The Distirbution Of TCM Syndromes Of Female Corticosteroid Dependent Dermatitis

ObjectiveThe clinical questionnaire on corticosteroid dependentdermatitis patients, aims to investigate the corticosteroiddependent pattern distribution of TCM syndrome dermatitis，analysis of differences between various types of age, diseaseduration, severity of the rash, for the next step to carry outmulticenter, large sample of basic and clinical research oftraditional Chinese medicine for the disease treatment to make apreparation.MethodsThis topic adopts the method of clinical epidemiologicalinvestigation and design unified epidemiological survey, collecta hospital dermatology outpatient service in wuhan citycorticosteroid dependent dermatitis patients diagnosed by clinicalfour diagnostic data, based on clinical signs and symptoms(including the lingual vein) and skin specialist inspection records,in accordance with the criteria for the diagnosis of syndromeelements, identified as the syndrome, then the documents after the syndrome distribution of statistical analysis, the integration ofTCM syndrome type and the age of the object of study, course, rashscore, tongue for the statistical analysis of the correlation ofpulse condition, find rules and conclusions.Results1.General information:109cases with complete coriaceous steroid hormone dependencedermatitis of TCM syndrome investigation, age is22~58years old,average age (35.42+6.73); Duration is1~36months, the averagetime (11.17+7.14) months; Skin friendliness is divided into6~26points, the average overall is divided into (12.81+4.18);According to lesion severity to moderate appear frequency, most of68cases, accounting for62.4%of the total frequency2.Symptoms of traditional Chinese medicine analysis:After statistics compiled24TCM symptoms, according to theoccurrence frequency of high and low, rounding out the top10arein turn, dry mouth, chills, weakness of limbs owe temperature,burnout, stool stem node, thirst or cold drink, urinate, defecatetoo sticky, thirsty to drink, urine at night. Tongue like frequencyof tongue color in dark red, is the highest frequency of39times,or35.78%of the total respectively, tongue to appear fat big tonguefrequency up to65times, or59.63%of the total; Appears with smoothwhite and moss greasy moss as frequency up to27times, accountingfor24.77%of total cases; Pulse condition with heavy fine to appearfrequency up to25times per second, or22.94%of the total.3.TCM syndrome type distribution Concrete can be divided into seven kinds of syndrome types,respectively actions wet card dampness syndromes, Yang deficiencysyndrome, blood stasis, and qi stagnation syndrome, blood stasissyndrome, qi deficiency and blood stasis syndrome, Yin deficiencysyndrome, real hot, real hot+wet syndrome, occurrence frequencywith Yang deficiency and dampness and blood stasis for a maximumof35cases, accounting for32.11%of the total cases, followed bythe Yang deficiency syndrome+wet for26cases, accounted for23.85%of total cases; There are two or two to the Shanghai type(compound syndrome) in91cases, a total of5type, Yang deficiencyand dampness syndromes (26cases,23.85%), Yang deficiency anddampness and blood stasis syndrome (35cases,32.11%), qi and bloodstasis (13cases,11.93%), qi deficiency and blood stasis syndrome(6cases,5.51%), hot and humid card respectively accounted for83.49%of the number of cases. And single certificate type, a totalof18cases, Yin deficiency syndrome and heat syndrome type2, only16.51%of the total number of cases. With most factors syndromeappear frequency, a total of61cases, accounting for61.47%of thetotal. Single card type analysis, occurrence frequency in wet cardup to72times, followed by Yang deficiency syndrome in61cases.4.Actions analysis of symptoms and signsFrequency>30%of the sequence is: the whole body chills,without god, lip color blue, cold limbs, stool stem node, thirstof thermophilic urinate after drink, drink more. All appear tonguefat big, moss, tongue color to dark red appear most frequency, atotal of39times; Moss like most appears in white and greasy mossfrequency, a total of27times; Pulse condition with heavy fine to appear the most frequency, a total of25times per second. Chillsfeel appears in the whole body chills most frequency, a total of39times; Limbs chilled feeling appear the most frequency with coldlimbs, a total of33; Frequency appears most after pee to drink more,a total of21times; Most appears in hard stool frequency, a totalof29cases; Feeling thirsty to drink thirsty thermophilic appearmost frequency, a total of24times; Lip color with bright red appearfrequency, most of35times.5.Card type and age, course, correlation analysis of skin lesionAge between seven kinds of syndrome type, duration, her lesionshave no obvious difference.Conclusions1. Adult female patients with Corticosteroid dependence dermatitissyndrome distribution is complex, the factors most, with Yangdeficiency and blood stasis and dampness syndromes appear most,Yang deficiency syndrome is one of the syndromes that cannot beneglected.2.Corticosteroid dependence dermatitis of Yang deficiency syndromein patients with systemic symptoms to the whole body chills, coldlimbs, urinate, defecate after pee to drink more to hard, thirst,thermophilic drinks, lip color bright red, big fat tongue, moss,color dark red tongue, white and greasy moss, pulse heavy fine togive priority to.3. Each card type between age, length of course of disease, severitylesion had no obvious difference.