficiency, blood deficiency, kidney deficiency You Yi Yin, kidney more, actual situation mixed syndromes are generally hot and humid bones and liver and kidney folder. Clinical syndromes are generally positive, and the actual situation mixed card type, rarely simple deficiency.