Non Traumatic Femoral Head Necrosis Syndrome Characteristics Of Traditional Chinese Medicine Research

Non-traumatic femoral head necrosis is a pathological process leading to a living bone tissue necrosis of the femoral head internal due to non-traumatic femoral head blood flow obstacle. Due to the disease etiology numerous complex pathogenesis, serious late can cause severe dysfunction of the hip, even crippled, clinical treatment difficult, thus becoming one of the incurable diseases of modem medicine. Personal clinical practice, however, many differences, so the lack of a relatively unified objective dialectical standard. So we need to explore traditional Chinese medicine syndrome of non-traumatic osteonecrosis of the femoral head. The study begins with the early acquisition of the non-traumatic femoral head necrosis TCM Syndrome Scale, and then summarized the perfect pre TCM syndromes acquisition Scale, then use of TCM Syndrome Scale modified for data acquisition, establish an objective non-traumatic osteonecrosis of the femoral head the TCM syndromes mathematical model to explore non-traumatic osteonecrosis of the femoral head the TCM syndromes scientific research method, relatively objective evaluation of non-traumatic avascular necrosis.The first part Non-traumatic osteonecrosis of the femoral headretrospective study of traditional Chinese medicine syndrome Purpose:Analysis of non-traumatic osteonecrosis of the femoral head in patients with traditional Chinese medicine syndrome:Discussion and further improve the non-traumatic osteonecrosis of the femoral head TCM Syndrome Scale.Method:1. Information previously collected non-traumatic femoral head necrosis in patients with TCM syndrome and analyzed. Syndrome analysis clinicians discussion and analysis.2. According to clinicians to discuss the results and previous research and literature review syndromes improved information collection form, formulated the TCM syndromes collecting table of non-traumatic osteonecrosis of the femoral head, which is more comprehensive and accurate.Result:Early collection of1130cases of non-traumatic avascular necrosis of the femoral head in patients with TCM climate acquisition scale cluster analysis, discussion and analysis through clinical Chinese medicine expert group, with reference to the "TCM Syndrome Diagnostic efficacy of the standard" and "osteonecrosis of the femoral head and the three-four dialectical thinking "comprehensive judgment, we can go out five categories, the first category attributable to the" phlegm network ". the second category attributable to" meridians Blockage ". The third category is attributable to the same "phlegm network" category, can be combined with the first class collectively referred to as "the phlegm network, the fourth attributable to the "weak blood", the fifth attributable to the liver and kidney deficiency.Conclusion:Scale climate information collection by non-traumatic femoral head necrosis in patients with TCM results of mathematical statistics and refer to TCM Syndrome Diagnostic efficacy of the standard as well as osteonecrosis of the femoral head three IV dialectical thinking, clusteringthe categories can be effective comprehensive non-traumatic osteonecrosis of the femoral head in patients with traditional Chinese medicine syndrome. However, we found that this stage can collect the results of the pre-effective classification, but each type of syndrome there is a small number of syndromes comprehensive shortcomings, mainly because pre TCM Syndrome Scale the contained in traditional Chinese medicine syndrome less information, at the same time due to the uncertainty of the clinical collection of tongue and face like syndrome diagnosis has a very important significance is not reflected in the TCM Syndrome scale, in further clinical studies. we need to improve the TCM Syndrome scale, increase of tongue and face as other related information, to provide more accurate and reliable basis for the further study of non-traumatic femoral head necrosis. The second part Non-traumatic osteonecrosis of the femoral head prospective study of traditional Chinese medicine syndrome Purpose:Using statistical methods to interpret analysis of improved non-traumatic femoral head necrosis TCM Syndrome Scale, analysis of non-traumatic osteonecrosis of the femoral head in patients with traditional Chinese medicine syndrome;Method:1. Using improved non-traumatic osteonecrosis of the femoral head the TCM syndrome information collection table conduct outpatient and hospitalized patients information collection. Including gender, age, body mass index, place of residence and other general information.2. Organize collected samples, the use of cluster analysis and principal component analysis of its mathematical statistics. Panel discuss syndrome analysis.3. The samples will be collected according to the different stages of the classification for each category of principal component analysis of the different phases of TCM syndromes based on principal component analysis and expert judgment.4. Acquisition of non-traumatic avascular necrosis of the femoral head in patients with tongue and DSOI-B-type tongue. Diagnostic information collection system and application software for reading and recording of non-traumatic avascular necrosis of the femoral head in patients with Tongue, using RGB、HSV、Lab color analysis model tongue characterization measurements.Result:1. The TCM syndrome patients with non-traumatic osteonecrosis of the femoral head information collection, and the use of cluster analysis and principal component analysis TCM syndrome scale collection for analysis, divided into six categories, the first category attributable to the meridians Blockage:fixed pain, tingling, pain, dark complexion, petechiae tongue, scalloped tongue, fat and tongue, yellow coating; second of only three local tongue and can not effectively reflect a permit and therefore can not effectively owned byclass, and therefore this category shall be carried out classification, attributable to wind musculoskeletal: joint for cold, dull pain, sore refused to press, heat-loving evil cool, joints, fever, poor appetite, abdominal distention after eating, pantothenic acidtongue slip; fourth attributable to blood deficiency:headache, sore hi, shortness of breath, pale white, white coating; fifth attributable to "the phlegm network:pain, flank pain, phlegm, head such as wrap, dizziness, the surface limb edema, chest tightness, heart palpitations, shortness of breath, dark red lips; sixth attributable to the liver and kidney deficiency:joint heavy rainy days increase after the increase at nightTong Shen, abdominal Leng Tong. spontaneous, weak waist, morning stiffness, hot flashes, dysphoria fever, body tired fatigue, night sweats, flushing, pale complexion; the same time, we found that in the clinical course of the vesting, three, four types of the disease in clinical practice machine, belong to the same "meridians Blockage", consistent with the clinical diagnosis, we attributable to these three categories "meridians Blockage, according to the results of the analysis, we canthat the non-traumatic osteonecrosis of the femoral head TCM syndromes:the "meridians Blockage","the phlegm network, three types of the liver and kidney deficiency.2. Through research and analysis, we found that non-traumatic osteonecrosis of the femoral head II patients in different stages of TCM syndrome characteristics "phlegm network-based, Ⅰ, Ⅲ, the Ⅳ of the traditional Chinese medicine syndrome need in future studies further to complete the process and ultimately draw the different stages of traditional Chinese medicine syndrome.3. In273cases of non-traumatic avascular necrosis in patients Ⅰ, Ⅱ, Ⅲ, Ⅳtongue color change research, we found that for stage I patients collected less, being the first to discuss research, to be the follow-up study and improve further explored:Ilpatients with tongue color pink, dark red tongue tongue tongue purple pink tongue, tongue dark red. purple tongue: Phase Ⅲ patients; Ⅳ patients with dark red tongue.In273cases of non-traumatic avascular necrosis in patients Ⅰ, Ⅱ, Ⅲ, Ⅳtongue color change research, we found that for stage I patients collected less, being the first to discuss research, to be the follow-up study and improve further explored:Ⅱ patients with moss color white fur, gray moss; phase Ⅲ patients mainly white fur, yellow and white fur and president, gray moss; Ⅳ patients mainly white fur. yellow and white fur and president, gray moss.In273cases of non-traumatic avascular necrosis in patients Ⅰ, Ⅱ, Ⅲ, Ⅳ tongue color change research, we found that for stage I patients collected less, being the first to discuss research, to be the follow-up study and improve further explored;Ⅱ patients with moss material is mainly moss thin, thick and greasy fur; Phase III patients with thin fur; IV patients with thin fur.In273cases of non-traumatic avascular necrosis in patients Ⅰ, Ⅱ, Ⅲ, Ⅳ tongue color change research, we found that for stage Ⅰ patients collected less, being the first to discuss research, to be the follow-up study and improve further explored:Ⅱ patients with tongue color fat, scalloped:Phase III patients mainly fat, scalloped, crack; Phase IV were mainly fat. crack.In273cases of non-traumatic osteonecrosis of the femoral head in patients with different causes of tongue color change research, we found that the hormone causes of non-traumatic osteonecrosis of the femoral head in patients with tongue color is dark red tongue, purple tongue; alcohol causes of non-traumatic sharespatients with osteonecrosis tongue tongue color pink, dark red tongue, purple tongue; unknown causes of non-traumatic osteonecrosis of the femoral head in patients with tongue color dark red tongue. tongue purple.In273cases of non-traumatic avascular necrosis of the femoral head in patients with different causes the moss color change research, we found that the hormone causes of non-traumatic osteonecrosis of the femoral head in patients with moss color white fur. gray moss; alcohol causes of non-traumatic avascularnecrosis in patients with moss color white furm gray moss; unknown causes of non-traumatic osteonecrosis of the femoral head in patients with moss color white moss.In273cases of non-traumatic avascular necrosis of the femoral head in patients with different causes of moss qualitative change research, we found that the hormone causes of non-traumatic osteonecrosis of the femoral head in patients with moss material is mainly moss thin, thick and greasy fur; alcohol causes of non-traumatic avascular necrosis in patients with moss quality moss thin, thick and greasy fur;unknown causes of non-traumatic osteonecrosis of the femoral head in patients with moss material is mainly thin fur.In273cases of non-traumatic avascular necrosis of the femoral head in patients with different causes of tongue-shaped change research, we found that the hormone causes of non-traumatic osteonecrosis of the femoral head in patients with fat tongue-shaped, scalloped; alcohol causes of non-traumatic osteonecrosis of the femoral head patients with tongue-shaped fat, scalloped crack; unknown causes of non-traumatic osteonecrosis of the femoral head in patients with tongue-shaped fat.Conclusion:1. Cluster analysis and principal component analysis for the study of non-traumatic osteonecrosis of the femoral head in patients with traditional Chinese medicine syndrome has a very important significance and support role; TCM standards and guidance for the development of the specification of non-traumatic avascular necrosis non-invasivethe clinical treatment of femoral head necrosis has great significance.2. By cluster analysis and principal component analysis of non-traumatic osteonecrosis of the femoral head the TCM syndromes summarized as follows:(Blockage of the meridians, cold and dampness, qi and blood deficiency), phlegm and blood stasis, liver and kidney deficiency.3. non-traumatic osteonecrosis of the femoral head II patients in different stages of TCM syndrome characteristics to "phlegm network" based.4. Non-traumatic osteonecrosis of the femoral head Ⅰ, Ⅱ, Ⅲ, Ⅳpatients with tongue color quality moss, moss color and tongue-shaped Collected in this study patients with stage I small number of cases, it is not to discuss the stage I patients with tongue color quality moss, moss color and tongue-shaped. Results can be found non-traumatic avascular necrosis of the femoral head II patients Tongue, tongue pink or dark red or purple tongue, white or gray, moss thin or thick and greasy, fat tongue or teeth marks. Ⅲ patients of non-traumatic osteonecrosis of the femoral head Tongue, the tongue pink or dark red or purple tongue, white or yellowish-white president or dark gray. thin, fat tongue or scalloped crack. Non-traumatic osteonecrosis of the femoral head Ⅳ patients Tongue, tongue pink or dark red or purple tongue, white or yellowish-white president or dark gray, thin, fat tongue or crack.5. Caused due to different reasons in patients with non-traumatic avascular necrosis of the tongue color quality moss. moss color and tongue-shaped Results can be found non-traumatic avascular necrosis of the femoral head II patients Tongue, tongue pink or dark red or purple tongue, white or gray. moss thin or thick and greasy, fat tongue or teeth marks. Ⅲ patients of non-traumatic osteonecrosis of the femoral head Tongue, the tongue pink or dark red or purple tongue, white or yellowish-white president or dark gray, thin, fat tongue or scalloped crack. Non-traumatic osteonecrosis of the femoral head Ⅳ patients Tongue, tongue pink or dark red or purple tongue, white or yellowish-white president or dark gray, thin, fat tongue or crack.