Study On The Correlation Between TCM Syndrome Type Distribution Of Spid With Seasonal Factors And The Medication Regularity Of Tutor For Treatment This Disease

Objective: Through the correlation analysis of sequelae of pelvic inflammatory disease(SPID)with TCM Syndrome distribution and seasonal factors,master and understand the TCM Syndrome type distribution characteristics of the SPID patients in Hefei and the surrounding areas in the spring,summer,autumn and winter seasons,provide a theoretical basis for more standardized diagnostic criteria and classification of syndromes of TCM of SPID,so as to establish a comprehensive and objective dialectical theory system,and according to the distribution characteristics of the corresponding different syndrome of SPID in different seasons,to select the most effective treatment plan,realize the thought of TCM Syndrome differentiation and treatment and the principle of treatment according to the character,time and local conditions;Through statistics Chinese herbs on the part of the patients which are my tutor chief physician Liu Chunli personally treated,summarize the medication regularity of chief physician Liu Chunli for treatment this disease,to provide experience reference for the selection of Chinese herbs for the treatment of SPID in clinical Chinese Medicine.Methods: Collect 462 patient cases which are meet the conditions from July 2011 to July 2016 in the department of gynecology in the First Affiliated Hospital of Anhui University of Chinese Medicine,according to the beginning of spring,summer,autumn,winter in Twenty-four solar terms as the starting point of time,divided into spring group,summer group,autumn group and winter group.According to the standards of TCM Syndrome Differentiation can be divided into five types: damp heat accumulation type,cold damp stagnation type,qi stagnation and blood stasis type,qi deficiency and blood stasis type,Kidney deficiency and blood stasis type.Using clinical epidemiological study method,to comparative analysis of TCM Syndromes of four groups of patients with SPID,and investigate whether there is any correlation with seasons.According to this grouping by the type of syndrome,to statistics the frequencies of Chinese herbs on the part of the patients which are the chief physician Liu treated,and analyze the medication regularity.Result:1.TCM Syndrome Distribution Characteristics:This study collected 462 cases of SPID patients,there were 108 cases in spring group,119 cases in summer group,120 cases in autumn group,and 115 cases in winter group.There was no significant difference between the four groups of patients with SPID(P>0.05),showed that the distribution of incidence of SPID in the four seasons was basically the same.The distribution characteristics of TCM Syndromes of SPID are different(P<0.05): There were 108 cases in the spring group,accounting for the total number of cases in the four seasons of 23.38%,including the damp heat accumulation type in 45 cases,accounting for 41.7% of the total cases of spring;the second is the cold damp stagnation type in 22 cases,accounting for 20.4% of the total cases of spring;and the qi stagnation and blood stasis type in 20 cases,accounting for18.5% of the total cases of spring.The results showed that the distribution of TCM syndrome type of SPID with damp heat accumulation type most,followed by cold damp stagnation type and qi stagnation and blood stasis type in spring.There were 119 cases in the summer group,accounting for the total number of cases in the four seasons of 25.76%,including the damp heat accumulation type in 64 cases,accounting for 53.8% of the total cases of summer;the second is the qi stagnation and blood stasis type and qi deficiency and blood stasis type 21 cases respectively,accounting for17.6% of the total cases of summer;The results showed that the distribution of TCM syndrome type of SPID with damp heat accumulation type most,followed by qi stagnation and blood stasis type and qi deficiency and blood stasis type cases with the same distribution.There were 120 cases in the autumn group,accounting for the total number of cases in the four seasons of 25.97%,including the damp heat accumulation type in 61 cases,accounting for 50.8% of the total cases of autumn;the second is the qi stagnation and blood stasis type in 28 cases,accounting for 23.3% of the total cases of autumn.In autumn,SPID of TCM syndrome distribution mainly in the damp heat accumulation type and qi stagnation and blood stasis type more.There were 115 cases in the winter group,accounting for the total number of cases in the four seasons of 24.89%,including the damp heat accumulation type in 56 cases,accounting for 48.7% of the total cases of winter;the second is the cold damp stagnation type in 23 cases,accounting for 20.0% of the total cases of winter;and the qi stagnation and blood stasis type in 19 cases,accounting for 16.5% of the total cases of winter.The results showed that SPID syndromes remains to damp heat accumulation type most,followed by cold damp stagnation type and qi stagnation and blood stasis type in winter.2.The frequency of Chinese herbs:Select part of the patients which are the chief physician Liu Chunli personally treated from the collected 462 patients,a total of 148 cases,statistics of the frequency of Chinese herbs,the former 15 kinds Chinese herbs for each syndrome type with high frequency of medication were collected as follows: The damp heat accumulation type should be clearing heat and removing dampness,removing blood stasis and relieving pain as the treatment principle.Often select the kinds of Chinese herbs which can heat and cooling blood,detoxification,promoting blood circulation to regulate menstruation,broken blood and invigorating qi and blood for treatment.The former 15 kinds of high frequency Chinese herbs: Mudanpi,Daxueteng,Yiyiren,Chishao,Sanleng,Ezhu,Yanhusuo,Baijiangcao,Danshen,Zelan,Chuanniuxi,Gancao,Danggui,Chaihu,Zaojiaoci.The cold damp stagnation type should be dispelling cold and dampness,removing blood stasis and relieving pain as the treatment principle.Often select the kinds of Chinese herbs which can promote blood circulation to arrest pain,promote blood circulation to remove blood stasis,dispel internal cold,promote blood circulation to enrich the blood,and the compatibility of regulate the flow of vital energy and remove obstruction toit for treatment.The former 15 kinds of high frequency Chinese herbs: Wulingzhi,Danggui,Chishao,Chuanxiong,Yanhusuo,Puhuang,Xiaohuixiang,Ganjiang,Rougui,Moyao,Fuling,Baizhu,Xuduan,Ezhu,Wuyao.The qi stagnation and blood stasis type should be promoting blood circulation to remove blood stasis,regulating qi to alleviate pain as the treatment principle.Often select the kinds of Chinese herbs which can promote blood circulation to arrest pain,promoting blood circulation to regulate menstruation,regulate the flow of vital energy and remove obstruction toit,removing blood stasis,heat and cooling blood and promote blood circulation to enrich the blood for treatment.The former 15 kinds of high frequency Chinese herbs: Yanhusuo,Danggui,Chaihu,Taoren,Wulingzhi,Chuanxiong,Zhiqiao,Puhuang,Chishao,Yujin,Xiangfu,Sanleng,Ezhu,Danshen,Chuanniuxi.The qi deficiency and blood stasis type should be replenishing qi and invigorating spleen,removing blood stasis and relieving pain as the treatment principle.Often select the kinds of Chinese herbs which can promote blood circulation to arrest pain,broken blood,invigorating qi and blood,heat and cooling blood,and promoting blood circulation to regulate menstruation for treatment.The former 15 kinds of high frequency Chinese herbs: Sanleng,Yanhusuo,Ezhu,Baizhu,Dangshen,Liujinu,Daxueteng,Shanyao,Mudanpi,Baishao,Huangqi,Danshen,Chuanniuxi,Chaihu,Zelan.The Kidney deficiency and blood stasis type should be warming kidney to invigorate Yang and promoting blood circulation to relieve pain as the treatment principle.Often select the kinds of Chinese herbs which can detoxification,heat and cooling blood,inducing diuresis to alleviate edema,Tonifying yang and yin,promoting blood circulation to regulate menstruation,and broken blood for treatment.The former 15 kinds of high frequency Chinese herbs: Daxueteng,Mudanpi,Yiyiren,Tusizi,Buguzhi,Xuduan,Nvzhenzi,Ziheche,Roucongrong,Sanleng,Danshen,Sanqi,Chuanniuxi,Danggui,Zelan.Sum up the 17 kinds of most commonly used herbs medicines: Sanleng,Ezhu,Yanhusuo,Danshen,Chuanniuxi,Danggui,Mudanpi,Daxueteng,Chishao,Zelan,Chaihu,Yiyiren,Wulingzhi,Chuanxiong,Puhuang,Baizhu,Xuduan.Conclusion:1.The distribution of cases of SPID in the four seasons is basically the same(P>0.05),in which the distribution of TCM syndrome types was correlated with seasons,and the distribution in the four seasons is not balanced(P<0.05).The most distribution of TCM syndrome type of SPID is damp heat accumulation type in four seasons.But the distribution of the cases in the second position is different: In the spring is cold damp stagnation type.In the summer is qi stagnation and blood stasis type,and qi deficiency and blood stasis type.In the autumn is qi stagnation and blood stasis type;and in the winter is cold damp stagnation type.This study has certain guiding significance for improving clinical differentiation of TCM,and also guiding the clinical medication of SPID.2.Chief physician Liu Chunli often choose the kinds of Chinese herbs which can promoting blood circulation for removing blood stasis,heat-clearing,and compatible with a small amount of tonic herbs in clinical treatment of SPID.Sum up the 17 kinds of most commonly used herbs medicines,included 8 kinds of promoting blood circulation for removing blood stasis(Sanleng,Ezhu,Yanhusuo,Danshen,Chuanniuxi,Zelan,Wulingzhi,Chuanxiong);3 kinds of heat-clearing(Mudanpi,Daxueteng,Chishao);3 kinds of tonic herbs(Danggui,Baizhu,Xuduan);and 3 kinds of other herbs(Chaihu,Yiyiren,Puhuang).And modify according to symptoms comprehensively,to achieve a better therapeutic effect.This study shows that Professor Liu Chunli is good at treating SPID with promoting blood circulation for removing blood stasis and vein relaxing;heat and cooling blood and clearing damp;and pay attention to eliminating evil and strengthening the body resistance for good results.