The Study On The Distribution Of TCM Syndrome In145Patients With Chronic Hepatitis C

Objective: To study the distribution of TCM syndrome of the Chronic Hepatitis C,and investigate the correlation of the physicochemical indexes and TCM syndrome.Methods:1.Document research Studying documents about the TCM treatment ofCHC by using descriptive statistical analysis method, and summarizing the distribution lawof the CHC syndrome in the literature.2.Clinical research Collectting patients’ clinical datawith CHC through the questionnaires, studying the distribution of TCM syndrome of CHC,and investigating the correlation of the physicochemical indexes and TCM syndromethrough using descriptive statistical analysis, one-way ANOVA, chi-square test and otherstatistical methods.Results:1.For the145patients with CHC, the most common symptom is irascibility;the most common tongue manifestation is Dark-Red Tongue and Yellow-GreasyFur, themain pulse conditions are string-like pulse and fine pulse;2.the syndrome of liverdepression and spleen deficiency is its main type; deficiency syndrome mingling withexcess syndrome is its most important nature;its pathological changes mainly impaired theliver, spleen and kidney; its accompanying symptoms are blood stasis pattern anddampness-heat pattern;3.As the symptomatic score, syndrome of dual deficiency of yinand yan is highest;female patients higher than male;the score is variant in different agegroups, and increases with age trending;4.The syndrome distribution regardless of genderbut age differences. The means of ALT, AST, TBIL, DBIL, ALB of the damp-heat type ishighest;5.The HCV-RNA levels in CHC between various syndromes have no significantdifference;6.The liver spot thickening in blood stasis pattern, syndrome of dual deficiencyof qi and yin, spleen-kidney yang deficiency pattern and yin and yang-deficiency type ismost obvious;fogged vascular lake in Yang deficiency of spleen and kidney type is mostobvious;The thickness of kidney in Yang deficiency of spleen and kidney type is highest; The width of portal vein in Qi and yin deficiency type is highest.Conclusion:1.The syndrome of liver depression and spleen deficiency is the maintype of CHC;2.Deficiency syndrome mingling with excess syndrome is its most importantnature, its pathological changes mainly impaired the liver, spleen and kidney; itsaccompanying symptoms are blood stasis pattern and dampness-heat pattern;3.Thesyndrome distribution regardless of gender but age differences;4.The syndromedistribution regardless of HCV-RNA levels but liver function index and B-modeultrasonography;5.Document research Lack of strength is the most common symptom ofCHC, and syndrome of liver depression and spleen deficiency is its main type;6.Yin andyang-deficiency type, spleen-kidney yang deficiency pattern and syndrome of dualdeficiency of qi and yin are in late stage of the disease, and the liver injuried heavily, whilethe damp-heat type is in the onset of the disease, and the liver damage to a lesser extent.