Liver, Stomach And Discord, Yin Heart Card Loss In Diabetic Patients With Depression Of The Combination Of Syndrome And Clinical Symptoms And Clip Rule Research

Object:To explore the secondary syndromes and accompanying symptom of diabetic patients with depressive state whose main syndrome is disharmony between the liver and stomach, deficiency of the heart-yinMethods:in the period from April2012to November2012, China Academy of Traditional Chinese Medicine, Guang An Men Hospital of Endocrinology,341patients with type2diabetes in hospitalized patients。 We collect their basic information and let them do the self-rating depression scale ((SDS).Then we screened103patients with diabetic patients with depressive state;For these103patients,we ask them do the "disharmony between the liver and stomach、 deficiency of the heart-yin main syndromes" questionnaire survey, at last we screened94diabetic patients with depressive state whose main syndrome is disharmony between the liver and stomach, deficiency of the heart-yin as the research object.We collect their basic information, including age, marital status, education level, occupation, BMI, duration of diabetes, medication, clinical symptoms, tongue and pulse.I analysis their secondary syndromes and accompanying symptom outside the main syndromes and observe the regularity.Use SPSS18.0software, with a clustering method to classify sub-symptoms, the individual symptoms which can not be classifide will be regard as the accompanying symptoms.I comparared the statistical results with "the Chinese Internal Medicine "," Practical Traditional Chinese Internal Medicine "," Chinese medicine diagnosis "and "TCM clinical diagnosis and treatment of term symptom national standards" to summarize and analyze its syndromes type.Results:The frequency statistics, in the secondary symptom of diabetic patients with depressive state whose main syndrome is disharmony between the liver and stomach、deficiency of the heart-yin."susceptible sigh, fatigue, blurred visibion, thirst and desire for drinking, chest tightness, pain over the back and loins, numbness of the limbs" get the highest frequency;clustering statistics can be divided into7classes.namely:Qi and Yin deficiency syndrome, blood stasis syndrome,with susceptible sigh and chilly sensation (9cases,9.57%); Qi deficiency syndrome(26cases,27.66%); kidney yang deficiency syndrome, blood stasis syndrome,with thirst and desire for drinking, night sweats (11cases,11.70%); Qi and Yin deficiency syndrome(11cases,11.70%); Exuberance of liver-fire syndrome, blood stasis syndrome(22cases,23.40%); disturbance of the spleen-yang due to dampness syndrome, deficiency of the kidney yin syndrome,blood stasis syndrome, with susceptib (6cases,6.38%) le sigh; depressed liver syndrome, yang deficiency and blood stasis syndrome,with body fat, blurred visibion (9cases,9.57%)Conclusion:the secondary syndromes and accompanying symptom of diabetic patients with depressive state whose main syndrome is disharmony between the liver and stomach, deficiency of the heart-yin can be classfied into7group,namely:Qi and Yin deficiency syndrome, blood stasis syndrome,with susceptible sigh and chilly sensation(9cases,9.57%); Qi deficiency syndrome (26cases,27.66%); kidney yang deficiency syndrome, blood stasis syndrome,with thirst and desire for drinking, night sweats (11cases,11.70%); Qi and Yin deficiency syndrome (11cases,11.70%); Exuberance of liver-fire syndrome, blood stasis syndrome(22cases,23.40%); disturbance of the spleen-yang due to dampness syndrome, deficiency of the kidney yin syndrome,blood stasis syndrome, with susceptib (6cases,6.38%) le sigh; depressed liver syndrome, yang deficiency and blood stasis syndrome,with body fat, blurred visibion (9cases,9.57%).the secondary syndromes and accompanying symptom of diabetic patients with depressive state whose main syndrome is disharmony between the liver and stomach, deficiency of the heart-yin is more complex, asthenia syndrome is mixed with exces syndrome, asthenia syndrome is the main syndrome.Asthenia syndrome include qi deficiency, yin deficiency and yang deficiency, exces syndrome include blood stasis、fire due to excess、damp pathogen、stagnation of qi.