Comparsion Of The Pathogenic Factors Of Female Adult Acne And Adolescence Acne And Analysis Of Characteristics Of TCM Syndromes

Objective: To investigate the differences of the factors between female aduli acne ang adolescent acne and the distribution of TCM syndromes,thus,the effectiveness of diagnosis and treatmnt for acne will be improved. Methods: There were 197 cases of female patients with acne vulgaris collected in dermatology department of Yunnan Hospital of TCM in the period of January 4, 2014 to January 31,2015. The disease can be divided into the type of adolescent and that of adult by age of 25.The doctor made the diagnosis,divided the patients into different levels according to the Pillsbury grading standard grading and made sure the types of the patients according to the type of syndrome diagnostic criteria of TCM.Meanwhile,the patients should complete the questionnaire survey independently with the guidance of doctors,the contents of questionnaire contains basic information, related factors and clinical symptoms.After collecting thequestionnaires, we put them in order and excluded the ones which isn’t fit to the requirement.Inputing datas into computer by two persons and analyzing them using the Statistical Product and Service Solutions(SPSS19.0).Finally the results was showed. Results: 1.In the incidence of related factors,the individuals who have oily and combination skin,like eating sweet cake or spicy food,working in the midnight,is sensitive to season changes,has mental pressure,are likely to aggravatein the period of premenstrual and menstrual occupied the great portion among all patients.The part which acne occurs frequently is forehead, cheeks and mouth.On the main predisposing factors and incidence of part two groups showed no significant( P > 0.05). 2.Acne be complicated by Chloasma were much higher than the adult type group,compared with the adolescent group,the difference between the two groups was very significant( P <0.01). 3.Female aduld acne type locations were different with the adolescent acne type: imblance of chongren most belonged to the adults, liver fire type most belonged to the adolescent group, the two group had sigficant meanning by comparation( P <0.01). 4.the relationship between tcm diagnosis type and the serious degree ranking of acne: the type of lung heat syndrome common wind is most observed among the patients on the level ofⅠin adults and adolescents, there was no significant between the two groups( P > 0.05).The type of a disorder syndrome is most observed among the patients on the level of II in adults and the type of the common fire common is most observed in adolescents, significance is found in the comparision of the two groups( P <0.05).The type of intestines andstomach wet and heat syndrome and blood stasis Tan Ning common is most seen in both groups on the type of Ⅲ,Ⅳ,there is no significant between the two groups( P > 0.05). 5.TCM diagnosis type charasteristic with skin lesion locations: the patients who suffered pulmonary via wind heat on frontal part accounted for the highest portion in both groups; the patients who suffered blood stasis Tan Ning on Buccalpartaccounted for the highest portion in adult group,meanwhile,the patients who suffered gastrointestinal hot on Buccal part accounted for the highest portion in the adolescent group,significance is found between the two groups( P <0.05).The patients with a disorder syndrome around mouth accounted for the most portion in adults,the patients with change the fire certificate around mouth accounted for the most portion in adolescent group,significantce is found between the two groups( P <0.05). 6.With premenstruation or intromenstruation deterioration, blood thrombed phlem frozen type liver fire type as well as imblance of chongren type laid in the adult group and adolescent group,the two groups had no significant statistical meaning by comparation( P >0. 05);disorder of menstruation for the two group imblance of chongren type mainly belonged to the adult group, liver fire type mainly belonged to adolescent group, the two groups had significant meaning by comparation( P <0.05). 7.For the patient who had a habid of staying up in night, imblace of chongren mainly belonged th adult group, liver fire type mainly belonged to adolescent group, the two groups had significant meaning by comparation( P <0.05). Conclusion: 1.The main inducing facter as well as the general location of skin lesion for female adult acne and adolescent acne had n sigificant meaning. 2.The serious degree lesion locaton menstruaion periode staying up had more or less relatonship for TCM diagnosis type of the female adult acne and adolescent acne; the TCM diagnosis type locations had differences.