Clinical Observation And Study On The Distribution Of Meridians, Acupoints And TCM Syndrome Types In 173 Patients With Cerebral Infarction

PurposeObjective evaluation of patients with cerebral infarction through meridians diagnosis technology status of main and collateral channels,to explore the distribution of acupoints,channels and collaterals and and the correlation of TCM syndrome types,explore cerebral infarction in patients with abnormal state laws of main and collateral channels,on this basis for clinical acupuncture and moxibustion,etc.Treatment of the disease to provide the objective basis of syndrome differentiation of main and collateral channels,promoting of routine diagnostic model for physicians in thinking.Through this research,the technical specifications of meridian diagnosis and treatment of cerebral infarction are preliminarily established,and the techniques of acupuncture and moxibustion diagnosis and treatment that can be popularized are put forward.MethodsGeneral information,head MRI and CT results,TCM syndrome differentiation form and meridian diagnosis form data of 173 patients enrolled in CI were collected.Information of all patients was filled in and sorted out by myself.The software ExcEL7.0 was used to establish the database,and the collected data were input.The SPSS20.0 software was used for descriptive analysis and correlation analysis of the obtained data.Because the variables did not conform to the normal distribution,the correlation analysis was conducted by binary Logistic regression and Spearman bivariate correlation analysis.ResultsFourteen meridians diagnosis results,the meridian of yangming foot(129 cases)and the foot lunar spleen(115 cases),abnormal most,followed by fa jue Yin liver meridian(86 cases),hand yangming e.(86)and the lung meridian(73 cases),again for du meridian(59 cases),foot shaoyang bile approved by(53)hand was less Yang through the(52 cases)and feet shaoyin kidney meridian(46 cases),and hand jue the pericardium meridian(46 cases).In 68 patients with acute phase,the meridian of yangming foot up to(53),followed by foot lunar spleen(47)abnormal most,followed by fa jue Yin liver meridian(36 cases),lung meridian(31 cases),and hand yangming e.(27 cases),then for the du meridian(20 cases),foot shaoyang gallbladder meridian(20 cases)and hand jue the pericardium meridian(20 cases)for hand little Yang after the sanjiao(triple energizer)is the(16 cases)and feet shaoyin kidney meridian(14 cases).103 cases of convalescence of cerebral infarction patients,is still in the meridian of yangming foot(74 cases)and the foot lunar spleen(66 cases),abnormal most,followed by hand yangming e.(58 cases),foot jue Yin liver meridian(50 cases)and the lung meridian(42 cases),then for the du meridian(39 cases),hand Yang the sanjiao(triple energizer)is less(36 cases),foot shaoyang gallbladder meridian(33 cases)and feet shaoyin kidney meridian(31 cases),and hand jue the pericardium meridian(26 cases).The top ten acupoints related to cerebral infarction were yinlingquan(106 people),zusanli(104 people),taichong(77 people),chizze(72 people),quchi(63 people),shousanli(46 people),yanglingquan(46 people),taibai(36 people),baihui(32 people)and xingjian(32 people).The top ten abnormal acupoints of the patients in the acute stage were Yin lingquan(45 cases),zusanli(45 cases),taichong(33 cases),chizze(31 cases),quchi(20 cases),baihui(20 cases),shousanli(20 cases),yanglingquan(19 cases),xingjian(13 cases),and taibai(12 cases).The top ten abnormal acupoints in cornvalescent patients were Yin lingquan(60 cases),zusanli(57 cases),taichong(44 cases),quchi(43 cases),chichize(41 cases),baihui(37 cases),shousanli(37 cases),yanglingquan(27 cases),taibai(23 cases)and taixi(21 cases).The TCM syndromes of apoplexy were wind syndrome(123 cases),phlegm syndrome(80 cases),blood stasis syndrome,qi deficiency syndrome,Yin deficiency syndrome and heat syndrome.In patients with acute stage,there were wind syndrome(50 cases),phlegm syndrome(40 cases),blood stasis syndrome(12 cases),qi deficiency syndrome(9 cases),Yin deficiency syndrome(11 cases),and heat syndrome(4 cases).In convalescent patients,there were wind syndrome(73 cases),phlegm syndrome(46 cases),blood stasis syndrome(21 cases),qi deficiency syndrome(16 cases),Yin deficiency syndrome(13 cases)and heat syndrome(11 cases).Wind syndrome of acute cerebral infarction was associated with pericardial meridian of hand jueyin and trifocal meridian of hand shaoyang(P<0.05).Yin deficiency syndrome was associated with liver meridian of foot jueyin(P<0.05).There was a correlation between wind syndrome and lung meridian of the hand and large intestine meridian of the hand(P<0.05).Phlegm syndrome was associated with shaoyang triple jiao meridian(P<0.05).Among the risk factors of cerebral infarction,the number of patients with hypertension was the highest,followed by hyperlipidemia,diabetes,coronary heart disease,cranial artery stenosis and atrial fibrillation.There was a correlation between hyperlipidemia and wind syndrome(P<0.05).There was a correlation between atrial fibrillation and heat syndrome(P<0.05).Cranial artery stenosis was associated with wind and qi deficiency(P<0.05).ConclusionThe results of the abnormal state of the meridians were as follows:the stomach and spleen of the foot yangming were the most abnormal,followed by the foot jueyin,hand yangming and hand taiyin.In the acute stage and convalescence stage of the disease,the stomach meridian of the foot yangming and the spleen meridian of the foot taiyin have always occupied the primary position.The differences of the two stages were mainly the large intestine meridian of the hand yangming,the governor's vein,the hand shaoyang triple jiao meridian and the kidney meridian of the foot shaoyin.The ten acupoints related to cerebral infarction are Yin lingquan,zusanli,taichong,chizze,quchi,shousanli,yanglingquan,taibai,baihui and xingjian respectively.Compared with the acute stage,the proportion of yinling spring and zusanli decreased,the proportion of quchi,shousanli and baihuai increased,and the 10th acupoint in the acute stage and th e recovery stage were xingjian and taixi respectively.The most common TCM syndromes of cerebral infarction are wind syndrome and phlegm syndrome,followed by blood stasis syndrome,qi deficiency syndrome,Yin deficiency syndrome and heat syndrome.Wind syndrome and phlegm syndrome are also the most common syndromes in patients with acute stage and those with convalescence stage.In comparison,the proportion of patients with qi deficiency,Yin deficiency and heat syndrome in convalescence stage increases.To observe the relationship between TCM syndromes and meridians:in patients with acute stage,wind syndrome was associated with pericardial meridian of hand jueyin and trifocal meridian of hand shaoyang(P<0.05).Yin deficiency syndrome was associated with liver meridian of foot jueyin(P<0.05).In convalescent patients,wind syndrome was associated with hand taiyin lung meridian and hand yangming large intestine meridian(P<0.05).Phlegm syndrome was associated with shaoyang triple jiao meridian(P<0.05).Due to th e limited sample size,no correlation between meridian and other syndromes was found.