Study On The Distribution Differences Of TCM Syndrome Elements In Different Stages Of T2DM With Dyslipidemia

Objective:This study uses the method of syndrome elements differentiation to count and analyze the distribution characteristics and differences of TCM syndromes elements in three stages of normal blood glucose,prediabetes,and type 2 diabetes in the dyslipidemia population,and discuss their clinical significance,in order to provide ideas and references for the prevention and treatment of diabetes in the dyslipidemia population.Methods:In this study,80 patients with dyslipidemia(normal blood glucose),prediabetes with dyslipidemia,and type 2 diabetes with dyslipidemia were collected.Collect patient basic information and four consultation information,and use health status identification system to calculate the syndrome element points.And make statistics to analyze the distribution characteristics and differences of TCM syndrome elements in the three groups of patients.Results:1.There is no statistical significance of gender and age distribution of three groups of patients(P>0.05).2.The main disease location syndrome elements in the group of dyslipidemia(normal blood glucose)are liver,spleen and kidney;common disease syndrome elements are phlegm,dampness,qi deficiency,qi stagnation,yang deficiency,yin deficiency,blood deficiency and heat.In the group of prediabetes with dyslipidemia,the main disease location syndrome elements are liver,spleen and kidney;common disease syndrome elements are phlegm,dampness,qi deficiency,yin deficiency,yang deficiency,qi stagnation,heat,blood stasis and blood deficiency.In the group of type 2 diabetes mellitus with dyslipidemia,the main disease location syndrome elements are kidney and liver;the common disease syndrome elements are yin deficiency,heat,qi deficiency,phlegm,dampness,yang deficiency,blood deficiency,qi stagnation and blood stasis.3.There is no significant difference in disease location syndrome elements stomach,liver,lung,gallbladder,and heart of three groups of cases(P>0.05);there is no significant difference in disease syndrome elements dampness,yang deficiency,phlegm,qi stagnation,qi deficiency,and blood stasis(P>0.05).There is no significant difference between the group of dyslipidemia(normal blood glucose)and the group of prediabetic with dyslipidemia in each disease location and disease syndrome elements(P>0.05).There are significant differences in syndrome elements kidney,spleen,yin deficiency,heat and blood deficiency between two groups and the group of type 2 diabetes mellitus with dyslipidemia(P<0.05).Conclusion:1.The disease locations of dyslipidemia with normal blood glucose are mainly liver,spleen and kidney.The main shi syndrome elements are phlegm,dampness and qi stagnation,the main xu syndrome elements are qi deficiency,yang deficiency and yin deficiency.The disease locations of prediabetes with dyslipidemia are mainly liver,spleen and kidney.The main shi syndrome elements are phlegm,dampness and qi stagnation,the main xu syndrome elements are qi deficiency,yin deficiency and yang deficiency.The disease locations of type 2 diabetes mellitus with dyslipidemia are mainly kidney and liver.The main shi syndrome elements are heat,phlegm,dampness and qi stagnation,the main xu syndrome elements are yin deficiency,qi deficiency,yang deficiency and blood deficiency.2.There was no significant difference in the disease location and disease syndrome elements between dyslipidemia with normoglycemia and prediabetes with dyslipidemia.Type2 diabetes mellitus with dyslipidemia has significant differences in the distribution of syndrome elements of kidney,spleen,yin deficiency,heat and blood deficiency with the former two groups.3.In the treatment of dyslipidemia,in addition to removing dampness and phlegm,transporting the spleen,attention should also be paid to soothing the liver and regulating qi,and nourishing the liver and kidney.In the process of preventing and treating the occurrence and development of type 2 diabetes in people with dyslipidemia,first of all,it is necessary to strengthen the spleen and stomach to prevent phlegm and dampness from being endogenous;secondly,soothe the liver and regulate qi,so that the phlegm,dampness and qi are not stagnant and become fire;then,clear heat and moistening,protect body fluid;for long-term patients,should nourish kidney yin,warm kidney yang,supplement qi and blood,and prevent the stagnation of qi and blood.